Note: APPLICATION FORM WILL BE VALID WHEN ENCLOSED A DEMAND DRAFT.
Jh yky cgknqj 'kkL=kh jkf"Vª; laLÑr fo|kihB SHRI LAL BAHADUR SHASTRI RASHTRIYA SANSKRIT VIDYAPEETHA
Deemed University
(ekfur fo'ofo|ky;) Qutab Institutional Area, New Delhi- 110016
dqrqc lkaLFkkfud {ks=k] ubZ fnYyh&110016 (Application Form for Academic Positions) 'kSf{kd inksa ds fy, vkosn u&i=k
Affix Self attested Photograph here ;gk¡ Lor% lR;kfir iQksVks fpidk,¡
Advertisement No.@foKkiu la 0 % Post Applied for in dk uke (ftlds fy, vkosnu fd;k gS)
IN (SUBJECT) fo"k; Specialisation required for the post if any, in ds fy, (;fn dks bZ) fo'ks" kKrk visf{kr gS rks mldk fooj.k
Please read the instructions at page 8 before filling up the form Ñi;k vkosnu i=k Hkjus ds igys i`"B 8 ij fn;s x;s funsZ'kksa dks i<+ ysa 1. (i)
(ii)
Name (In block letters) uke (Li"V v{kjksa esa) Father's/Guardian's name firk@laj{kd dk uke
2. *
Date of Birth@tUe&frfFk
Age (as on the last date of the application) vk;q (vkosnu dh vafre frfFk rd) Sex@fyax Male (iq#"k)/Female (L=kh)
3.
Nationality@jk"Vªh;rk
4.
Married/Unmarried@fookfgr@vfookfgr
5.
(a) Post held if any, at the time of sending the application with date of appointment (state whether permanent or on probation or temporary) (d) vkosnu i=k Hkstus ds le;] ;fn fdlh] in ij dke dj jgs gSa rks fu;qfDr dh frfFk (mYys[k dhft;s fd LFkk;h gSa] ifjoh{kk/hu gSa ;k vLFkk;h gSa) (b) Name of the Employer fu;ksDrk dk uke
*
The selected candidates shall produce, in original the matriculation or equivalent certificate as proof of the date of birth. No other evidence will be accepted. pqus gq, izR;kf'k;ksa dks viuh tUe&frfFk ds izek.k ds :i esa eSfVª d ijh{kk vFkok mlds led{k fdlh ijh{kk dk ewy izek.ki=k izLrqr djuk gksxk A bl ckjs esa vU; dksbZ lk{; Lohdkj ugha fd;k tk,xk A
1
Note: APPLICATION FORM WILL BE VALID WHEN ENCLOSED A DEMAND DRAFT.
6.
(a) Present basic monthly pay and allowances (State separately). (d) orZeku ew y ekfld osru rFkk HkÙks (vyx&vyx fooj.k nhft,) A Grade/osrueku …………………………………………………………………….Rs./ #0 Basic Pay/ewy osru …………………………………………………………………….Rs./ Allowances/HkÙks …………………………………………………………………….Rs./ i. Dearness/eagxkbZ HkÙkk …………………………………………………………………….Rs./ ii City Compensatory/uxj HkÙkk ……………………………………………………………Rs./ iii House rent/edku fdjk;k HkÙkk ……………………………………………………………Rs./ iv. Any other allowance/vU; dksbZ HkÙkk………………………………………………………..Rs./ Total emoluments/dqy os ru
#0 #0 #0 #0 #0 #0
……………………………………………………………Rs./ #0
(a)
7. 8.
9.
10.
