UNIVERSITY OF ALLAHABAD (Established by Act (2005) of Parliament) Application Form for Guest Faculty (PLEASE FILL THE FORM IN CAPITAL LETTERS COMPUTER ONLY) Post applied for : GUEST FACULTY Department/Centre/Institute : (For office use only) Registration Number________ No. of Enclosures Claimed ________ Attached________ (Signature) University of Allahabad Website: www.allduniv.ac.in Advertisement No. UoA/GF/ 01/2018 Personal Information (Please fill the all information in capital letters using computer only) i) Name: ii) Father’s Name: iii) Mother’s Name: iv) Date of Birth (DD/MM/YYYY) v) Community/ Category (Please strike out whichever options are not applicable) categories give details ______________________ S. No. of enclosed ______________ vi) Marital status: a. Married / Unmarried/ Divorced / Name of spouse __________________ vii) If Persons with Disability(PwD), indicate the relevant particulars Yes/ No Percentage of disability S. No. of proof of enclosure a) Visually Handicapped (VH) : b) Orthopedically Handicapped (OH) : viii) Corresponding Address: a) Line1: b) Line 2: c) City: d) District: e) PIN: f) : g) E. Mail ID h) Mobile No. ix) Permanent address: a) Line1: b) Line 2: c) City: d) District: e) PIN: f) State :
(A) Published Research Papers in Journals (BEST 10 PUBLICATIONS ONLY) UGC Approved S. No of Journal Title of Research Paper with Volume, Page No and year of Publication Name of Journal ISSN /ISBN No Whether you are the Sole/ first/ Principle/ Corresponding/ Supervisor /Mentor/ Co-author Impact factor S. No. of proof of enclosure (B) Publications than Journal Articles
Consultancy Project Title Agency Period (In Month) Amount Mobilized (Rs lakh) S. No. of proof of enclosure Projects Outcome/Outputs with Year Name of Agency Type of Agency- International Bodies/ National Bodies/ Central Govt./State Govt./Local Bodies Type – Patent/ Technology transfer/ Product/ Process/ Major Policy Document Prepared S. No./ Registration No. S. No. of proof of enclosure
Fellowship/Awards Name of Fellowship/Award Academic body/Association Year level S. No. of proof of enclosure Paper presented in Conferences, Seminars, Workshops, Symposia Title of the Paper Presented Title of Conference / Seminar Name of Organization Type: International/ National/State/ Regional/College or University level S. No. of proof of enclosure
Chronological list of teaching/ Research experience (starting from current position/ employment) Designation Salary /Fellowship ( of pay & present Basic & AGP/ Name of Department & Organization Period of Experience Nature of work/ duties (Teaching/ Research) S. No. of proof of enclosure From date To date No. of months (As on date of (a) (b) (c) (d) (e) (f) (g) (h) 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) Reference Details Referee-1 Referee-2 Referee-3 Name Address Mobile No. : E. Mail. ID
SCORE SHEET FOR GUEST FACULTY ONLY ACADEMIC QUALIFICATION: (To be filled by Applicants) For Office use only BOARD/UNIVERSITY YEAR OF PASSING DIVISION % OF SUBJECTS MARKS GIVEN HIGH-SCHOOL 10+2/HIGHER SECENDORY/EQUIVALENT BACHELOR'S DEGREE MASTER'S DEGREE M.PHIL (2 YEARS) PH.D./D.PHIL. NET/SLET/SET TOTAL ACADEMIC SCORE: RESEARCH PUBLICATIONS (BEST 10 PUBLICATIONS ONLY) Refereed Journals As Notified By The UGC Max. Per Publication Number Of Publications Marks Claimed Marks Verified No Impact Factor Sole Author 2.50 First/Principal/Corresponding Author/ Supervisor/ Mentor 1.75 Co-Author 0.75 Impact Factor <1 Sole Author 3.00 First/Principal/Corresponding Author/Supervisor/Mentor 2.10 Co-Author 0.90 Impact Factor Between 1 And 2 Sole Author 3.50 First/Principal/Corresponding Author/Supervisor/Mentor 2.45 Co-Author 1.05 Impact Factor Between 2 And 5 Sole Author 4.00 First/Principal/Corresponding Author/Supervisor/Mentor 2.80 Co-Author 1.20 Impact Factor Between 5 And 10 Sole Author 4.50 First/Principal/Corresponding Author/Supervisor/Mentor 3.15 Co-Author 1.35 Impact Factor > 10 Sole Author 5.00 First/Principal/Corresponding Author/Supervisor/Mentor 3.50