Advt. No.

SHRI MATA VAISHNO DEVI UNIVERSITY …………………………………..

Kakryal, Katra-182320(J&K)
EPABX No.: 01991-285524 Extn. 2103 & 2104
(Office Use Only)
website: www.smvdu.net.in Regd. No.:

Application Form for Faculty Position

1. Details of application fee payment (if any)
DD # Date Amount Name of the Bank Issuing Branch Name
Paste your recent
passport size
2. Name of the post applied for : photograph here
3. Name of the School for which applied :

4. Applicant’s area of specialization :

Personal details
First Name Middle Name Surname
5. Name
(in Capital Letters)
Day Month Year Age as on date of Years Months
6. Date of birth
advertisement
City/ Village State Country
7. Place of birth

8. Father’s name
9. Mother’s name
10. Nationality 11. Gender:
a. Married / Unmarried
12. Marital status
b. If married, name of spouse:
Community/ Category Gen /SC /ST /OBC / Other Category
13. (delete those not applicable)
If other category, give details _________________________

If physically disabled, indicate the relevant If applicable, Percentage of S.No. of proof

14. Write ‘yes’ disability enclosed
particulars

a. Blindness or low vision :

b. Hearing impairment
c. Locomotor disability or cerebral palsy
(includes all cases of Orthopedically handicapped

15. Educational qualifications (Attach additional pages, if required)

Name of the Name of the Board / Month & CGPA Subjects studied S.No. of proof
course University Year Division% of (if grading is enclosed
passed Marks applicable)
10th Class /
equivalent
10+2
/equivalent
Bachelor’s
degree
Master’s
degree
M.Phil. /
equivalent
Ph.D.

Indicate specifically whether Ph.D. degree has been awarded : Yes / No

Whether Ph.D. degree was with course work or not Yes / No

Page 1 of 9
Date of Admission to Ph.D. program:
Date of award of Ph.D. Degree:

Subject Roll No Year Position

NET/SLET/SET for
lectureship, if any

GATE Exam passed

16. Chronological list of experience (including current position/ employment)

Designation Pay Band Name & address Period of Experience Nature of work / S.No. of proof
with AGP of employers No. of duties enclosed
years/
From To
months
date date (As on date of
advertisement)

17. Nature of experience

UG Level PG Level Post-Doctoral Any Other Total
Years Months Years Months Years Months Years Months Years Months

18. Details of Post-doctoral experience S.No. of proof

enclosed
Agency Host Institute From date To date Duration

Total experience ____________ Years ____________Months ____________Days

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 19. Academic distinctions S.No. of proof
enclosed
Name of the Academic Academic distinction obtained
Course / Body

20. Publications (Mention here only numbers. The details and copies of the reprints be appended, without which the
information will be considered incomplete)
i. Research Papers in SCI Journals
S No Authors Title of the Sr.No. of the Journal’s Name & Place Publication Vol./ Page Impact
Paper Journal as per of Publication & ISSN No/ Year Factor
UGC notified List
of Journals

ii. Research Papers in Non-SCI Journals

S No Authors Title of the Sr.No. of the Name of Journal & Publication Vol./ Page Impact
Paper Journal as per Place of Publication & ISSN No/ Year Factor
UGC notified List
of Journals

iii. Research Articles in Books /Books published

S No Authors Title of the Title of the Place of Publisher & Page No
Book Article Publication ISBN

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 iv. Review Articles
S No Authors Title of the Title of the Place of Publisher & Page No
Book Article Publication ISBN

v. Total Impact Factor as per SCI/ SCOPUS……………………………………………………………………...

vi. Total Impact Factor as per Google search .…………………………………………………………………...

vii. h-Index Factor as per SCOPUS…………………………..……………………………………………………...

viii. h-Index Factor as per Google search…………………..……………………………………………………...

ix. i-10 Index Factor as per Google search…………………..……………………………………………………

21. Seminars/ Conferences/ Workshops/ Training National International Total S.No. of
proof
programs, attended. (No.) (No.) (No.)
enclosed

22. Seminars/ Conferences/ Workshops/ Training programs, National International Total S.No. of
proof
organized. (No.) (No.) (No.)
enclosed

23. Research Projects / Consultancies (only externally funded)

Title of projects / consultancies completed Funding Agency As PI/CI/Co- Amount of grant
CI/CO-PI or and duration
Investigator

Title of ongoing Projects / consultancies

Page 4 of 9
24. Research Guidance (No. of students guided) M.Phil. / M.Tech. Ph.D. (No.) S.No. of
proof
/ M.E. (No.)
enclosed
Completed

Under supervision

25. Papers presented in Seminars/ Conferences/ Workshops

Title of the Paper National / Date Organizers & Venue S.No. of
proof
International
enclosed

26. Peer recognitions

Awards / Honours Agency Year S.No. of
proof
enclosed

27. 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)

Referee-1 Referee-2 Referee-3

Names & complete

postal addresses

Email:
Phone (Landline)
with STD Code:
Mobile Ph:

Fax:

28. Present Position

Gross Pay / S.No. of
Name of the Increment proof
Basic Pay Pay Scale Total
Designation University / date enclosed
(Rs.) (Rs.) Salary p.m.
Institution (Date/Month)
(Rs.)