Date of next increment. vxyh osr uo`f ¼ dh rkjh[k (b) Age of retirement in the present post orZeku in ij lsokfuo`fÙk dh vk;q Minimum basic pay acceptable. Rs.………………………………………….. Lohdk;Z U;wure ewy osru #-0-----------------------------------------------------------------------Do you belong to the Scheduled Caste/ Scheduled Tribe ? If yes, please state clearly and attach certificate in support there of. D;k vki vuq lwfpr tkfr@vuq lwfpr tutkfr ds gSa @ ;fn gk¡] rks mldk Li"V fooj.k nhft, vkSj ml ckjs esa izek.k&i=k lkFk yxkb, A Postal Address (Address for Communication) og irk ftl ij bl vkosnu&i=k dk tokc Hkstk tk, (;fn Hkstuk gks rks)
p.m. izfrekg
Permanent Address LFkk;h irk
11.(a) Whether the candidate is in receipt of any pension benefits if so, the amount of pension and pension equivalent to gratuity must be indicated. D;k vkosnd dks dksbZ isa'ku ykHk fey jgs gSa] ;fn gk¡] rks isa'ku dh jkf'k vkSj xzsP;wVh dh lerqY; isa'ku jkf'k dk mYys[k fd;k tk;s A (b) Whether the candidate would be entitled to any pension any benefits on his pre-mature retirement from his present post, if selected for appointment in the university, if so the amount of pension and the pensionary benefits may be indicated. ;fn vkosnd dks bl fo'ofo|ky; esa fu;qfDr ds fy, pqu fy;k x;k rks D;k og vius orZeku in ls le; iw oZ lsokfuo`fÙk ysus ij fdUgha isa'ku ykHkksa dks ikus dk gdnkj gks xk] ;fn gk¡] rks isa'ku jkf'k rFkk os ru ykHkksa dk mYys[k fd;k tkuk pkfg;s A
2
Note: APPLICATION FORM WILL BE VALID WHEN ENCLOSED A DEMAND DRAFT.
12.
Academic Qualifications /'kS f {kd ;ks X ;rk,a % (Examinations passed Matriculation/Higher Secondary onwards to Doctorate/Research Degrees).
(eSfVªd@mPprj ekè;fed ls ysdj MkDVjsV@vuqla/ ku mikf/;ksa rd mÙkh.kZ dh xbZ ijh{kkvksa dk fooj.k) Examination Passed mÙkh.kZ ijh{kk
13.
Name of the University/ Board fo'ofo|ky;@cksMZ dk uke
School/ College attendant fdl fo|ky;@egkfo|ky; esa f'k{kk izkIr dh
Division with Percentage of marks obtained Js.kh] izkIrkad izfr'kr
Year of Passing mÙkh.kZ gks us dk o"kZ
Subject offered ijh{kk ds fo"k;
Academic Distinction (eg. any prize medal award etc.)
f'k{kk laca/h fo'ks"k ;ksX;rk (tSls dksbZ iqjLdkj] eSfMy] ikfjrksf"kd vfn)
3
Note: APPLICATION FORM WILL BE VALID WHEN ENCLOSED A DEMAND DRAFT.
14.
Teaching Experience at Universities or Degree Colleges : egkfo|ky;ksa vFkok fo'ofo|ky;ksa esa vè;kiu dk vuqHko
University/ College Name fo'ofo|ky;@ egkfo|ky; dk uke
15.
Designation Nature of post Temp./ Perm. inuke in dh fLFkfr LFkk;h@vLFkk;h
Classes taught U.G. P.G. Lukrd @ LukrdksÙkj Lrj
Period
Length of Experience
From - To foLr`r vof/ dc ls dc rd
Years ….. Months….. dqy vuqHko o"kZ----------------ekg--------------
Administrative Experience, if any/zizk'kklfud vuq Hko] ;fn dksbZ gS :
Name of Institution / Organization laLFkk@laxBu dk uke
Designation Nature of post Temp./ Perm. inuke in dh fLFkfr LFkk;h@vLFkk;h
Nature of Duties dk;ZHkkj dk Lo:i
Period
Length of Experience
From - To foLr`r vof/ dc ls dc rd
Years ….. Months….. dqy vuqHko o"kZ----------------ekg-------------
4
Note: APPLICATION FORM WILL BE VALID WHEN ENCLOSED A DEMAND DRAFT.
