APPLICATION FORM FOR TEACHING POSITION

To, The Registrar, Central University of Rajasthan, Bandarsindri,NH-8,Dist. Ajmer (Rajasthan)

Control Id : 707083
000000707083 1. Applying for Category : Assistant Professor in Social Work, Applied For : UR

Post Code :ATP/SW

2. Name 3. Father's Name/ Husband's Name 4. Mother's Name 5. Sex 6. Complete Address

ALKA

SINGH

RAKESH KUMAR SINGH MANJU Female 3/79,VIRAT KHAND GOMTI NAGAR VIRAT MARKET LUCKNOWUttar Pradesh 226010 0522-4102486 09453199648 alkaa1sw@gmail.com 25/06/1986 INDIAN GEN No No SINGH

7. Phone No. (Residance with STD) 8. Mobile No. 9. Email Id 10. Date Of Birth 11. Nationality 12. Category (SC/ST/OBC/General) 13. Physically Changelled/PWD 15. Regular employee of Central Univ. of Rajasthan 17. Are you fill Central Univ. Application form last Year (2009-10) 18. Place of birth with name of District and State 19. Candidate's mother tongue 20. Language(s) you can Read HINDI,ENGLISH,

No

VARANASI

HINDI Speak HINDI,ENGLISH , Write HINDI,ENGLISH

21.Details of Educational Qualifications Examination Passed Year of Name of Board/University/other % marks Divisio Subject/Title Passing Examining body obt./% n / Equival Grade ent U.P.BOARD 62 1st SANS.,SOCIAL SCI,SCIENCE,HOM E SCI.,ENGLISH,HI NDI Specilization Remark

1. High School 2000

2. N/A 3. Inter 4. B. A. 2002 2006 U.P. BOARD BANARAS HINDU UNIVERSITY 80 60 1st 1st HINDI,SANSKRIT, HOMESCIENCE SOCIOLOGY,HISTO RY,POLITICAL SCIENCE,HISTORY ,SANS. DISTINCTION IN SANSKRIT 1st division in class

(5)

Additional Qualifications (Degrees / Diplomas / Certificates etc.)

2008 UNIVERSITY OF LUCKNOW 65.34 1st SOCIAL HUMAN RESSOURCE WORK/STATUS OF AND LABOUR CHILD LABOURS WELFARE IN LUCKNOW SOCIAL HEALTH WORK/PRESENT STATUS OF ICDS in LUCKNOW SOCIAL WORK 2 Rank in class

6. M.A.

7. M.Phil.

2009

UNIVERSITY OF LUCKNOW

78

1st

9. NET/JRF

2010

Notes:1. 2. 3. 4. Where no Division / Grade is mentioned, clarification should be given in the Remarks column. Self attested copies of mark sheets for each examination should be attached. Give details of Scholarships and Fellowships or Medals won. If necessary, enclose details on a separate sheet of paper. Medals won.

22. Did you hold any position of authority ? Did you hold any distinction (other than scholarship) including in Games and Sports and /or other Social activities in College / University (Enclose photocopy of documents mentioning full details in support of your claim) 23. Whether applying as retired employee 24. Whether applying for deputation
25. Present Position Post with detail Date of Present Grade of Organisation Appointment N/A 26. Appointments held before joining the present post SrN Name of Post o Name and address of employer Duration of PayBand / Basic Reasons for Nature of job Appointment with Pay/ Grade leaving the post Date Pay/other allowance MR ASHOK SINGH,UTTAR PRADESH 07/08/2009 To VOLUNTARY ACTION 31/12/2009 NETWORK,LUCKNOW,10,Satyalok Colony,Mohibullapur,Madiao 01/05/2011 To 07/07/2011 N/A PERSONAL REASON RESEARCH, ADVOCACY, DOCUMENTATION, EVALUATION PERSONAL REASON RESEARCH, ADVOCAY Basic Pay Total Date of next emoluments increment Nature of job

NO NO

RESEARCH ASSOCIATE

RESEARCH OFFICER Ms FAUJIA ISLAM,ASSOCIATION FOR ADVOCACY and LEGAL INITIATIVE,Dr Baijnat road,New Hydrabad Colony(near post office),Lucknow

N/A

26(a). Total job experience in years 26(b). Job experience in years as per requirement of the post 26(c). Whether M.Phil and/or Ph.D completed through Regular basis/Part time basis(if part time basis then mention No. of years spent for the same clearly). 27. Names and Office addresses of three persons to whom reference could be made : REG.

