Application Form for the post of Associate Professor (as per UGC)

in the Department of Gujarati ( )/ Mahatma Gandhi Department

of Rural Studies ( ). (Please Tick () appropriate Department )

Employment Notice No:- GAD/GIA/T/Emp. Notice/5176 /2025, dtd:- 27-02-2025

For Office Use Only
Inward No.: General
Date:
Sr. No.

Total Pages verified (Yes/No):

Total Page Numbers including all Enclosures

Affix here
1. Full Name (as per SSC / HSC your latest
Mark sheet in block letter): Passport
Father’s/Husband’s Name: size Photo
Mother’s Name:
Gender:

2. (i) Please Tick () appropriate caste and disability category. Please enclose Caste Certificate
& Disability Certificate of appropriate authority.

S.C. S.T. OBC / EWS General PwD Page

SEBC A B C No.

(Note: Attach certificates from the competent authority wherever applicable)

(A) Caste Certificate No.:____________________ Issue Date: __________________

(B) Unique Disability ID (UDID) No : _______________ Issue Date: __________________

(C) (i) Name of Issuing Authority__________________________

1
 (ii) Whether candidate belongs to Minority ? (YES/NO)

(iii) Ex-Serviceman (YES/NO)

(iv) Birth Place ________________ Tal. _____________ Dist._____________ State ______________

(v) Native Place ______________ Tal. _____________ Dist._______________State ______________

(vi) Religion _____________ (vii) Nationality ___________ (viii) Mother tongue_____________

(ix) Blood Group ____________ (x) Height ________ cms (xi) Weigh__________ Kgs.

(xii)PersonalMarks of Identification: ____________________________________________________

(xiii) Languages Known :

Languages Known Read Write Verbal Communication

Gujarati
Hindi
English

3. Date of Birth: / /
(dd/mm/yyyy)
Specify age in years, months and days from date of birth to last date of receiving application in
following table :

Year Month Days Page No

(Attach copy of the School Leaving Certificate/Birth Certificate etc. in which the Birth Date is mentioned.)

4. Please Tick () appropriate:

Married Unmarried Divorcee Widow / Widower

5. Full Address for correspondence (In Block Letters):

Name:
Address with pin code:

Mobile Number:

Alternate Mobile Number:

E-mail address:

2
6. Educational Qualifications: Examinations passed (Attested copies of all testimonials/
Certificates including Marks, Grade, Certificate should be attached) :

* Proof of Conversion from CGPA to percentage is a must.

Marks obtained

No. of attempts
Total Marks &
Year & Month
Specialization

Percentage /
Notification
Subsidiary

of Passing/
Principal

Grade(*)
Subject /

Page No
Name of the

Subject

Class
Sr. Name of Examination /

date
Examining Body /
No. Degree
University

1 S.S.C.

10

11

12

13

14

15

Note : Mention all-academic credentials starting from SSC to highest Degree including GSET/NET etc. in
ascending order.

Sr. Gold Medal / Prize / Rank Certificate Degree Year / Month Page No.
No. (In case of first rank) Bachelor / Master

3
7. Area of Specialization: ________________________________________

8. Current Position :

Full Name & Address of the Current Employer

Designation
Government/ Grant in Aid/ Self Finance/ Private

4
Institute/ Organization etc.
Full Time/ Part Time/ Temporary Ad-hoc/ Contractual
Basic Pay with Pay Scale / Fixed pay
Date of Joining
Page No

Note: In above table attach appointment letter, experience letter, proof of Basic Pay with Pay Scale, Gross Salary
as applicable should be attached.

9. Details of Teaching Experience :

Sr. No.

Full Name & Address of the

Employer
Designation

Date of Joining
Date of Leaving
Experience in Years, Month
and Days
Government/ Grant in Aid/ Self Finance/ Private

5
Institute/ Organization etc.

6
 Full Time/ Part Time/ Temporary Ad-hoc/ Contractual
Basic Pay with Pay Scale / Fixed pay
Gross Salary
Page
No
1

7
4

Total Experience (Years, Month and Days)

Note: For each entry including current position in above table attach appointment letter, experience letter, proof
of Basic Pay with Pay Scale, Gross Salary as applicable should be attached.