16.*
Any Published work or books written by the applicant or particulars of any research or other work that he may like to mention. If necessary, a separate sheet of paper may be used for this purpose. vkosnd }kjk izdkf'kr lkexzh ;k mlds }kjk fy[kh xbZ iqLrdksa ;k ,sls fdlh 'kks/ dk;Z vFkok fdlh vU; dk;Z dk fooj.k ftldk fd mYys[k djuk pkgrk gS (;fn vko';d gks rks lcdk mYys[k djus ds fy, vyx dkxt dk bLrseky fd;k tk ldrk gS) A
Mention the exact Under Publication Preparation (Specify the No.) (Please Specify) no. of Publications izdkf'kr (la[;k nhft;s) izdk'kuk/hu fuekZ.kk/hu 1.
Books/iqLrdsa
2.
Research Papers/'kks/i=k
3.
Articles/ys[k
(b)
Date of Submission izLrqfr&frfFk
Details of Supervision of research degrees./ 'kks/ mikf/ ds fy, ekxZZ funssZ'ku Awarded mikf/ fey pq dh
1.
M.Phil./ ,e-fiQy-
2.
Ph.D./ ih-,p-Mh-
Research in progress 'kks/dk;Z py jgk gS
Thesis / Dissertation 'kks/izcU/@fucU/ izLrqr fd;k tkuk gS
3. (c)
Special subject of study or branch of specialization, if any, vè;;u dk fo'ks"k ;k fo'ks"kKrk ds {ks=k dk uke] ;fn dks bZ gS A
17.
Membership of learned bodies/fo}r~ fudk;ksa dh lnL;rk
18.
No. of literary, cultural or other activities e.g. attainment in sports games etc.) in which the applicant is interested and distinction, if any, obtained. mu lkfgfR;d] lkaLÑfrd vFkok vU; fØ;k&dykiksa dh la[ ;k (tSls [ksy&dwn laca/h miyfC/;ka vkfn) ftuesa vkosnd dh #fp gS vkSj ;fn mlus dksbZ ;ksX;rk izkIr dh gS rks mldk mYys[kA
19.
Details of experience in imparting education through any means of communication and innovations in teaching methods and / or production of teaching methods and / or production of teaching materials. lapkj ekè;e }kjk f'k{k.k dk;Z rFkk f'k{k.k i¼fr esa uohuhdj.k vkSj f'k{k.k lkexz h rS;kj djus dk C;kSjk A Signature of the Applicant in full/ vkosnd ds gLrk{kj------------------------------------------
*
Please also give the subjects of papers together with names of Journals and dates, reprints of important papers should be attached to the application. izdkf'kr ys[kksa dk fo"k; rFkk fnuka d lfgr mu if=kdkvksa dk uke Hkh crkb, ftuesa os izdkf'kr gq, gSa A egÙoiw.kZ 'kks/ ys[k dh iqueqZfær izfr;ka Hkh vkos nu&i=k ds lkFk layXu dh tkuh pkfg, A
5
Note: APPLICATION FORM WILL BE VALID WHEN ENCLOSED A DEMAND DRAFT.
