Maharaja Krishnakumarsinhji Bhavnagar University

Bhavnagar 364001 India

APPLICATION FORM FOR TEACHING POSITIONS PROFESSOR,
ASSOCIATE PROFESSOR & ASSISTANT PROFESSOR
(DIRECT RECRUITMENT)

Important Notes:
1. This application form is an editable Word document, and the applicants should fill up by
Paste a recent
typing the same using 12 point Times New Roman/Arial font. Passport Size
2. Complete and correct information against each item should be entered. Incomplete Photograph
applications may result in rejection of the same.
3. Employed Persons should forward their applications through proper channel. Candidates
can also submit advance copy and produce NOC at the time of interview.
4. Seven Printed Copies of the application (A 4 size paper) should be submitted. Please do
not attach original documents. Print out should be taken only on one side of the paper.
5. As this application form is for multiple posts, the information relevant to the post only
needs to be filled in.
6. All candidates will have to make a presentation of minimum 10 minutes for teaching skills.
Candidates can select the relevant topic for presentation.
7. The qualifications for the teaching post shall be strictly as per the UGC Regulations on
Minimum Qualifications for Appointment of Teachers and Academic Staff in Universities.
Amendments with regard to qualifications made by the UGC shall be binding to the
candidates.
8. The API score claimed by the applicant under category III shall be used only as an eligibility
criteria. The selection and consideration of API shall be governed by the resolution of
Executive Council of MK Bhavnagar University, dated 24/11/2014 and it shall be binding for
the candidate.
9. All candidates will have to enclose a draft of Rs. 1000/- (Rs. 500 for SC/ST) in favour of
Maharaja Krishnakumarsinhji Bhavnagar University Fund Account'.
10. Printed copies of the application should be sent by Registered Post / Speed Post, in a sealed
envelop superscribed with Application for the post of _______________________ to The
Registrar, M.K.Bhavnagar University, Bhavnagar 364 001. Candidates can also hand-
deliver the application at the University office.
11. All attached documents, with this application, should be given page number on top right hand
side. These numbers will be required to be filled in the application form. The page numbers in
the application form refer to the same.

Name of the Applicant : VYAS CHIRAG VINAYAKBHAI

(CAPITAL BOLD LETTERS)

Name of the Post Applied for : ASSISTANT PROFESSOR

(CAPITAL BOLD LETTERS)

Name of the Department/College: Business Administration (General)

Category :

Demand Draft Details : No._________________ Date______________

Amount: Rs. ___________ Name of the Bank : _________________

Place: Signature: ____________________________

Date: Name of the Applicant: Chirag V. Vyas

Application for Direct Recruitment of Teaching Staff, MK Bhavnagar Univ.. Page 1 of 14

 SECTION - I GENERAL INFORMATION AND ACADEMIC BACKGROUND

1) Name (in Block Letters) : VYAS CHIRAG VINAYAKBHAI

2) Father's Name : VYAS VINAYAKBHAI D.

3) Date and Place of Birth : 10TH May, 1983, Bhavnagar

4) Sex (Gender) : Male

5) Marital Status : Unmarried

6) Nationality : Indian

7) Indicate whether belongs to

SC/ST/OBC/General/PH category : General
(Attach relevant certificate)

8) Address for correspondence : Plot No.: 29 A, VANDANA,

(With Pin code) Chitranjan Chowk, Vidyanagar,
Bhavnagar 364002

9) Permanent Address (with Pin code): Plot No.: 29 A, VANDANA,

Chitranjan Chowk, Vidyanagar,
Bhavnagar 364002

10) Name of the present employer : The KPES College, Bhavnagar

(If any)

11) a) Current Designation : Lecturer

b) Basic pay and scale (including :

Grade Pay, where applicable

Telephone No. : 0278 - 2511996

Mobile No. : 9825428371 / 7802002565

Email : chiragsir.com@gmail.com

Personal Web Page (if any) : www.chiragsir.com

Skype ID (if any) : NA

Application for Direct Recruitment of Teaching Staff, MK Bhavnagar Univ.. Page 2 of 14

 12) Academic and other qualifications (attach relevant certificates)

Name of Month Page

Percenta Divisio
the & Year Number
ge of n/
Examinations Board / of Subject of
marks Class /
Universit Passin attached
obtained Grade
y g document
GSEB Mar 57.57 % 2nd 07 01
SSC 1998
GSEB Mar 60.00 % 1st 07 04
HSC 2000

