Application for the post of Vice-Chancellor Solapur University, SOLAPUR – 413255 Paste Passport Size Latest Photograph

I. GENERAL INFORMATION A B C

D

Full name of the applicant (in capital letters), with Initials expanded, as in Official records Date of birth: Present position: Designation and grade: Date from which held: Name of the Organization: Address for communication:

e-mail id Telephone numbers for Contact F Office/Residence: Mobile: The Indian languages that the G applicant is able to speak fluently and read: Whether any case is pending against the applicant in any court H of law and whether there was conviction for any offence? If so, give details thereof. Note: Please enclose, E

i) No Objection Certificate for application from the parent Department/Organization/Institution and, ii) A Certificate from the parent Department/Organization/Institution to the effect that no departmental inquiry is proposed or pending.

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II. ESSENTIAL QUALIFICATIONS & EXPERIENCE 1. Details of academic record 1.1 Graduation: Qualification/ Degree

University/Institution

Class/Division/Grade

Month & Year of passing

University/Institution

Class/Division/Grade

Month & Year of passing

1.2 Post-Graduation: Qualification/ Degree

1.3 Ph.D: University/ Institution

Subject/Thesis Title

Month & Year of award

1.4 Any other academic qualification (Post-Doctorial etc.):

2. Experience in the field of Higher Education during the last 15 years in teaching and research in a university/well-established Institution of repute at the undergraduate/graduate/post-graduate level: 2.1 Experience in teaching in Universities: Name of University

In which position or capacity

From

To

Total (in years and months)

At which level (UG, Graduation, PG)

Total Experience Page 2 of 7

2.2 Experience in teaching in well-established Institutions of repute: Name of Institution

In which position or capacity

From

To

Total (in years and months)

At which level (UG, Graduation, PG)

Total experience 2.3 Details of experience as guide of Research Scholars: University/ Institution of repute

In which position or capacity

No. of Students

Thesis title

At what level? Masters/Doct oral/PostDoctoral

Period of Guidance

Ph.D awarded in which year

3. Details of research publications in peer-reviewed/refereed International Research Journals after Ph.D and/or published quality books in a recognized discipline, referred for study in higher education at the National/International level 3.1 Research publications in peer-reviewed/refereed International Research Journals after Ph.D: Sl. No

Title of publication

Name of the International journal

Month and year of publication

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3.2 Details of quality books in a recognized discipline, referred for study in higher education at the National/International level: Sl. No

Title of book

Name of the Publisher

Institution where referred for study

4. Details of administrative experience in the field of Higher Education not below the rank of Professor and Head of the Department in a University/Principal (in Professor’s Grade) of a Senior College/Head of a National/International Institution of Advanced Learning: Sl. No

Post

Period from ……. to ……. (dates and duration)

1

Professor

2

Head of the Department in a University

3

Principal (in Professor’s Grade) of a Senior College

4

Dean

5

Director

6

Head of a National/International Institution of Advanced Learning

Name of University/College/Institution & location

5. Details of major research projects executed: Sl.No

Title of the project

Project expenditure (Rs. in Lahks)

Granting agency

Date of start and completion

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6. Details of experience of working with International Bodies through participation in workshops, seminars or conferences held outside the country 6.1 Details of experience of working with International Bodies: Sl.No

Name of the International Body

Nature of experience

6.2 International exposure through participation in workshops, seminars or conferences held outside the country: Sl.No

Title of Workshop/Seminar/Conference

Month & Year

Place

7. Experience of organizing events such as workshops, seminars or conferences at an International level within the country in the field of Higher Education: Sl.No

Title of Workshop/Seminar/Conference

Month & Year

Place

Role Assigned

8. Demonstrable experience in leadership: Sl.No

Brief description of nature of leadership activity and role played

Documented evidence (if any) of achievements in leadership

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III.

DESIRABLE EXPERIENCE

1. Experience of working with Statutory Authorities/Forums of University such as Board of Studies, Academic Council, Management/Executive Council of Board of Management, Senate, etc: Sl.No

University/Institution

Statutory Authorities/Forums and Position

From

To

Total (in years and months)

2. Demonstrable experience of handling Quality issues, assessment and accreditation procedures etc: Sl.No

Area

1

Quality Issues

2

Assessment and Accreditation procedures

3

Any other issue (Please specify)

University/Institution

From

To

Achievements

3. Experience at the State/National/International level in handling youth development work such as organizing student-centric activities for their all-round development: Sl.No

Nature of Activity/Event

University/Institution

From

To

Achievements

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IV.

EXPECTED SKILLS AND COMPETENCE

Please indicate briefly the level of your exposure to and proficiency in each of the areas/items enumerated below:

Technical skills

Managerial skills

Alignment with corporate objectives and State/National level priorities

Leadership skills

Interpersonal communication and collaborative skills

P.N. For the elaboration of each item above (below column IV), please see the State Government’s Order dated 27.05.2009 on the website The applicants may, wherever the space is not sufficient, attach additional sheets furnishing the requisite information adopting the same proforma with a remark under the relevant columns: (“additional sheets attached”). Page 7 of 7