Application No.......................... Advt. No...................................

(For Office use only)

YOGI VEMANA UNIVERSITY : KADAPA

Application Form for Teaching Post
(Please read the instructions on website before filling)
Section - A

Affix Recent
Post applied for: passport size
Photograph
Subject:
Area of specialization:

1. Application fee (Non-refundable)

Amount
DD Number Date Name of the Bank Issuing Branch
(in Rs.)

Sl. No.
2. Personal details (In capital letters): of proof
enclosed

Full Name
Date of Birth Age (In years)
(DD/MM/YY)
Gender (Male/Female) Marital Status
Nationality Religion
Category
(SC/ST/OBC/General/PWD)
Father’s Name
Mother’s Name
Particulars of physical
disability, if applicable

3. Address (In capital letters):

Mailing Address Permanent Address

PIN CODE: PIN CODE:

Email
Phone No. Mobile
1
4. Educational Qualifications (Matriculation and onwards) Sl. No.
of proof
Name of the University/Institution/ Year of Percentage of Division/
Subjects enclosed
Degree/Exam Board passing Marks Class/GPA

Matriculation

Intermediate

Degree

Postgraduation

M.Phil.

Ph.D.
Post Doctoral
Qualification
Other
Qualification

Please add additional sheet, if required, retaining the above tabular format.
Ph.D. (Mark √ in appropriate box) Degree awarded Thesis submitted
[ ] [ ]
Particulars of NET
or Equivalent Exam

Sl. No.
5. Title of Thesis/Dissertation (If published, give details on a separate sheet) of proof
enclosed

Ph.D.

M.Phil.

Sl. No.
6. Academic Distinctions (Award/Scholarship/Rank, etc.) of proof
enclosed

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 Sl. No.
7. Membership/Fellowship of academic and accredited bodies (Give details): of proof
enclosed

8. Present position: Sl. No.

Basic Gross Pay/ of proof
University/ Temporary/ Increment Retirement
Designation Pay Total Salary enclosed
Institution Permanent Date Date
(Rs) p.m. (Rs.)

9. Academic Experience (Enclose additional sheet, if required, in the same format) :

Post Held, Basic Pay Period No. of Sl. No.
& Pay Band with University/
years/ Nature of work of proof
Grade Pay / Institution
From To months enclosed
Academic Grade Pay

10. Administrative Experience (Enclose additional sheet, if required, in the same format) :

Sl. No.
University/ Designation of Nature of Temporary /
Length of service of proof
Institution Post held assignment Permanent
enclosed

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 Sl. No.
11. Competence in computer application of proof
enclosed

Sl. No.
12. Candidates applying for Associate Professor post have to give the following
of proof
information: enclosed
Date of joining Date of award Period spent for
for Ph.D. of Ph.D. obtaining Ph.D.
Date of
Date of joining Total
termination of
as PDF/Pool post-doctoral
PDF/Pool
Officer/Scientist experience
Officer/Scientist

Sl. No. of
13. Candidates applying for Professor post have to give the following information: proof
enclosed
Details of work as Assistant Professor
Name of Appointing
organisation authority
Whether aided
Date of joining
or unaided

Scale of pay Classes taught

Details of work as Associate Professor

Name of Appointing
organisation authority
Whether aided
Date of joining
or unaided

Scale of pay Classes taught

Sl. No.
14. Particulars of visits abroad, if any of proof
enclosed

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 Sl. No.
15. Additional information, if any, in support of the application: (Please add additional
of proof
sheet, if required) enclosed

16. Name and complete postal address of 3 referees (In capital letters):
Referee 1 Referee 2 Referee 3

PIN CODE: PIN CODE: PIN CODE:

Email Email Email
Phone No. Phone No. Phone No.
Mobile Mobile Mobile

17. Kindly mention teaching preference. Applicants are requested to write down their current and
future academic plans in about 200 words.

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18. Are you willing to accept lower position if offered – Y E S / N O

19. Declaration:
I hereby declare that all the entries made by me in this application are true to the best of my
knowledge and belief. If anything is found false at any stage, my candidature may be cancelled
without assigning any reason thereof.

Date: ______________ Signature of the applicant

20. Endorsement by the Employer (For in-service candidates only):

To be signed and forwarded by the present employer

Forwarded to:

Yogi Vemana University,

Kadapa – 516 003
YSR(Dt.) (A.P) India.

The applicant Dr./Mr./Mrs./Ms. ______________________________________________, who has

submitted this application for the post of ____________________________________ in Yogi
Vemana University, has been working in ___________________________________ in the post of
______________________________ in a temporary / permanent capacity with effect from
_______________________ in the Scale of Pay / Pay Band of Rs. ___________________. She/ He
is drawing a Basic Pay / Pay of Rs. ______________ with Grade Pay of Rs. ___________. His/Her
next increment is due on _________________________.