10. A: Teaching Experience:

Level From To Year/s Month/s Day/s Page No

(dd/mm/yyyy) (dd/mm/yyyy)

U.G.
P.G.
Total (U.G. + P.G.)

B: Professional / IndustrialExperience
Sr. Name of Institute/ Designation From To Year/s Month/s Day/ Page
Industry /
No (dd/mm/ (dd/mm/yyyy) s No
Organization etc.
yyyy)
1
2

8
Total Experience (Years, Month and Days)

C: Research Experience: (Except M.Phil / Ph.D. work)

Sr. Name of Institute/ Designation From To Year/s Month/s Day/ Page

Industry /
No (dd/mm/yyyy) (dd/mm/yyyy) s No
Organization etc.
1
2

Total Experience (Years, Month and Days)

11.Information regarding recognition as a Post-Graduate Teacher. (Please attach Certificate)

Sr. No. Date of recognition as a Post-Graduate Name of the University Page No

teacher granting recognition

12.Information regarding recognition as a Ph.D. Guide/Supervisor. (Please attach Certificate)

Sr. No. Date of recognition as a Ph.D. Name of the University Page No

Guide/Supervisor granting recognition

13. Research Guidance:

Sr. Degree No. of Students pursuing No. of Students awarded Page No
No.
1 Ph.D.

2 M. Phil.

3 Others

14. Details for Calculating Academic/Research Score:

(14.1)Research Papers in Peer-Reviewed/UGC Listed/ UGC Care
Sr. Title Author Type of Name of the Type of Impact ISSN Score Scor Page
No. of the s Author: Journal Vol. Journals: factors per claime e No.
Resea First/ No.& pp / Peer- Thomson d by Verifie
rch Principal/ Year Reviewed/ Reuters on
Paper Correspo applica d by
UGC Listed the date of
nding with Sr. No./ publication nt Univer
UGC Care
sity

9
 2

(14.2) Publication (other than Research papers)

Sr. Title of the Book Authors

Type of Name of the ISBN Score Score Page
No. Author: Publisher, claimed Verified No.
First/Principal Month, Year by by
/ applicant Universit
Corresponding y
(a) BOOKS AUTHORED WHICH ARE PUBLISHED BY:
International publishers
1

National publishers
1

Chapter in Edited Book

1

Editor of Book by International Publisher

1

Editor of Book by National Publisher

1

(b) Translation works in Indian and Foreign Languages by qualified faculties

Chapter or Research Paper
1

Book
1

Note: Attach front, index and back pages justifying the claim showing the ISBN/ISSN No.

(14.3) CREATION OF ICT MEDIATED TEACHING LEARNING PEDAGOGY AND

CONTENT AND DEVELOPMENT OF NEW AND INNOVATIVE COURSES AND
CURRICULA.
Score Score Page
Sr. claimed Verified by No.
Activity* University
No. by
applicant
(a) DEVELOPMENT OF INNOVATIVE PEDAGOGY
1

10
(b) DESIGN OF NEW CURRICULA AND COURSES
1

11
 (c) MOOCs
Development of complete MOOCs in 4 quadrants (4 credit course) (In case of MOOCs of lesser credits 05
marks/credit)
1

MOOCs (developed in 4 quadrant) per module/lecture

Content writer/subject matter expert for each module of MOOCs (at least one quadrant)
1

Course Coordinator for MOOCs (4 credit course)(In case of MOOCs of lesser credits 02 marks/credit)
1

(d) E-CONTENT

Development of e-Content in 4 quadrants for a complete course/e-book

1

e-Content (developed in 4 quadrants) per module

Contribution to development of e-content module in complete course/paper/e-book (at least one quadrant)
1

Editor of e-content for complete course/ paper /e-book

* Each activity should be claimed by the applicant with supporting documents.

(14.4) (a) RESEARCH GUIDANCE - Ph.D. awarded / Thesis submitted*

Sr. Name of Nature of Title of Awarded / University Month Score Page

Score
No. the Guidance the Thesis and Verified by No.
claimed
Scholar (Guide or Thesis submitted Year University
by
Co-guide) applicant
1

* Submit Ph.D. Certificate of Submission /PhD award letter/Ph.D. Notification.