Graduation BHAV. April 46.43 % 2ND 07 10

B.COM. UNI. 2003

Post-graduation M.K. MAR SGPA 1ST 05 21

MHRD BHAV. APR 7.80
UNI. 2012 69.21 %
Diploma In M.K.
Labour Laws and BHAV.
Practices. (DLLP) UNI.
Addl.
qualification, if
any
(Specify)______

Eligibility test for Year of Passing :

Assistant
Professor such Seat / Roll Number :
as NET, SLET, etc.
(Specify)________

13) Research Degree(s): (attach relevant certificate/s)

Broad Page
Title of the Duratio
Area of University/ Number of
Degrees Dissertation/ n with
Subject Institute attached
Thesis Dates
document
M.Phil.
Ph.D.*/D.Phi
l
D.Sc./D.Litt.

Other Post
Doctoral Work
(Specify)
_____

Date of Ph.D. Registration : ______________________________

Page Number of attached registration Certificate : _____________
*For Ph.D. Registration before 11/7/2009 NET/SET exemption certificate MUST be
attached as per UGC regulations 2016 (4th Amendment) , Page No of certificate:
______

Application for Direct Recruitment of Teaching Staff, MK Bhavnagar Univ.. Page 3 of 14

 14) Appointments held prior to the Present Employment:
(Attach relevant documents)

Name of Designatio Nature of Date of Page

Employer n Duties Number
Salary Reason
of
Joinin Leavin with of
attached
g g Grade leaving
docume
nt

15) Post/s held with the present employer: (attach relevant documents)

Organization / Date of Joining Page Number

Salary with
Designation Institution / of attached
Grade Pay
Department From To document

16) a) Period of teaching experience : P.G. Classes (in years) :

______
(Attach appointment letter and/or PG recognition letter : Page No: ________ )
U.G. Classes (in years) : ______
(Attach appointment letter : Page No: _________ )
b) Industry experience : Level ___________ Years_______
(Attach appointment letter : Page No: _________ )

c) Administrative experience : Level __________________

Years_______
(Attach appointment letter : Page No: _________ )

17) Research Experience : : ______

18) Fields of Specialization under the Subject / Discipline

(a)
(b)
(c)
(d)

Application for Direct Recruitment of Teaching Staff, MK Bhavnagar Univ.. Page 4 of 14

 19) Orientation / Refresher Course / Quality Improvement Programme (QIP)
attended: (Three weeks or more)

Sr. Name of the Place & Mont Duration Sponsorin Page No. of
No. Course Instt. h& g Agency Certificate
Year of
Participatio
n
1.

2.

3.

4.

5.

20) Important/Distinctive/Innovative contribution(s) made in the present

employment: (Not more than 200 words)

Application for Direct Recruitment of Teaching Staff, MK Bhavnagar Univ.. Page 5 of 14

21) Your vision for the Department/Institute to which you have applied /
further academic development plan: (Not more than 200 words)

22) Particulars of three referees (one of these referee may be from the
present or last employer)

Sr. Name Designatio Address e-mail ID Contact

No n No.
.
1

23) Language Proficiency:

Mother Tongue: ________________

Sr. Language Read Write Teach Examination

No. Passed, if
any
1.

2.

3.

Application for Direct Recruitment of Teaching Staff, MK Bhavnagar Univ.. Page 6 of 14

24) Extension activities, awards, etc:

(a) Membership of/nomination on professional/other bodies

Sr. Name Position No. of Contribution made, in brief

No. held years

(b) Academic Awards : International fellowships / awards instituted by

academic bodies / international institutions etc & National fellowships / awards
instituted by UGC/DST/CSIR/ICSSR/ICAR/DBT/Jnanpith/National Academies/State
Govts/Central Govt. only.