Name Dr A. N.Singh

Rank Professor

Address Dept. of Social Work,Lucknow University,Lucknow Head,Dept of Social Work,University of Lucknow Assistant Professor,Dept of Social Work,University of Lucknow,Lucknow

E-Mail

Contact No.

singh_an@lkouniv.a 9415235522 c.in singh_rajkumar@lko 9415545453 univ.ac.in kumar_rupesh@lkoun 9453020000 iv.ac.in

Dr Raj Kumar Singh Head

Dr Rupesh Kumar

Assistant Professor

28. Application Fee detail

(a) Bank Name (b) Issuing Branch (c) Demand Draft Number (d) Demand Draft Date (e) Amount(Rs.) (f). Any other Information for payment of fee

Bank of Maharashtra GOMTI NAGAR,LUCKNOW 518382 27/04/2012 300 D D FVG CENTRAL UNIVERSITY OF RAJASTHAN

29. Conditions for acceptance, if offered 30. Time needed to join the service, if selected 31. Other particulars, if any 32. Research Activities

AGREE 30 DAYS

(a). Number of papers published before taking the doctorate degree

List of maximum best five papers, with title, names of the authors, name of the journal, publisher, vol. no., page no. and year are given below Enclose List of all the papers published in Foreign/Indian Journals with title, names of the authors, name of the journal, publisher, vol. no., page no. and year. Also enclose one copy of reprints of each of your two best papers . (b). Number of papers published after taking the doctorate degree 0

List of maximum best five papers, with title, names of the authors, name of the journal, publisher, vol. no., page no. and year are given below
(c). Number of M.Phil research students you have guided (d). Number of Ph.D. research students you have guided (e). Number of M.Tech students guided for project work. Enclose List with no. of students / scholars and the date of commencement of work in each case, title of the work/thesis, degree awarded and year of award. (f). Number of books published (g). Number of paper published (h). Total number of research publication(s) published in India (i). Total number of research publication(s) published in abroad 0 0 0 0 0

33. Other Publications

(a). Number of books published under your name 0

Enclose documents in support of your claim giving following details: (i) No. of books published (Specify Text Book / Reference Books / Edited Books) (ii) Other books, if any, with details (iii) Nature of recognition of publications, if any, with details (b) Number of Articles published in Newspapers / Magazines under your name 0

34. Total length of Service in Years and Months as a teacher in College / University.

Teaching Experience Degree Classes Post graduates Classes in the subject concerned

From

To

Name of College / University

Note: Give an explanatory note below to remove ambiguity, if any 35. Post Doctoral Research before appointment to a post

Experience

From

To

Name of University / Research Institute / Centre / Laboratory

36. If you hold any Membership of Academic / Professional Societies, write name of all the societies

DECLARATION I hereby declare that: (1) The entries made in this application form are true and correct to the best of my knowledge and belief. If any part of the information given is found to be false or incorrect,I shall forfeit the claim to the post and will be liable to the disciplinary action. (2) I have not been convicted by a Court of Law for any offence. (3) I have not indulged in any of the acts of misconduct such as participating in Gherao of any educational authority, whether academic or administrative,manhandling or abusing such authority or damaging any building or other property. (4) I have not been found to have used unfair means in any examination misbehaved with a teacher or officer or my superior or found to forged a marks- sheet, certificate or degree. and have not gravely have tampered with or

(5) I have read and understood all the relevant information, terms and conditions, and I am also aware that the University may shift to any alternate /permanent location and I shall abide by the same as also any other ordinances, statutes, rules and regulations that may be made by the University hereafter.

Date Place:

Signature of the Applicant

REMARKS OF THE PRESENT EMPLOYER

(in the case of those already in service) The applicant Mr. / Mrs. / Miss.......................................................... is holding a permanent / temporary post of............................................in the payband ...... and pay grade of Rs........ and his / her present basic pay is Rs........................... p.m. His /Her application is forwarded and he / she will be relieved in case he / she is selected for post applied for.

