Part B of the application form - Gujarat Ayurved University

19. List of Self attested copies of certificates/documents attached:(Mð «{krýík MkŠxrVfux/ËMíkkðusLke Lkf÷kuLkk rçkzkýLke rðøkík)1. 2.3. 4.5. 6.7. 8.9. 10.20. I ___________________________________________solemnly declare that the particularsFurnished in this application are true and correct. I clearly understand that any misstatementof fact contained herein or willful concealment of any material fact will render me liable toAppropriate action as may be decided by University.(nwt .............................................................................«rík¿kkÃkqðof ònuhfÁt Awt fu yk yhS{kt÷¾ðk{kt ykðu÷ ík{k{ nfefík Mkk[e yLku ¾he Au. nwt Mkkhe heíku Mk{swt Awt fu ¾kuxe nfefík yøkh íkkuòýeçkqÍeLku ÷¾ðk{kt ykðu÷ ¾kuxe nfefík {kxu ÞwrLkðŠMkxe Lk¬e fhu íku Ãkøk÷kt {khe Mkk{u ÷uþu.)Place: ______________Date: ______________ Signature of the Candidate: _______________(MÚk¤) (íkkhe¾) (W{uËðkhLke Mkne)21. No Objection Certificate :This is to certify that Mr./Mrs........................................................................................is servingin this institute / Organisation from.....................................as...........................................................................................................................................................................................................This is to further certify that there is no departmental inquiry/proceeding or vigilance inquiry orcontempt of court against the employee is pending.Date :Place :Signature of Employer with SealLkk ðktÄk «{kýÃkºk :ykÚke «{kýÃkºk ykÃkðk{kt ykðu Au fu ©e / ©e {íke / fw{khe ........................................................................................y{khe MktMÚkk{kt...........................................................................................Lkk nkuÆk Ãkh íkkhe¾..................Úke Vhòuçkòðu Au. ðÄw{kt yk Ãký «{krýík fhðk{kt ykðu Au fu yk f{o[kheLke rðÁØ{kt fkuE ¾kíkkfeÞ íkÃkkMk/Ãkku÷eMkíkÃkkMk/fkuxoLkku ríkhMfkh nk÷ Ãkqhíkku LkÚke.íkkhe¾ :MÚk¤ :¾kíkkLkk ðzkLke Mkne yLku rMk¬kuSignature of the Candidate(W{uËðkhLke Mkne)- 4 -

N.B. 1. Application with incomplete information will not be accepted.íkk.f. 1. yÄqhe nfefíkðk¤e yhS Mðefkhðk{kt ykðþu Lknª.2. The application should be in the candidate’s own handwriting.2. W{uËðkhu ÃkkuíkkLkk nMíkkûkh{kt s yhS ¼hðe3. A candidate who is employed elsewhere should forward the application through his/her employer or shouldattach a certificate (No Objection Certificate) from the employer that he/she has been permitted to apply for thepost in question, otherwise the application will not be considered.3. òu fkuE W{uËðkh çkeS fkuE MktMÚkk{kt Lkkufhe fhíkku nþu íkku íku{ýu íku{Lke yhS ÃkkuíkkLkk ¾kíkkrÄfkhe {khVík {kuf÷ðeyÚkðk íku{ýu MkËh søkk {kxu yhS fhðk {kxu ÃkhðkLkøke ykÃÞk çkË÷Lkwt «{kýÃkºk (Lkk ðktÄk «{kýÃkºk)hsq fhðwt, Lknªíkku yhS økúkÌk hk¾ðk{kt ykðþu Lknª.- 5 -

I.P.G.T. & R.A. Gujarat Ayurved University, JamnagarPart B of the application formAPI PROFORMA FOR PROFESSOR, ASSOCIATE PROFESSOR & ASSISTANT PROFESSOR BASEDON PERFORMANCE BASED APPRAISAL SYSTEM TO BE SUBMITTED BY EACH APPLICANTFOR APPOINTMENT ON THE POST OF TEACHERS AND OTHER ACADEMIC STAFF AS PER UGCREGULATIONS, 2010Minimum API Score Required for Direct Recruitment ofAssociate ProfessorMinimum API Score Required for Direct Recruitment inProfessorMinimum Essential Qualification and Consolidated APIscore of 300 Points from Category III of APIMinimum Essential Qualification and Consolidated APIScore of 400 Points from Category III APIAdvertisement No. and Date:Name of the Applicant:Date of Birth:Post applied for and Subject:Page 1 of 7 Name &Signature of Candidate

