Application form for Promotion under Career Advancement Scheme (CAS)
(As per UGC Regulations 2018)
Application for promotion from
Assistant Professor (Academic Level 10) to Assistant Professor (Academic Level 11)
Name: ________________________________________
Designation: ___________________________________
Institute/Center: ___________________________________
Date of Eligibility for Promotion: __________________
Period of Assessment for promotion:
From _________________________to ____________________
Date: Signature of the Candidate
Forwarded by the Head Verified by ( )
NOTE: The research scores claimed by the applicant must be based on objectively verifiable criteria, and
supported with documentary evidence. Research scores that cannot be verified will not be considered.
PLEASE READ THE INSTRUCTIONS FOR EACH CATEGORY CAREFULLY, AND FOLLOW THEM. In case of
any ambiguity/clarification UGC Regulations 2018 will be final.
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PART – A (1)
GENERAL INFORMATION AND ACADEMIC BACKGROUND
1. Name (in Block Letters) :
2. Father’s Name :
3. Mother’s Name :
4. Date of Birth and Age :
5. Gender :
6. Nationality :
7. Category (SC/ST/OBC/General) :
8. Current Designation :
9. Institute/ Center :
Date of Promotion/Appointment to current :
10.
post (attach proof)
11. Current Pay Scale & Grade Pay :
12. Date of Eligibility for Promotion :
13. Address for correspondence (with Pin Code) :
14. Mobile Number :
15. E-Mail ID :
16. Academic Qualifications (Graduation onwards):
Year of Class
Qualifications College/ University
Passing with %
Graduate Degree (UG)
Post Graduate Degree (PG)
17.Records of Service in the University/College from date of joining as Regular Teacher:
Level Pay Scale Duration
Encl.
(10/ 11/ Designation and AGP/ From To Remarks
No.
12/ 13A) Pay-band (dd/mm/yyyy) (dd/mm/yyyy)
Please clearly specify the period of Leave Without Pay (LWP)
I certify that the above information provided by me is correct.
Place & Date Signature of the candidate
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PART – A (2)
ELIGIBILITY
Eligibility for Assistant Professor (Academic Level 10) to Assistant Professor (Senior
Scale/Academic Level 11)
A. Tick appropriate category
i. Completed four years of service with a Ph.D. degree
ii. Completed five years of service with a M.Phil./ PG Degree in Professional Courses
iii. Completed six years of service in case of those without a Ph.D./ M.Phil./ PG Degree in a
Professional course.
B. Details of Completed Orientation course of 21 days’ duration on teaching methodology (at least one):
S. Title Place Duration Remarks, if Encl
No. any No.*
*Enclose Certificates of Participation.
C. Details of Completed Refresher/Research Methodology Course/Workshop/Syllabus Up-gradation
Workshop/Training Teaching-Learning-Evaluation, Technology Programmes/ Faculty Development
Programmes of at least one week (5 days) duration, or taken one MOOCs course (with e-
certification) during the assessment period (at least one):
S. Title Place Duration Remarks, if Encl
No. any No.*
*Enclose Certificates of Participation.
D. Details of published research publication in the peer-reviewed journals or UGC-listed journals during
assessment period (at least one)
S. Title of paper Name of the Name of Year of Evidence of Encl
No. author(s) the journal & ISSN publication peer- No.*
No. with Volume reviewed/
Number & UGC-listed
page(s) journal
*Enclose Reprint
I certify that the above information provided by me is correct.
Place & Date Signature and name of the
candidate
Remarks of Head
Fulfill the minimum requirement/ doesn’t fulfill the minimum requirement.
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Place & Date Signature and seal of the Head
Part B:
(Compulsory for all Levels)
Assessment Criteria and Methodology
(as per Appendix II: Table I of UGC Regulations – 2018 )
Criteria-01: Calculation of Grading Criteria for Teaching
S. Academic/ No. of classes Total classes Teaching (%)= Grade Encl
No Assessment Year taught (a) assigned (b) [(a)/(b)]x100 No.*
*For each year enclose certified document as per Annexure-A
Criteria-02: Involvement in the University/College students related activities/ research
activities:
Note: A. The self-attested photocopies of proofs for each be attached and be serially
arranged with proper numbering of the attached pages.