Sr. Name of award Awarding Year Page No. of

No. institution attached
docs

(c) Cultural / Sports / NSS / NCC (National/State level participation only)

(Attach relevant certificates)

Sr. Details Page No. of

No. Attached
Certificate

(d) Contribution to the society / Extension activities : (Not more than

200 words)

25) Any other information relevant to the post applied for and not covered
in the applicant earlier:

Application for Direct Recruitment of Teaching Staff, MK Bhavnagar Univ.. Page 7 of 14

 SECTION - II PBAS PROFORMA FOR CALCULATING API SCORE

IMPORTANT: Please refer to University Grants Commission (Minimum Qualifications

for Appointment of Teachers and other Academic Staff in Universities and Colleges and
Measures for the Maintenance of Standards in Higher Education) (4 th Amendment),
Regulations, 2016 for filling the following sections of application form.
It is responsibility of Candidate to provide proper information in correct place in
following Tables

(CATEGORY: II PROFESSIONAL DEVELOPMENT , CO-CURRICULAR AND

EXTENSION ACTIVITIES)
Cat Nature of Activity Maximu Actual Score Page
ego m API no. of
ry II Score support
ing
docume
nts
a. a) Student related co-curricular, extension 15 Actual Hours
and field based activities spent per
(i) Discipline related co-curricular activities academic year
(e.g. remedial classes, career counseling, / 10
study visit, student seminar and other
activities)
(ii) Other co-curricular activities (Cultural,
Sports, NSS, NCC etc.)
(various levels of intramural and extramural
programmes)
(ii) Extension and dissemination activities
(public /popular lectures/talks/seminars etc.)
b. b) Contribution to Corporate life and 15 Actual Hours
management of the department and spent per
institution through participation in academic academic year
and administrative committees and / 10
responsibilities
i) Administrative responsibility (including as
Dean / Principal / Chairperson / Convenor /
Teacher-in-charge / similar other duties
which require regular office hours for its
discharge.)
ii) Participation in Board of studies,
Academic and Administrative committeess
c. Professional development activities (such as 15 Actual Hours
participation in seminars, conferences, short spent per
term training courses, industrial experience, academic year
talks, lectures in refresher / faculty / 10
development courses, dissemination and
general articles and any other contribution)
Total API Score for Category II Max 45

Application for Direct Recruitment of Teaching Staff, MK Bhavnagar Univ.. Page 8 of 14

 (CATEGORY: III RESEARCH, PUBLICATIONS AND ACADEMIC CONTRIBUTIONS)
(Evidences to be provided along with the application for the final verification)
A) Published Papers in Refereed Journals / UGC notified Journals
Sr. Title Journal ISSN No/ Whether No. of Whether API Page No.
No with & peer Co- you are Score of
Vol. No. UGC reviewed/ authors the main Claimed Attached
Page Journal refereed. author / Documen
No. Year Number Impact guide / t
DOI/ factor, if mentor
Link any

Total API Score of (A)

B) Research Publications (Books/ Articles / Chapters in Books etc)

Sr Title with page Book Title ISSN/ Whethe No. of Whether API Page No.
. nos. editor & ISBN No. r peer Co- you are the Score of Attached
N publisher Universit reviewe authors main author Claime Document
o y website d d
refernce

Total API Score of (B)

C) Ongoing and Completed Research Projects and Consultancies:

C) (i) Research Projects

Sr. Title of Project Funding Period Grant/Amoun API Score Sanctio
No Agency With t Mobilized n Letter
dates (Rs. Lakh) Page
No.

Total API Score of (C (i ))

C) (ii) Consultancy Projects

Sr. Title Funding Period Grant/Amount Whether Policy API Page
No Agency With Mobilized document/patent Score No. of
dates (Rs. Lakh) as outcome Suppo
rting
Docs

Total API Score of (C (ii))

Application for Direct Recruitment of Teaching Staff, MK Bhavnagar Univ.. Page 9 of 14

 C) (iii) Projects outcome Outputs
Sr Patent / Technology OR Any Major Policy Document Year Page No. of
No transfer / Product / prepared for international bodies like Supporting
Processes WHO/ UNO/ UNESCO/ UNICEF etc, Docs
Central / State Govt / Local bodies
etc

Total API Score of (C (iii))

D) Research Guidance ( D(i & ii))

Sr. No. Number Enrolled Dissertation / Degree API Page no. of
Thesis awarded Score supporting
Submitted With dates Docs
With dates
(i) M. Phil
(ii) Ph.D.