M.Phil. awarded /P.G. Dissertation*

12
Sr. Name of the Title of the M.Phil. University Month Score Score Page
No. Scholar Dissertation/Thesis / P.G. and claimed Verified by No.
Year by University
applicant
1

* Submit M.Phil./P.G. Dissertation Certificate of submission

(14.4) (b) RESEARCH PROJECTS COMPLETED (Enclose copy of project sanction order,
Utilization and completion certificate issued by the University/Competent Authority)

Sr. Title of the Project Names Funding Grant Duration Score Score Page
No. (More than Rs.10 of PI Agency Sanctioned claimed Verified by No.
From To
lakhs) and co- by University
PI applicant
1

Sr. Title of the Project Names Funding Grant Duration Score Score Page
No. (Less than Rs. 10 of PI Agency Sanctioned claimed Verified by No.
From To
lakhs) and co- by University
PI applicant
1

(14.4) (c) RESEARCH PROJECTS ONGOING: (Enclose copy of project sanction order)

Sr. Title of the Project Names Funding Grant Duration Score Score Page
No. (More than Rs.10 of PI Agency Sanctioned claimed Verified by No.
lakhs) and co- by University
PI From To applicant
1

Sr. Title of the Project Names Funding Grant Duration Score Score Page
No. (Less than Rs. 10 of PI Agency Sanctioned claimed Verified by No.
lakhs) and co- From To by University
PI applicant
1

(14.4) (d) CONSULTANCY

Sr. Description of Name of Consultancy Duration Score Score Page

No. consultancy Agency/Institution Amount claimed Verified by No.
etc. by University
From To applicant

Note: Supportive documents as applicable such as nature of consultancy, role and responsibility of the applicant
pertaining to said consultancy, revenue sharing document, copy of MOU and any other relevant
document.

(14.5) (a) PATENTS

13
 Sr. No. Details of Patent including the names of Patentee International/ National Year of Award Page
No.

Note: Applicant should enclose patent award certificate.

(14.5)(b)*Policy Document (Submitted to an International body/organization like

UNO/UNESCO/World Bank/International Monetary Fund etc. or Central
Government or State Government)

Sr. Details of Policy Body/Organization International/ Year Score Score Page

No. Document National / claimed Verified by No.
State by University
applicant
1

(14.5) (c) Awards/Fellowship

Sr. Name of the Award / Awarding International/ Date of Score Score Page
No. Fellowship Institute/ National / Award claimed Verified by No.
Organization by University
applicant
1

(14.6) *INVITED LECTURES / RESOURCE PERSON/ PAPER PRESENTATION IN

SEMINARS/ CONFERENCES/FULL PAPER IN CONFERENCE PROCEEDINGS
(Paper presented in Seminars/Conferences and also published as full paper in
Conference Proceedings will be counted only once)

Sr. Title Name of Invited Organizer/ International Score Page

Score Verified by No.
No the Event Lectures/Resour Institute (Abroad)/Internati
claime University
. with date ce person/Paper onal(within
d by
presentation country) /
applica
(Oral/ National / State /
nt
Poster) University level
1

Any other information :

Sr. Activity/Information Page No.

No.
1.
2.

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
14
not be considered. PLEASE READ THE INSTRUCTIONS FOR EACH CATEGORY
CAREFULLY, AND FOLLOW THEM.

Table 2
Methodology for University and College Teachers for Calculating Academic/research Score
Sr. Academic/research Activity Max. points for University and college
No. teacher position
Faculties of Faculties of
Sciences / Languages /
Engineering/ Humanities/ Arts /
Agriculture/ Social Sciences/
Medical / Library/ Physical
Veterinary Education/
Sciences Commerce /
Management&
other related
disciplines
1. Research Papers in Peer-reviewed or UGC 08 per publication 10 per publication
Listed Journals
2. Publications (other than research papers)
(a) Books authored which are published by:
(i) International Publishers 12 12
(ii) National Publishers 10 10
(iii) Chapter in Edited Book 5 5
(iv)Editor of Book by International 10 10
Publisher
(v) Editor of Book by National Publisher 8 8
(b) Translation works in Indian and Foreign
Languages by Qualified Faculties
(i) Chapter or research Paper 3 3
(ii) Book 8 8
3. Creation of ICT mediated Teaching
Learning
pedagogy and content and development of
new and
innovative courses and curricula
(a) Development of Innovative pedagogy 5 5
(b) Design of new curricula and courses 2 per 2 per
curricula/course curricula/course
(c) MOOCs
(i) Development of complete MOOCs in 4 20 20
quadrants (4credit course)(In case of
MOOCs of lesser credits 05
marks/credit)
(ii) MOOCs (developed in 4 quadrant) per 5 5
module/lecture
(iii) Content writer/subject matter 2 2
expert for each module of MOOCs (at
least one quadrant)
(iv)Course Coordinator for MOOCs (4 8 8
credit course)(In case of MOOCs of
lesser credits 02 marks/credit)