DECLARATION/?kks " k.kk
I declare that the statements made in this application are true to the best of my knowledge and belief. Incomplete applications or omissions of any factual information intentional or otherwise or Non-submission of any desired shall entail cancellation of candidature. eSa ?kks"k.kk djrk@djrh gw¡ fd bl vkosnu&i=k esa esjs }kjk fn;k x;k fooj.k esjh tkudkjh ,oa fo'okl ds vuqlkj lR; gS A v/wjk vkos nu&i=k ik;s tkus ij vFkok lR;rk dks tkucw> dj ;k vU; fdlh dkj.k ls fNikus ij vFkok okafNr nLrkost izLrqr u djus dh fLFkfr eas esjh vH;fFkZrk fujLr ekuh tk;s A
Date/fnukad
Signature of the Applicant/vkos n d ds gLrk{kj
Undertaking/opuc¼rk I, hereby undertake that in the event of any kind of suppression of factual information or concealment of facts or providing misleading information or commission of any act with the intention of defrauding the Vidyapeetha detected at any stage of my service career, my service will be liable to be terminated with immediate effect for which the Vidyapeetha shall not be liable to pay any compensation or benefit in any form under any circumstances. Further I am liable to any civil/criminal action as provided under the law. eSa ;g opu nsrk@nsrh gw¡ fd fo|kihB dks /ks [kk nsus ds mn~ns '; ls fdlh lR; lwpuk vFkok fdlh rF; dks fNikus vFkok xyr lwpuk nsus vFkok esjs lsok dky ds fdlh Lrj ij esjs fdlh voS/ dk;Z esa lafyIr ik;s tkus ij esjh ls ok,a rRdky fujLr dh tk ldrh gS a rFkk ,slh fLFkfr esa fo|kihB fdlh Hkh izfriwfrZ ;k ykHk nsus ds fy, ckè; ugha gksxk] vkSj nks"kh ik;s tkus ij dkuwu ds vuqlkj nhokuh@iQkStnkjh dk;Z okgh eq> ij dh tk ldrh gS A
Date/fnukad
Signature of the Applicant/vkosnd ds gLrk{kj
6
Note: APPLICATION FORM WILL BE VALID WHEN ENCLOSED A DEMAND DRAFT.
Jh yky cgknqj 'kkL=kh jkf"Vª; laLÑr fo|kihB SHRI LAL BAHADUR SHASTRI RASHTRIYA SANSKRIT VIDYAPEETHA
Deemed University No. LBSV
(ekfur fo'ofo|ky;) Qutab Institutional Area, New Delhi- 110016
Affix Self attested Photograph here
dqrqc lkaLFkkfud {ks=k] ubZ fnYyh&110016 (Application Form for Academic Positions)
;gk¡ Lor% lR;kfir iQksVks fpidk,¡
'kSf{kd inksa ds fy, vkosnu&i=k NOTE : PLEASE FILL THIS PROFORMA NEATLY TYPED/Ñi;k bl vkosnu izi=k dks Vad.k }kjk Li"V Hkjsa A
POST APPLIED FOR
vkosfnr in dk uke Present Employer Status/orZeku fu;ksDrk dh tkudkjh Name/uke
Date of Birth/tUe frfFk
Present Scale/orZeku osrueku
Present basic pay/orZeku ewy osru
Present employer institution/orZeku fu;ksDrk (laLFkk) Whether belongs to SC/ST/Handicapped/D;k vuqlwfpr tkfr@tutkfr o fodykax gS % Academic distinctions/awards/'kSf{kd miyfC/;ka@iqjLdkj Area of specialization/fo'ks"kKrk {ks=k
Academic Qualification/'kSf{kd ;ksX;rk,a % Exam./ ijh{kk
University/ fo'ofo|ky;
Div. / Js.kh
%age/ izfr'kr
Year/ o"kZ
Subject/ fo"k;
H.Sc./ gkbZ Ldwy Inter/ b.Vj Graduate/ Lukrd Post Graduate/ LukrdksÙkj Ph.D. / fo|kokfjf/ NET/ usV Any other/ vU;
Publication and Research works. / izdk'ku ,oa 'kks/ dk;Z (la[;k nhft;s) Published/ iz dkf'kr 1.
Books/ iqLrdsa
2.
Res. Papers/ 'kks/i=k
3.
Articles/ ys[k
Under Publication/ iz dk'kuk/hu
Unpublished/ vizdkf'kr
Research Guidance No. of Scholars/ 'kks/ funsZ'ku ('kks /kfFkZz;ksa dh la [;k) 1.
M.Phil-/ ,e-fiQy-
2.