Date: Place:

Signature (Designation Office Seal)

CHECKLIST

1. Attach a bank draft of Rs. 300/-- in favor of Central University of Rajasthan, payable at Bandarsindri. 2. Self attested copies of documents in support of Qualifications, Experience,API Score and others are compulsory otherwise form may be treated as incomplete. 3. Reprints and attested copies of documents submitted with the application will NOT be returned. 4. Candidates (except SC /ST /PWD) called for Screening test and / or interview and those selected will travel at their own expense . 5. Candidates already in service should apply through their present employer and submit the remarks of employer in format given. 6. Attach separate sheets wherever necessary. 7. Please take two copies of printout.

CENTRAL UNIVERSITY OF RAJASTHAN

SUMMARY SHEET

POST CODE : - ATP/SW API SCORE : REGISTRATION NO: -707083

FOR OFFICE USE: DATE OF RECEIPT: SR NO: Recd. by:

Name of the Applicant :ALKA

SINGH

E-mail :alkaa1sw@gmail.com

Mobile No :09453199648

Address in full :3/79,VIRAT KHAND GOMTI NAGAR VIRAT MARKET LUCKNOW- Uttar Pradesh 226010

Categoroy :GEN

Present Position,Affiliation , total teaching experience

Percentage NET / JRF marks in the Status Qualifying Degree

Ph.D. Degree (Year, name of University, Area of Research)

No. of Publica tion Books

No. of Publica tion Paper

Total number of researc h publica tion(s) publish ed in India

0

Total number of researc h publica tion(s) publish ed in abroad

0

Researc h Guidanc e M.Phil

Researc Remarks and h additional Guidanc information, e Ph.D. if any

PRESENT POSITION-N/A Total 10th :- 62 Teaching Exp.12th :- 80 UG :- 60 PG :- 65.34 M.Phil :- 78

NET / SLET :- 0 Year :-0, Name of University : , Title :

CENTRAL UNIVERSITY OF RAJASTHAN

PERFORMANCE BASED APPRAISAL SYSTEM (PBAS) PROFORMA FOR DIRECT RECRUITMENT/CAREER ADVANCEMENT SCHEME (CAS) PROMOTIONS OF TEACHERS BASED ON THE ACADEMIC PERFORMANCE INDICATORS (API) FOR THE POSTS OF PROFESSORS/ ASSOCIATE PROFESSORS SECTION - A: GENERAL

1. 2.

Name of the Applicant Name of the Department/Centre of University/College/Institute Present Pay-band with Grade Pay Post applied for Period/Years of Performance Appraisal

ALKA N/A

SINGH

3. 4. 5.

Grade: Basic Pay: Other Allowances : ATP/SW-Assistant Professor in Social Work -

SECTION - B:

Consolidated API Score

Verifie d API Score*

CATEGORY-III: RESEARCH AND ACADEMIC CONTRIBUTIONS S. No. Particulars (enclose details of each item in support of your claim as annexure)

III . A

III. A - Research Paper Publication

i.

Refereed Journals (15 per publication)

ii. Non-refereed but recognized and reputed journals and periodicals, having ISBN/ISSN numbers (10 per publication) iii. Conference proceedings as full papers, Papers in journals without ISSN / ISBN Numbers, etc (Abstracts not to be included; exclude the ones covered in ii above) (10 per publication) III . B III. B - Other Research Publications (books, chapters in books, other than refereed journal articles).

i. Research monographs, text / reference books published by international publishers with an established peer review system

Sole Author: 50 per publication. Sole Editor: 30 per publication. Chapter in edited Book: 10 per publication. ii. Research monographs, Text or Reference Books by National level publishers/State and Central Govt. Publications with ISBN/ISSN numbers Sole Author: 25 per publication. Sole Editor: 20 per publication. Chapter in edited Book: 05 per publication.

Consolidated API Score

Verifie d API Score*

iii. Text or Reference Books by Other local publishers with ISBN/ISSN numbers. Sole Author: 15 per publication. Sole Editor (10 per publication). Chapter in edited Book: 05 per publication. iv. Text or Reference Books without ISBN/ISSN number Sole Author: 10 per publication. Sole Editor: 07 per publication. Chapter in edited Book: 03 per publication. v. Chapters contributed to edited knowledge based volumes published by International Publishers: 10 per publication vi. Chapters in knowledge based volumes by Indian/National level publishers with ISBN/ISSN numbers: 05 per publication. vii.Editing of the Proceedings of Seminar/Symposia/Conference/Workshop etc. International Level : Sole Editor- 20 per publication. National Level : Sole Editor- 15 per publication. Regional Level: Sole Editor- 10 per publication. State Level: Sole Editor- 05 per publication.