15
 (d) E-Content
(i) Development of e-Content in 4 12 12
quadrants for a complete course/e-book
(ii) e-Content (developed in 4 quadrants) 5 5
per module
(iii) Contribution to development of 2 2
e-content module in complete
course/paper/e-book (at least one
quadrant)
(iv)Editor of e-content for complete course/ 10 10
paper /e-book
4. (a) Research Guidance
(i) Ph.D. 10 per degree 10 per degree
awarded awarded
5 per thesis 5 per thesis
submitted submitted
(ii) M.Phil./P.G. Dissertation 2 per degree 2 per degree
awarded awarded
(b) Research Projects Completed
More than 10 lakhs 10 10
Less than 10 lakhs 5 5
(c) Research Project Ongoing
More than 10 lakhs 5 5
Less than 10 lakhs 2 2
(d) Consultancy 3 3
5. (a) Patents
International 10 10
National 7 7
(b) *Policy Document (Submitted to an
International body/organization like
UNO/UNESCO/World Bank/International
Monetary Fund etc. or Central Government
or State Government)
International 10 10
National 7 7
State 4 4
(c) Awards/Fellowship
International 7 7
National 5 5
6. *Invited lectures / Resource Person/ paper
presentation in Seminars/ Conferences/full
paper in Conference Proceedings (Paper
presented in Seminars/Conferences and also
published as full paper in Conference
Proceedings will be counted only once)
International (Abroad) 7 7
International (Within country) 5 5
National 3 3
State/University 2 2

16
 Clarifications forTable-2

Clarifications for Item No. 14.1 to 14.6 and best Research Publications to be strictly followed
by candidate while filling up the application form.