B. Insert rows as per requirements.
(a) Administrative responsibilities such as Head, Principal, Chairperson/ Dean/ Director/ Co-
ordinator, Warden, etc.
S. No. Academic Year Responsibility Encl No.
(b) Examination and evaluation duties assigned by the college/ university or attending the
examination paper evaluation
S. No. Academic Year Nature of the work Encl No.
(c) Student related co-curricular, extension and field based activities such as student clubs, career
counselling, study visits, student seminars and other events, cultural, sports, NCC, NSS and
community services
S. No Academic Year Nature of the work Encl No.
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(d) Organising seminars/conferences/workshops, other college/university activities
S. No. Academic Year Nature of the work Encl No.
(e) Evidence of actively involved in guiding Ph.D. students
S. No. Student Name Ph.D. Thesis Submitted/ Year Encl No.
title Awarded
(f) Conducting minor or major research project sponsored by national or international agencies
S. Title of the R & Funding Sanction Amount Ongoing/ PI/ Co-PI Encl
No. D Project Agency Number Sanctione Completed No.
and Date d
(g)At least one single or joint publication in peer-reviewed or UGC list of Journals
S. Title of the Author Name Year, Peer- Impact Areyou Encl
No. Research (s) of the Volume Reviewe Factor as First/ No.
Paper Journal & Number d/ UGC per Corres.
ISSN and list Clarivate / Co-
Number Paginatio Serial Analytics author
n No. of (Yes/No)
Criteria-02: Grading Criteria
Good - Involved in at least 3 activities; Satisfactory - 1-2 activities; Not-satisfactory - Not involved /
undertaken any of the activities
Note: Number of activities can be within or across the broad categories of activities
Overall grading Calculation-
Good: Good in teaching and satisfactory or good in activity at Criteria-01.
Satisfactory: Satisfactory in teaching and good or satisfactory in activity at Criteria-02.
Not Satisfactory: If neither good nor satisfactory in overall grading
Overall grading required for Promotion: Good/Satisfactory required during
assessment period.
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Summary of Assessment Criteria and Methodology for Assessment Period
Teaching and Involvement in students related activities/research activities
(Criteria-01 and Criteria-02 of Part B )
Assessment Year Grading
Criteria-01 Criteria-02
I certify that the above information’s provided by me are correct.
Place & Date Signature and name of the
candidate
Recommendation and Remarks of Head
1. Grading Criteria for Activity:
Assessment Year Grading
Criteria-01 Criteria-02 Overall
2. Fulfils the minimum requirement
Doesn’t fulfill the minimum requirement
3. Recommended for promotion from stage_______to stage_______
Not recommended for promotion.
Place & Date Signature and seal of the Head
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Annexure-A
Details of Teaching Activity
(Classes taught includes sessions on tutorials, lab and other teaching related activities)
Academic Year ________________________________
Name of the Candidate: ________________________________________________
Designation: ________________________________________________
Institute/Center: ________________________________________________
Claimed by the Candidate
S. Semester Course Activity type (Direct No. of classes Total classes
(Even/ Odd) Code/ teaching/ tutorials/
No Lab/other) taught assigned
Name
Total
For the purpose of assessing the grading of this Activity, all such periods of duration which have been
spent by the teacher on different kinds of paid leaves such as Maternity Leave, Child Care Leave, Study
Leave, Medical Leave, Extraordinary Leave and Deputation shall be excluded from the grading
assessment. The teacher shall be assessed for the remaining period of duration and the same shall be
extrapolated for the entire period of assessment to arrive at the grading of the teacher.
Date Signature of the Candidate
Verification by the Head
No. of classes Total classes Teaching (%)= Grade
taught (a) assigned (b) [(a)/(b)]x100 Good : 80% & above
Satisfactory: Below 80% but
70% & above
Not satisfactory: Less than
70% -
The information furnished above is true to the best of my knowledge and
belief.
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Signature of applicant:
Name of applicant:
Designation :
Name of institute:
Verification and forwarding of principal
I have personally verified all facts and figures mentioned above in this form
from originals of enclosures attached and also from my office records. I
recommend upgradation of pay scale from(Reader) to
(Professor)From(date)………………..to applicant Mr/Dr/Mrs/Ms ……………….. .
Seal and signature of Head of the institute
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