Consolidated API Score

Verifie d API Score*

III . C

III. C - RESEARCH PROJECTS

i. Completed/Ongoing Sponsored Projects. In case of Co-PI, points are to be shared in 60:40 ratio. Major Project (Grant >Rs. 30 Lakhs for Experimental Sciences and Rs. 5 Lakhs for Others): 20 per Project. Major Project (Grant > Rs.5 Lakhs for Experimental Sciences and Rs. 3 Lakhs for Others): 15 per Project. Minor Project (Grants > Rs. 50,000 for Experimental Sciences and Rs. 25,000 for Others: 10 per Project. ii. Completed/Ongoing Consultancy Projects

Grant > Rs. 10 Lakhs for Experimental Sciences and Rs. 2 Lakhs for Others: 10 per Project. In case of Jt. ventures, points are to be shared in 60: 40 ratio. iii. Projects Outcome/Output:Patent/Technology transfer/ Product/Process (for Sciences) Major Policy document of Govt. Bodies at Central/State level (for Others). In case of Joint output, points are to be shared in 60: 40 ratio. National Level : 30 per outcome/output. International Level: 50 per outcome/output. III . D III. D - RESEARCH GUIDANCE. In case of joint supervision, points are to be shared in 60: 40 ratio

M. Phil. (Degree awarded only: 03 per candidate. Ph. D. (Degree awarded only: 10 per candidate. Ph. D. Thesis submitted: 07 per candidate.

Consolidated API Score

Verifie d API Score*

III.E - POST DOCTORAL DEGREE: D. Sc/DLitt. from an university based on post-doctoral thesis): 30 points III. F - PARTICIPATION IN TRAINING COURSES/CONFERENCE/SEMINAR/WORKSHOP i. Refresher courses, Methodology workshops, Training, Teaching-Learning- Evaluation Technology Programmes, Soft Skills development Programmes, Faculty Development Programmes Duration two weeks or more(20 per course/conference/seminar/workshop) Duration one week (10 per course/conference/seminar/workshop) ii. Presentation of research papers (oral/poster) in Conferences/ Seminars/ workshops etc. [If a paper presented is published in the form of Proceedings, the points would accrue for the publication (III (A)) and not under presentation (III (F) (ii)). a) b) c) d) International conference (10 per presentation) National (7.5 presentation) Regional/State level (05 per presentation) Local University/College level (03 per presentation)

iii. Invited lectures or presentations for conferences/ symposia a) b) c) d) e) Plenary lecture (15 points per lecture) International Level (10 per lecture) National Level (7.5 per lecture) Regional Level (05 per lecture) Local- University/College Level (03 per lecture)

Consolidated API Score

Verifie d API Score*

III . G

III. G - TRAINING COURSES / CONFERENCE /SEMINAR/WORKSHOP PAPERS ORGANISED

I. Refresher courses, Methodology workshops, Training Course, Summer/Winter School/TeachingLearning-Evaluation Technology Programmes, Soft Skills development Programmes, Faculty Development Programmes Duration of two weeks or more (30 per course). In case of Co-coordinator points are to be shared in 60: 40 ratio. Duration of one week (15 per course). In case of Co-coordinator points are to be shared in 60: 40 ratio. II. Seminar/symposia/conference/workshop organized. In case of Co-convener/ Jt. Organizing Secretary points are to be shared in 60: 40 ratio. International: 30 per event. National: 20 per event. Regional : 10 per event. State level : 05 per event. III . H. III. H. - AWARD/HONOURS/RECOGNITIONS

International level honour/recognition/award : 30 per award National level honour/recognition/award State level honour/recognition/award III .I : 25 per award : 15 per award

III.I - PEER REVIEWING OF PAPERS/PROJECT PROPOSAL/EVALUATION OF PROJECT COMPLETION REPORT

For Refereed Journals: 5 per paper For Non-refereed but recognized and reputable journals and periodicals, having ISBN/ISSN numbers: 3 per paper