Sr. Academic/Research Activity Clarifications

No
.
1. Research Papers in Peer-reviewed or  Research Papers published in Journals
UGC Listed Journals listed in UGC-CARE will only be
considered for Academic/ Research activity
if the publication date of the said Research
papers is on or after 14th June 2019.
 Research Papers published in Peer-
Reviewed / UGC Listed Journals will also
be considered only if the publication date
of the said Research papers is before 14th
June 2019.
 Research Papers published on or after 14th
June 2019, if the journal in which the
research paper is published is subsequently
removed from the UGC-CARE list and if
the candidate provides proof that the
journal was in the UGC-CARE list on the
date of publication, then the Research paper
will be considered.
 Only published Research Papers will be
considered for Academic/ Research
activity. Merely acceptance of the Research
Papers will not be considered for
Academic/ Research activity.
2. Publications (other than research  For Chapters published in Edited books, the
papers) book should have ISBN.
(a) Books authored which are published by:
(i) International Publishers
(ii) National Publishers
(iii) Chapter in Edited Book
(iv) Editor of Book by International
Publisher
(v) Editor of Book by National
Publisher
(b) Translation works in Indian and  If translation workis done for the entire
Foreign Languages by Qualified book, the candidate should claim points
Faculties only for the book and not for individual
(i) Chapter orResearch Paper Chapters. Provided the book should have
ISBN and the candidate’s name should be
(ii) Book
mentioned as the translator in the book.
3. Creation of ICT-mediated Teaching
Learningpedagogy and content and
development of new and
innovative courses and curricula
(a) Development of Innovative  The Development of Innovative pedagogy
pedagogy should be as per the UGC Guidelines
forInnovative Pedagogical Approaches &
Evaluation Reforms published on
22/12/2022
17
 (b) Design of new curricula and courses  Appointment of the applicant for such
assignment should be made by a competent
body/authority (i.e. Board of
Studies/Academic Council etc.) exclusively
for designing and content development of
new curricula and courses. Merely revision
of a course/syllabi will not be considered for
Research Score.
(c) MOOCs  For MOOC and e-Content development, the
(i) Development of complete MHRD Guidelines for developing online
Courses for SWAYAM’, 1st June 2017 has
MOOCs in 4 quadrants (4 credit
to be followed.
course)(In case of MOOCs of
lesser credits 05 marks/credit)
(ii) MOOCs (developed in 4 quadrants)
per module/lecture
(iii) Content writer/subject
matter expert for each module of
MOOCs (at least one quadrant)
(iv)Course Coordinator for MOOCs (4
credit course)(In case of MOOCs of
lesser credits 02 marks/credit)
(d) E-Content
(i) Development of e-Content in 4
quadrants for a complete course/e-
book
(ii) e-Content (developed in 4
quadrants) per module
(iii) Contribution to the
development of e-content module in
complete course/paper/e-book (at
least one quadrant)
(iv)Editor of e-content for complete
course/ paper /e-book
4. (a) Research Guidance  For P.G. Dissertation, the Research Score
(i) Ph.D. will be considered only if it is full-time and
one semester without any other
(ii) M.Phil./P.G. Dissertation
course(paper) completed or studied in
parallel during the tenure of the P.G.
Dissertation.
(b) Research Projects Completed  In case of Research Projects (Completed or
More than 10 lakhs Ongoing) given to an individual or
University/Institution, Director and Co-
Less than 10 lakhs
Director, Convenor and Co-Convenor,
(c) Research Project Ongoing Coordinator, and Co-Coordinator, etc. will
More than 10 lakhs be considered equivalent to Principal
Less than 10 lakhs Investigator and Co-Investigator
respectively. In the case of a Project team
member, he/she will be considered
equivalent to Co-Investigator.
(d) Consultancy ---
5. (a) Patents  Patent Awarded/Granted Certificate should
International be considered for Research Score. Merely
Patent application/registration Certificate
National
will not be considered for Research Score.
(b) *Policy Document (Submitted to an ---
International body/organization like
UNO/UNESCO/World
Bank/International Monetary Fund etc.
18
 or Central Government or State
Government)
International
National
State
(c) Awards/Fellowship  Best papers awarded during
International conferences/seminars/workshops etc. will
not be considered.
National
6. *Invited lectures / Resource Person/  Invited Lectures/Resource Persons in
paper presentation in Seminars/ Seminars / Conferences / Workshops /
Conferences/full paper in Conference Training Programmes / Short Term
Programmes / FDP / QIP/ Symposium /
Proceedings (Paper presented in RefresherCourses / Orientation Programme
Seminars/Conferences and also will be considered for Research Score.
published as a full paper in Conference  Lectures delivered as a part of Syllabi from
Proceedings will be counted only once) course content will not be considered for
International (Abroad) Research Score.
International (Within the country)  Membership in various committees of event
organization viz. Conference organizing
National committee, Advisory Committee, Technical
State/University Committee, Publication Committee, etc. will
not be considered for Research Score.
 In the case of Paper presentation
(Poster/Oral), Proof of Paper presentation by
the candidate will be considered for the
Research Score. A mere attendance
certificate for the same will not be
considered for Research Score.

Note:
1. The Research score for research papers would be augmented as follows:
Peer-Reviewed or UGC-listed Journals (Impact factor to be determined as per Thomson Reuters list)
:
i) Paper in refereed journals without impact factor - 5 Points
ii) Paper with impact factor less than 1 - 10 Points
iii) Paper with impact factor between 1 and 2 - 15 Points
iv) Paper with impact factor between 2 and 5 - 20 Points
v) Paper with impact factor between 5 and 10 - 25 Points
vi) Paper with impact factor >10 - 30 Points

(a) Two authors: 70% of total value of publication for each author.
(b) More than two authors: 70% of total value of publication for the
First/Principal/Corresponding author and 30% of total value of publication for each of the
joint authors.

2. Joint Projects: Principal Investigator and Co-investigator would get 50% each.
3.Paper presented if part of edited book or proceeding then it can be claimed only once.
4. For joint supervision of research students, the formula shall be 70% of the total score for
Supervisor and Co-supervisor. Supervisor and Co-supervisor, both shall get 7 marks each.
5. *For the purpose of calculating research score of the teacher, the combined research score from
the categories of 5(b). Policy Document and 6. Invited lectures/Resource Person/Paper
presentation shall have an upper capping of thirty percent of the total research score of the
teacher concerned.
19
6. The research score shall be from the minimum of three categories out of six categories.

