MIDAS – ARCHITECTURE COLLLEGE
SELF- ASSESSMENT CUM PERFORMANCE EVALUATION FORM
(To be filled up the Applicant & Copies of relevant necessary supporting material/documents to be enclosed)
Academic Year: 2021 – 2022. Date of Submission:
1 Name (in Block Letters)
2 Employee No.
3 Department
4 Present Designation
5 Date of joining the college Designation (DOJ):
6 Mobile No. Email id
7 Academic Qualifications (furnish below) :
Percentage Division
Year of
Examinations Name of the Board / University of Marks / Class/ Subject
Passing
Obtained Grade
B.Arch.
M.Arch. /
M.Plan / Other
Other
examination if
any
COA Reg. No. _____________________ valid till --------------------------------------
8.Research Degree(s):
Degrees Title Date Of Award University
M.Phil
Ph.D./D.Phil
D.Sc / D.Litt
9 Period of PG Classes (in Years)
teaching
experience UG Classes (in Years)
10. Research Experience excluding years spent as a teacher or doing M.Phil/ Ph.D (in
years) :
1
CATEGORY – I
I. INSTRUCTIONAL WORK (Odd & Even Semesters Data)
Tot. no. of Tot. no. of University Exam Results
Sem No. of
Class scheduled actually No. of No. of
& Teachin No. of Exam
/ classes till held student stude
Prog Subject Title g Hours students pass
stren date classes till s nts
ram per appeare %
gth date passed got
me week d
<50%
CATEGORY – II
II. OTHER SERVICES TO COLLEGE (Academic year ending …………………)
A Curricular & Co-Curricular (Tutor, lab /centre in –charge, college/Dept. time table, etc…)
S. No Details of Position Held Period Specific achievements, if any
B Extracurricular - (Staff advisors, Hostel, Counselling, Tours, Visits, Sports/Games, etc..)
S. No Details of Position Held Period Specific achievements, if any
2
C Activities Organised (Workshop, Symposium, Seminar, Conference, Continuing education,
Visit, Faculty Development programmes etc..)
Local / No. of Major
S. No Activity Title of Activity Duration
National/Internation Participant Sponsors, if
D Development of Department / Laboratory / centre / Experimental setup etc…
S. No Details of activity Nature of Work Current Status
E University / College Exam Duty attended
S. No Details of Activity Nature of work
F Details of Achievements & Awards
Other Professional activities (Membership in Board of studies, Academic Council, Expert
G
Committees, Office Bearers of Professional bodies, Academic Auditing etc…)
3
H Contribution towards the Development of the Institution in last one year:
CATEGORY III
A TRAINING COURSES AND CONFERENCES / SEMINARS/ WORKSHOPS ATTENDED
Event Organizer Duration
Refresher Courses/ Training
Programmes
Methodology workshop
Conferences / Seminars /
Workshops
Teaching-learning-evaluation
Programme
Soft skill Development
Faculty Development
Programme
B DETAILS OF RESEARCH PAPERS PRESENTED IN SEMINARS / CONFERENCES
Title of the Article Author / Name of the Organizer Date Level
Co programme
Author
4
Scorecard for Reference:
Category PARTICULARS Score
I Institutional Work 25
II Other services to college (A-D) 10
Other services to college (E-H) 10
III (A) Knowledge Enhancement 10
III (B) Research Activities 10
IV Student’s feedback 20
V Peer feedback 5
VI ACR (HR factors) 10
TOTAL 100
Declaration
I_______________________________________, hereby declare that the particulars furnished
above are true to the best of my knowledge.
Place:
Date:
SIGNATURE OF THE APPLICANT
IV. REMARKS BY THE HR: For the period_______________
Total No. of
Absent / Memo Recd. (if
Late Permission Leave (CL/ SL/ ML) OD
LOP any)
Any other disciplinary action taken in last one year (based on HR file):
Last Salary Revision Date & percent.
Date: Signature of HR:
5
V. REMARKS AND RECOMMENDATION BY HOD:
Category PARTICULARS Score Earned Remarks
Score
I Institutional Work 25
II Other services to college (A-D) 10
Other services to college (E-H) 10
III (A) Knowledge Enhancement 10
III (B) Research Activities 10
IV Student’s feedback 20
V Peer feedback 5
VI ACR (HR factors) 10
TOTAL 100
General Comments:
Signature of H.O.D
Remarks and Recommendations from Head of the Institution (PRINCIPAL)
Date: PRINCIPAL SIGNATURE WITH SEAL
VI. REMARKS AND RECOMMENDATION BY MANAGEMENT COMMITTEE:
AUTHORIZED SIGNATORY