Consolidated API Score

Verifie d API Score*

Conference proceedings as full papers, etc. (Abstracts not to be included) (10 per publication): 2 per paper Evaluation of Project Completion Report: 5 per report Project Proposals: 2 per Project TOTAL API SCORE (Category III Only) RESEARCH PAPERS PUBLISHED PRIOR TO SELF ASSESSMENT PERIOD (Compute as at III A, B and divide by 4: max 50) BOOKS PUBLISHED PRIOR TO SELF ASSESSMENT PERIOD (Compute as at III A, B and divide by 4: max 50) REFRESHER / ORIENTATION COURSES ATTENDED PRIOR TO SELF ASSESSMENT PERIOD (Compute as at III G)

Membership of editorial boards of research journals (Chief Editor: 20 points; Associate Editor: 15 points; Member: 10 points) RESEARCH PAPERS PUBLISHED PRIOR TO SELF ASSESSMENT PERIOD (Compute as at III A, B and divide by 4: max 50) Certified that the scores mentioned under all categories above are true and are supported by documentary evidences.

Signature of the teacher/ applicant with designation Place:................ Date :................ ____________________________________________________________________________

1. Candidates are required to enclose a copy of the bio-data including complete list of publications (in refereed journals, recognized and reputable journals and periodicals mentioning names of all authors, ISSN/ISBN numbers of journals and year of publications), list of seminar/symposia/conference/workshop/refresher course/faculty/skill development programmes etc organized and attended, list of completed/on-going research and consultancy projects with amount and funding agency, list of Patent/Technology transfer/ Product/Process/Major Policy document of Govt. Bodies at Central/State level, list of M. Phil and PhD supervised, list of honours/awards/recognitions

a. Candidates are required enclose documentary evidence in favour of items mentioned at Note 1 above.

b.Wherever relevant to any specific discipline, the API score for paper in refereed journal would be augmented as follows: (i) indexed journals by 5 points; (ii) papers with impact factor between 1 and 2 by 10 points; (iii) papers with impact factor between 2 and 5 by 15 points; (iv) papers with impact factor between 5 and 10 by 25 points.

c.The API for joint publications will have to be calculated in the following manner: Of the total score for the relevant category of publication by the concerned teacher, the first/Principal author and the corresponding author/supervisor/mentor of the teacher would share equally 60% of the total points and the remaining 40% would be shared equally by all other authors.

Central Univerty of Rajasthan

Application Form Supplement Sheet
01. Primary Details :

01. 02. 03. 04. 05. 06. 07. 08. 09. 10.

Name of Candidate Father's / Husband Name Mother's Name Date of Birth Sex Category Nationality Post applied for Current affiliation Previous affiliation, if any

ALKA SINGH RAKESH KUMAR SINGH MANJU SINGH 6/25/1986 12:00:00 AM Female GEN INDIAN ATP/SW N/A RESEARCH ASSOCIATE, RESEARCH OFFICER,

02. Qualification : Year of passing Post Graduate Doctorate Post-Doctorate 2008 0 0 Title of Dissertation /Thesis SOCIAL WORK/STATUS OF CHILD LABOURS

S.No. 01. 02. 03.

University/Institute UNIVERSITY OF LUCKNOW

03. Specialization at PG/Doctorate in : HUMAN RESSOURCE AND LABOUR WELFARE ,

04. Publications :

Total number of publication at National Level Total number of publication at International Level

0 0

Central Univerty of Rajasthan

Application Form Supplement Sheet
05. List of Best 10 Publications : S.No. 01. 02. 03. 04. 05. 06. 07. 08. 09. 10. Name of Journal/proceedings Vol. Year Page No.

06. Books(Authored / Edited ) :

S.No. 01. 02. 03. 04. 05.

Name of Book

Publisher

Year

Central Univerty of Rajasthan

Application Form Supplement Sheet
07. Teaching Experience ( in a regular UGC Grade ) :

S.No.

Name of College/University

Classes taught Degree Classes Post Graduate Classes

Period From To

01. 02. 03.

08. Research papers citations ( excluding self citations ) :

(i) H-index (ii) Google Scholar (iii) Scopus