Summary of Total Academic/Research Score (1+2+3+4+5+6)

Claimed Score
Total
Categories 14.2 14.3 14.4 14.5
14.1 14.6 Score
a b a b c d a b c d a b c
Score
claimed by
applicant
Score
Verified/
Assigned
by
University

Note :
(1) Any additional qualifications, experience, honors and other achievements gained by the candidate during the
period between the last date of receiving application and the date of conducting the interview will not be taken
into consideration.
(2) Have you ever been arrested/prosecuted/kept in detention/convicted by a court of Law or whether any case is
pending against you in a Court of Law? (Yes/No) ____
If the answer to the above question is “Yes” give details____________________________.
(3) Have you ever been debarred from any examination/rusticated by any University or any other educational
institution or whether any case is pending against you in any University or any other educational institution?
(Yes/No) ____
If the answer to the above question is “Yes” give details ____________________________.
(4) Has any disciplinary action been taken against you by any University/ Institute where you have served?
(Yes/No) ____
If the answer to the above question is “Yes” give details ____________________________.

20
 Declaration
I, ______________________________________________ Son / Daughter of
__________________________________________, Age :_________, resident of
_______________ __________________________, District : ________________, hereby
declare that the information furnished above is true and correct to the best of my knowledge
and belief and also that I have not concealed any fact or withheld any information regarding
my past service and record. If any information is found to be false or incorrect or anything is
found to have been concealed, I will be disqualified for selection or if appointed, will be
liable to termination without any notice or compensation.
I am aware of the fact that, if the information given by me is proved false / not true, I
will have to face the punishment as per the law. Also, all the benefits availed by me shall be
summarily withdrawn/kept in abeyance.
I have carefully read all the instructions and concerned notifications before
filling up this application form. I have understood all the instructions and will abide by
them.

Place : __________________ _________________

Date : ___/___ /_____ Signature of the Applicant

----------------------------------------------------------------------------------------------------------------

21
 No Objection Certificate from the Employer
This is to certify that Dr./Mr./Miss./Mrs./ is
presently holding the post of on a regular basis in our organization/ institute/
department.
The organization/institute/department has NO OBJECTION to him/her applying for the post
of in the Veer Narmad South Gujarat University.
In case of his/her selection, he/she will be relieved as per rules and regulation.

Place :_______________ Signature of Employer ___________________

Date : ___/___ /___ Designation ___________________

Office Stamp _________________

22
 Filled By Candidate for Correspondence

Full Address for correspondence (In Block Letters):

Name:
Address with pin code:

Contact Number:
E-mail address:

Full Address for correspondence (In Block Letters):

Name:
Address with pin code:

Contact Number:
E-mail address:

Full Address for correspondence (In Block Letters):

Name:
Address with pin code:

Contact Number:
E-mail address:

Full Address for correspondence (In Block Letters):

Name:
Address with pin code:

Contact Number:
E-mail address:

23
Best Research Papers in Peer-Reviewed/UGC Listed/ UGC Care(10 Best
research papers in case of Professor and 7 Best research papers in case of
Associate Professor) –

Note: Best Research Papers should be listed and bind separately in the following
proforma.

Name of the Applicant:

Subject:

Post applied for: Associate Professor / Professor

Sr. Title ofthe Research Authors Type of Name ofthe Type of Impact ISSN
No Paper Author: First/ JournalVol. Journals: factoras per
. Principal/ No.&pp / Year Peer- Thomson
Correspondin Reviewed/ Reuters on
g UGC Listed the date of
with Sr. No./ publication
UGC Care
1

10

Note : Applicant should submit four sets comprising of above table and full copy of research papers.

Signature of the Applicant

Date: / /

24
Applicants are requested to mentioned following information on the envelop

Application for the Post of Associate

Professor / Professor in the Subject of
_______________

To,
The Registrar
Veer Narmad South Gujarat University
Udhna-Magdalla Road
Surat – 395 007
Gujarat – INDIA

25