Total API Score of (D (i & ii))

E) (i) Fellowship / Awards

Sr. Name of Fellowship / Award Duratio Name of awarding API Score Page no.
No. n organization / of
With agency supportin
dates g Docs

Total API Score of (E (i))

E) (ii) Invited Lectures / Papers

Sr. Title of the Lecture Title of Organize Whether API Page no.
No. /Paper presented Conference/ d by international/ Scor of
Seminar national/ state/ e supportin
With dates regional/ college or g Docs
university level

Total API Score of (E (ii))

F) Development of e-learning delivery / process / material

Sr Details of e-learning delivery / process Year of Page no. of

No / material (module wise) implementation supporting Docs

Application for Direct Recruitment of Teaching Staff, MK Bhavnagar Univ.. Page 10 of 14

 SECTION - III FINAL SUMMARY OF API SCORE
(To be filled by applicants for the post of Associate Professor and Professor only)

Cate Criteria Max Total API Final

gory Cap Claimed API
No. Score
II Professional development , co- 45
curricular and extension activities point
s
III (A) Research Papers NA
III (B) Research Publications (Books etc) NA
III (C) Research Projects / Consultancies NA
III (D) Research Guidance NA
III (E) Fellowships, Awards NA
(i)
III(E) Invited lectures in seminars and 20%
(ii) conferences
III (F) Development of e-learning, delivery, NA
process, materials
Total API Score

I hereby solemnly certify that

(1) My all the publications submitted for recruitment are original research work.
(2) My publications are in the field in which I wish to apply/to be considered.
(3) All the journal papers considered for API score are published in standard peer
reviewed journals.
(4) The decision of the scrutiny committee/ experts with regard to the quality of my
publications shall be final and it shall have binding to me. I understand that scrutiny
committee/experts decision with regard to consider or reject any of my publication
in context of its quality shall be final.
(5) I am not owner/editor/ asst. editor or in the board of the journal whose papers I
have claimed in API score.
(6) I also certify that the papers published by me do not fall under the category of
plagiarism.
(7) I understand that any misinformation will lead to withdrawal of my appointment.

I hereby solemnly certify that the above API Score provided in this application form
is true and correct to the best of my knowledge and belief.

Place: Signature of the applicant ____________________

Date: Designation

Application for Direct Recruitment of Teaching Staff, MK Bhavnagar Univ.. Page 11 of 14

LIST OF ENCLOSURES: (Please attach, copies of certificates, sanction orders, papers
etc. wherever necessary)

1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20

Place: Signature of the applicant ____________________

Date: Designation

Application for Direct Recruitment of Teaching Staff, MK Bhavnagar Univ.. Page 12 of 14

 Declaration
I hereby solemnly certify that the information provided in this application form is true
and correct to the best of my knowledge and belief. I also confirm that I have never
been convicted by any court of law or suspended / dismissed by any employer /
organization from job. I understand that if any of the information given by me in this
application form is found to be incorrect, or I have concealed / misrepresented any
information, my candidature / appointment is liable to be canceled / terminated at
any stage without assigning any reason therefor. I confirm that I shall abide by the
decision(s) of the University with regard to my application / appointment.

Place: Bhavnagar Signature of the applicant ____________________

Date: 05/10/2017 Designation: Lecturer

For all Candidates in employment this application must be Forwarded

Through competent authority of employer

I herewith forward the application of Mr. Chirag V. Vyas for the post of Assistant
Professor in Business Administration (General) at the MK Bhavnagar University,
Bhavnagar. He is working as Lecturer in our organization on a permanent/ ad-hoc /
temporary basis.

We have No objection to his application being considered and, if selected, for

his appointment to the concerned post in your University.

Place : Bhavnagar
Date : 05/10/2017 Signature & Name of the Authority
Competent to forward this application with seal

Application for Direct Recruitment of Teaching Staff, MK Bhavnagar Univ.. Page 13 of 14

 SECTION - IV PUBLICATIONS FOR ASSESMENT
(Applicable for Associate Professor and Professor only)

MK Bhavnagar University, Bhavnagar - 364001, INDIA.

Name of Applicant: ______________________________________________________

Application for the Post of _____________________________________

Major Publications for assessment by the Experts

(Copy of the publication should be attached)

Sr. Title of the Paper / Publisher Edition / Date of Name of

No Book Vol. / Publication Co - Authors
Page No.
1.

2.

3.

4.

5.

6.

Note: Copies of at least 5 best publications for assessment to be enclosed in case of

Professor/ Associate Professor

___________________
Place : (Signature of
Candidate)
Date :

For more details on qualifications kindly refer to UGC website.

Application for Direct Recruitment of Teaching Staff, MK Bhavnagar Univ.. Page 14 of 14