Ph.D. / ih&,p-Mh-
Awarded/ mikf/ izkIr
Research in progress/ 'kks/jr
Under sub./izLrqfr ds fy, rS;kj
Designation/
Scale of Pay/
Exp. From-To/
Experience/ vuqHko Institution/
laLFkk
inuke
osrueku
vuqHko dc
ls dc rd 1. 2. 3.
Date/ fnukad :........................
Signature of Applicant/ vkosnd ds gLrk{kj-------------------------------------------------
7
Note: APPLICATION FORM WILL BE VALID WHEN ENCLOSED A DEMAND DRAFT.
INSTRUCTIONS TO APPLICANTS/ vkos ndksa ds fy, funsZ'k 1.
Copies of Certificates/Marksheets/Testimonials etc., should be attached with the application (Certified by the Applicant himself) and the originals must be produced at the time of interview and at the time of joining, if selected. / izek.ki=kksa] mikf/;ksa] vadi=kksa] 'kalki=kksa vkfn dh (Lo;a vkos nd ds }kjk lR;kfir) izfr;ka vkosnu&i=k ds lkFk layxu dh tkuh pkfg, vkSj ew y izfr;ka lk{kkRdkj ds le; rFkk pqus tkus ij dk;ZHkkj la Hkkyus ds le; izLrqr dh tkuh pkfg, A
2.
Except where otherwise indicated, applicants appearing at the interview shall do so at their own expense. / ;fn bl laca/ esa dqN u dgk x;k gks] rks vkos nd dks lk{kkRdkj ds fy, vius [kpsZ ij gh vkuk gks xk A
3.
Applicants who are in employment should send their applications through proper channel by Registered post. / ;fn vkosnd lsokjr gSa rks mUgsa vius vkos nu&i=k dks mfpr ekè;e ls rFkk jftLVMZ Mkd }kjk Hkstus pkfg, A
4.
The selection committee may consider the name of any person for appointment even though he has not applied in response to the advertisement. / p;u lfefr ,sls Hkh fdlh O;fDr dks fu;q Dr djus ds ckjs esa fopkj dj ldrh gS ftlus foKkiu ds vk/kj ij vkosnu u fd;k gks A
5.
Separate application is required for each post. / izR;sd in ds fy, vyx vkos nu&i=k Hkstk tkuk t:jh gS A
6.
Affix stamp for Rs. 1/- on the Ack. Card enclosed. / Ñi;k ,d #i;s dk Mkd fVdV izkfIr lwpuk izzi=k ds lkFk layXu dhft;s A
7.
Documents enclosed with the application may securely be tagged to avoid loss in handling. / vkos nu&i=k ds lkFk lHkh nLrkostksa dks bl iz dkj ckaf/, rkfd os [kqy u lds A
8.
Job requirements: The Academic post of the University will carry the following responsibilities: / dk;Z vis{kk,a % fo'ofo|ky; ds 'kSf{kd in ds fuEufyf[kr mÙkjnkf;Ro gksaxs %
(i)
Curriculum and course development. / ikB~;p;kZ vkSj ikB~;Øe dk fodkl djuk A
(ii)
Preparation of self instructional printed material. / Lo;a f'k{k.k laca/h eqf ær lkexzh rS;kj djuk A
(iii)
Preparation of and participation in the production of Audio-Video materials. / JO;&n`'; lkexz h fuekZ.k esa Hkkx ysuk vkSj mldks rS;kj djuk A
(iv)
Participation in contact programs, workshops, weekend programs, summer institutes, face to face etc. / lEidZ dk;ZØeksa] dk;Z'kkykvksa] lkIrkgkar dk;ZØeksa] xzh"edkyhu laLFkkvksa] vkeus&lkeus f'k{k.k vkfn esa Hkkx ysuk A
(v)
Undertaking of research guidance to individuals and institutional sponsored candidates, consultancy, Research projects etc. / O;fDrxr 'kks/dk;Z] 'kks /funsZ'ku] laLFkkxr izk;ksftr vuqla/ku ijke'kZ vkfn A
8