29. Time Required for Joining if selected:

30. Any other information/ qualification relevant to the post applied for:

31. Whether willing to join as temporary/ contract / Guest faculty (if not selected against regular vacancy)
Yes/ No
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32. Candidate's Name & Address for correspondence :
Mailing address Permanent address
Name

Complete Address
with pin code

Email: Phone No. Mobile No. Fax No.

(Landline with STD code)

33. List of self-attested testimonials attached (original to be produced at the time of interview).
Please tick the ones applicable

i. Matriculation marksheet / certificate

ii. Intermediate marksheet / certificate
iii. B.E. / B.Tech. / B.A./ B.Sc. /B.Arch (Final) marksheet/ degree
iv. M.E. / M.Tech./M.A./ M.Sc. /M.Arch(Final) marksheet/ degree
v. L.L.B (Final) marksheet / degree
vi. L.L.M marksheet / degree
vii. M.Phil. degree
viii. Ph.D. /D.Phil. degree
ix. D.Litt., D.Sc., L.L.D degree
x. NET, UGC-JRF, CSIR-JRF Award Certificate
xi. Caste Certificate issued by the Competent Authority (OBC/SC/ST/etc.)
xii. Experience certificates
xiii. Recommendation letter(s)
xiv. Award (s) /Fellowship (s)
xv. Publication (s)
xvi. Other (s)
Total Number of above self-attested testimonials attached____________ (in words_____________________________)
N.B. Applications without the above self-attested testimonials will not be entertained.

34. Declaration
I, ____________________________son/daughter of__________________________________
hereby declare that all the statements and entries made in this application are true, complete and correct to the
best of my knowledge and belief. In the event of any information being found false or incorrect or ineligibility
being detected before or after the Selection Committee and Executive Council meetings, my candidature /
appointment may be cancelled by the University.

Signature of the applicant

_________________________________
*Name as signed (in BLOCK LETTERS)*Application not
signed by the candidate is liable to be rejected.
Date : ______________________

Page 6 of 9
35. Endorsement by the EMPLOYER

a). In case of in-service candidates in Government / Semi-Government organizations / Public Sector Undertakings /
Autonomous Organizations, the endorsement form must be signed by the employer.
b). In case of in-service candidates from Private Sector, acceptance of resignation and relieving letter from the
employer at the time of joining must be submitted.
Forwarded to the Shri Mata Vaishno Devi University, Kakryal, Katra-182 320(J&K), India:

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

submitted this application for the post of __________________________ in the Shri Mata Vaishno
Devi University, Kakryal, Katra, has been working in this organization namely
____________________________ in the post of ______________________ in a temporary /
contract/ permanent capacity w.e.f. ________________ in the Scale of Pay of
Rs.__________________________, with AGP of Rs. . He / She is drawing a basic 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 objection for his/her application being considered by
the Shri Mata Vaishno Devi University, Kakryal, Katra.

(Signature of the forwarding officer)

Name: __________________________

Designation: __________________________

Place: __________________________

Seal Date : __________________________

Page 7 of 9
 SHRI MATA VAISHNO DEVI UNIVERSITY Paste your
Kakryal, Katra-182 320(J&K)
Established vide Act No. XII of 1999 recent passport
size Photograph
Faculty Position - Summary
here

Name of the post applied for Applied for Department / School

Name Male/Female Married / Unmarried

(in Capital Letters)

Date of birth Place of birth Category: Gen/SC/ST/OBC/PWD/others

DD/MM/YYY

Name of the Name of the Board/ Month & Year CGPA

A. Educational qualifications Division % of Marks
course University Passed/Award (if applicable)

1. Bachelor’s degree

2. Master’s degree

3. Ph.D. with course work/Ph.D. with

M.Phil/Ph.D. with M.Tech/Ph.D.
with Pharm/Ph.D with NET or
Equivalent
4. UGC/CSIR/ICAR/GPAT/GATE/ICM
R/Equivalent at national level
a. NET/SLET
b. NET-JRF/Equivalent
5. Medals

a. State Level

b. National Level

6. Teaching Experience No. of years No. of months

a. Under-graduate level

b. Post-graduate level experience

reflecting research

c. Research Experience after Ph.D.

d. Post-doctoral:
Teaching/Research

Published [ISBN / Communicated

7. Publications Accepted /In Print (Nos.)
ISSN] (Nos.)
Paper International Journal Indexed
in Thomson Reutors

Paper/Book Chapter National

Journal indexed & peer reviewed

Books published

Other publications

Major (Above 5 Lakhs) for Sciences Minor (Below 5 Lakhs) for Sciences
8. Research Projects

9. Patents

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 M.Phil. /M.Pharm/M.Tech./Equivalent Guidance as
10. Research guidance (No.) Ph.D.
guide/supervisor
Completed

Under Supervision

Total No. of Citations

h-index
(excluding self-citations)
11.Research Quality

In India Abroad Total

12.Seminars/ Conferences/ Workshops/ Training (No.) (No.) (No.)
programs, organized etc.

13.Peer recognition (Fellowship of

National/international organizations, editor of
national/International journals/ Significant
contribution in work place developmental
Activities

Present Name of the University / Basic Pay Gross / Total Increment date
Pay Scale (Rs.)
Designation institution (Rs.) Salary p.m. (Rs.) (Date/Month)

Signature of the applicant

vcvcv

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