I.P.G.T. & R.A. Gujarat Ayurved University, JamnagarPart B of the application formS No. APIs Ayurveda /Medical Sciences Max. points for University TeachersAPI ScoreallottedSelf - appraisalscoreVerifiedAPI ScoreIII A Research Papers published in: Refereed JournalsNon-refereed but recognized and reputable journalsand periodicals, having ISBN/ISSN numbers.15 / publication10 / PublicationN X 15N 1 X 10 =III (B)Research Publications (books,chapters in books, other thanrefereed journal articles)Conference proceedings as full papers, etc. (Abstractsnot to be included)Text or Reference Books Published by InternationalPublishers with an established peer review systema) No of sole author book(s) = M 1b) No of chapter(s)in an edited book(s) = M 210/ publication N 2 X 10 =Total of III A50 /soleauthor; 10/chapter in anedited bookM 1 X 50 =M 2 X 10 =Subject Books by Other local publishers withISBN/ISSN numbers.c) No of sole author book(s) = M 5No of chapter(s)in an edited book(s) = M 6Chapters contributed to edited knowledge basedvolumes published by International PublishersNo of chapter(s) = M 715 / sole M 5 X 15 =author and 3 /chapter in M 6 X 3 =Edited books10 /Chapter M 7 X 10 =Chapters in knowledge based volumes byIndian/National level publishers with ISBN/ISSNnumbers and with numbers of national and internationaldirectoriesNo of chapter(s) = M 85 / Chapter M 8 X 5Total of III BPage 2 of 7 Name &Signature of Candidate

I.P.G.T. & R.A. Gujarat Ayurved University, JamnagarPart B of the application formNote: in case three authors for one research publication, the principle author get 4 points while other authorseligible for 2 pointsPage 3 of 7 Name &Signature of Candidate

I.P.G.T. & R.A. Gujarat Ayurved University, JamnagarPart B of the application formIII (C) RESEARCH PROJECTSIII (C) Sponsored Projects carried(i) out/ ongoingIII (C)(ii)III (C)(iii)III (C)(iv)III(D)Consultancy Projects carriedout / ongoingCompleted projects : QualityEvaluationProjects Outcome / OutputsRESEARCH GUIDANCE(a) Major Projects amount mobilized withgrants above 30.0 lakhs No ofProject(s) = P 1(b) Major Projects amount mobilized withgrants above 5.0 lakhs up to 30.00lakhsNo of Project(s) = P 2(c) Minor Projects (Amount mobilized withgrants up to Rs. 5 lakh)No of Project(s) = P 3Amount mobilized with minimum ofRs.10.00 lakhsNo of 10 Lakh(s) = RCompleted project Report (Acceptancefrom funding agency)a) No. of completed & accepted Majorproject(s) = Q 1b) No. of completed & accepted Majorproject(s) = Q 2Patent/Technology transfer/Product/Processa) No. of national level output = O 1b) No. of international level output = O 220 /each Project P 1 X 20 =15 /each Project P 2 X 15 =10/each Project P 3 X 10 =10 per every R X 10 =20 /each major projectand 10 / each minorproject30 / each national leveloutput or patent /50/each for Internationallevel, (output or patient)Total of III CQ 1 X 20 =Q 2 X 10 =O 1 X 30 =O 2 X 50 =Page 4 of 7 Name &Signature of Candidate

I.P.G.T. & R.A. Gujarat Ayurved University, JamnagarPart B of the application formIII(E)TRAINING COURSES AND CONFERENCE / SEMINAR / WORKSHOP PAPERSIII(E)(i)Refresher courses, Methodologyworkshops, Training, Teaching-Learning- Evaluation TechnologyProgrammes, Soft Skillsdevelopment Programmes, FacultyDevelopmentProgrammes (Max: 30 points)(a) Not less than two weeks durationNo. of programs = T 1(b) One week durationNo. of programs = T 2Participation and Presentation of researchpapers (oral/poster) in20/each T 1 X 20 =10/eachT 2 X 10 =III(E)(ii)III(E)(iv)III(E)(v)Papers in Conferences/ Seminars/workshops etc.Invited lectures or presentations forconferences/ symposia /RoTP/CME/ TOT3 Days Special training programsconducted by state Government /central Government agencies /institutions/ councilsa) International conference 10 each C 1 X 10 =b) National 7.5 / each C 2 X 7.5 =c) Regional/State level 5 /each C 3 X 5 =d) Local –University/College level 3 / each C 4 X 3 =(a) International 10 /each L 1 X 10 =(b) National level 5 / each L 2 X 5 =© State level/local 3 / each L 3 X 3 =(a) National level5/each L 4 X 5 =(b) State level or local3/each L 5 X 3 =Total III EPage 6 of 7 Name &Signature of Candidate

I.P.G.T. & R.A. Gujarat Ayurved University, JamnagarPart B of the application formNote: for the each category under III (E) (i,ii,iii,iv) maximum 2 presentation and / or participationof papers in training course, conference, seminar and workshop will be considered.Page 7 of 7 Name &Signature of Candidate