Further, it is certified that no disciplinary/ vigilance case has ever been held or contemplated or is
pending against the said applicant. There is no objectionfor his/her application being considered by
the Yogi Vemana University.

.........................................................................
(Signature of the forwarding authority)

Name : __________________________

Designation: ______________________
Office Seal
Place : ___________________________

Date: ________________________

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 Section - B
Academic Performance Indicators (APIs)
Use additional sheets wherever necessary

Name of the applicant: ………………………………………………………………

Subject: ………………………………………………………………………………

CATEGORY – III: RESARCH AND ACADEMIC CONTRIBUTION

( Note: Applicants must submit documentary evidence in support of each of the claim)

A. Published Papers in Journals

Journal with full API Score
Whether
reference and No. of Sl. No. verified by
Sl. applicant API
Title with page Nos. ISSN/ISBN. Whether co- of proof screening
No. is the first Score
peer reviewed. authors enclosed committee
author
Impact Factor, if any (for office use)

B. (i) Articles/Chapters published in Books

Whether API Score
Book Title, Editor & No. of Sl. No. verified by
Sl. applicant API
Title with page Nos. Publisher (with co- of proof screening
No. is the main Score
ISSN/ISBN) authors enclosed committee
author (for office use)

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B. (ii) Full Papers in Conference / Symposia Proceedings
Whether API Score
Details of Conference No. of Sl. No. verified by
Sl. applicant API
Title with page Nos. Publication (with co- of proof screening
No. is the main Score
ISSN/ISBN) authors enclosed committee
author (for office use)

B. (iii) Books Published as single author or as co-author or editor

Whether API Score
Type of Book & No. of Sl. No. verified by
Sl. applicant API
Title with page Nos. Authorship (with co- of proof screening
No. is the main Score
ISSN/ISBN) authors enclosed committee
author (for office use)

C. (i) Ongoing and Completed Research Projects and Consultancies, if any

Grant API Score
Amount/ Sl. No. verified by
Sl. API
Title Agency Period Mobilized of proof screening
No. Score
(Rs. in enclosed committee
lakhs) (for office use)

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C. (ii) Completed Projects / Consultancies / Patents
Period Whether API Score
(with Grant/ policy Sl. No. verified by
Sl. API
Title Agency Amount document/ of proof screening
No. Score
Mobilized patent as enclosed committee
(Rs. in lakhs) outcome (for office use)

D. Research Guidance
API Score
Sl. No. verified by
Thesis Degree
Number Enrolled API Score of proof screening
Submitted awarded
enclosed committee
(for office use)
M.Phil. or
equivalent
Ph.D. or
equivalent

E. (i) Training Courses, Faculty Development Programmes (not less than one week’s
duration) etc.

API Score
Sl. No. verified by
S.No. Programme Duration Organized by API Score of proof screening
enclosed committee
(for office use)

Note: Please attach additional sheets wherever required

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E. (ii) Research Papers presented in Conferences, Seminars, Workshops, Symposia etc.

Conference / Seminar API Score

(Whether International/ Sl. No. verified by
Sl.
Title of the paper National/State/ Organized by API Score of proof screening
No.
Regional/ University or enclosed committee
College level) (for office use)

E. (iii) Invited Lectures and Chairpersons at National or International Conference/

Seminar, etc.

API Score
Title of Conference / Sl. No. verified by
Sl. Title of Lecture/
Seminar, etc. (Whether Organized by API Score of proof screening
No. Academic Session
International/ National) enclosed committee
(for office use)

Date :
Place : Signature of Applicant

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 Application No..........................
(For Office use only)

YOGI VEMANA UNIVERSITY : KADAPA

SUMMARY SHEET
1. Personal Information
Post applied for: Subject:
Area of specialization:
Name of the applicant Date of Birth
Category (SC/TS/OBC/General/PWD) Age (in years)
Address

Phone Mobile Email

2. Educational Qualifications (Graduation onwards)
Name of the University/Institution/ Year of Percentage Division/ Subjects
Degree/Exam Board passing Class/GPA

Particulars of NET/Equivalent Exam:

3. Number of Publications
Refereed Published Accepted Book Chapters
Journals
Conference
Books Proceedings
(Full Papers only)

4. Teaching Experience (Full-time experience only):

Total Period
Level
Years Months
i. Undergraduate
ii. Postgraduate

5. Research Experience
Total No. of Projects Projects in Patents, if
years completed progress any

6. API Score

Category III

Place :
Date : Signature of Applicant
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