17. Names and complete postal addresses of 3 Referees (The referee should be the last employers of the candidate or any other person having know-how of candidate's experience/ knowledge and should not be related to the applicant) Referee - 1 Referee - 2 Referee - 3 Name & Complete postal address: Phone (Landline) with STD code: Mobile: Fax: 18. CATEGORY II: PROFESSIONAL DEVELOPMENT, CO-CURRICULAR AND EXTENSION ACTIVITIES Category Nature of Activity Actual hours spent per academic year API Score (Actual hours spent per academic year divided by 10) Sl. No. of proof of enclosure (a) Student related co-curricular, extension and field based activities (i) Discipline related co-curricular activities (e.g. remedial classes, career counselling, study visit, student seminar and other events.) (ii) Other co-curricular activities (Cultural, Sports, NSS, NCC etc.) (iii) Extension and dissemination activities (public/popular lectures/talks/seminars etc.) (b) Contribution to corporate life and management of the department and institution through participation in academic and administrative committees and responsibilities (i) Administrative responsibility (including as Dean/ Principal/Chairperson/Convener/Teacher-in-charge/ similar other duties that require regular office hrs for its discharge) (ii) Participation in Board of Studies, Academic and Administrative Committees (c) Professional Development activities (such as participation in seminars, conferences, short term training courses, industrial experience, talks, lectures in refresher/faculty development courses, dissemination and general articles and any other contribution) 19. CATEGORY III: RESEARCH, PUBLICATIONS AND ACADEMIC CONTRIBUTIONS (i) Published Papers in Refereed Journals Sl. No. Title with Page Nos. Journal ISSN No. Impact factor Whether Peer reviewed No. of Whether you are the first or corresponding author API Score Sl. No. of proof of enclosure (A) (ii) Published Papers in Other Reputed Journals
Sl. No. Title with Page Nos. Journal ISSN No. Impact factor Whether Peer reviewed No. of Whether you are the first or corresponding author API Score Sl. No. of proof of enclosure (B) Publications other than Journal articles (books, chapters in books etc.) (i) Text/Reference Books published by International Publishers, with ISBN number Sl. No. Title with Page Nos. Book Title, editor & publisher ISBN No. Whether Peer reviewed No. of Whether you are the first or corresponding author API Score Sl. No. of proof of enclosure (B) (ii) Subject Books published by National level publishers, with ISBN/ISSN number or State/Central Government Publications Sl. No. Title with Page Nos. Details of Conference Publication ISBN No. No. of Whether you are the first author API Score Sl. No. of proof of enclosure (B) (iii) Subject published by other local publishers, with ISBN number Sl. No. Title with Page Nos. Type of Book & Authorship Publisher & ISBN No. Whether Peer reviewed No. of Whether you are the author API Score Sl. No. of proof of enclosure (B) (iv) Chapters in Books, published by National and International level publishers, with ISBN number Sl. No. Title with Page Nos. Type of Book & Authorship Publisher & ISBN No. Whether Peer reviewed No. of Whether you are the first author API Score Sl. No. of proof of enclosure (C) Ongoing and Completed Research Projects and Consultancies: