Application Form - Nagpur University

Rashtrasant Tukadoji Maharaj Nagpur University, Nagpur
Application for the post of Vice-Chancellor
Paste passport
size latest
photograph
I. General information
1
Full name of the applicant (in
capital letters), with initials
expanded, as in official
records
2
Sex (Male / Female)
3
Date of birth (Day-Month-Year)
4
Age as on closing date for
receipt of applications
(Years/Months/Days)
5
a) Present post:
Surname
b) Designation and grade
c) Date from which held:
d) Name of the organisation
6
Address for communication
7
Contact details
Mobile No.
Tel. No.
Fax No.
E-mail IDs
8
Are you a citizen of India/NRI
(Status)
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Name
Middle Name
9
Have you ever been convicted
by a court of law for any
offence? If so, give details
thereof.
10
Have you ever been punished
or debarred from service of
Govt. or other organizations
etc.? If so, details thereof.
11
Whether any disciplinary case
is pending against you? Has
any major/minor penalty been
imposed on you?
12 Date of Award of Doctorate
Degree
13
Service Experience in Years
(Cadre wise)
14
Number of Students Guided
for Research
15
Number of Research Papers
published
16
Number of Books Published
1.
2.
3.
4.
1.
2.
3.
1.
2.
Post-Doctoral –
Doctorate degree –
M. Phil. Post Graduate Peer reviewed Journals –
International Journals National Journals International Publisher –
National Publisher -
Signature of the candidate
Date:
Place:
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II. PERSONAL INFORMATION:
Part ‘A’
Essential qualifications and experience
01. Details of Doctorate earned and academic record:
01.01 Graduation:
University/Institution Qualification/degree Class/Division/Grade Month &
Year
/ Percentage
of passing
01.02 Post Graduation:
University/Institution Qualification/degree
Class/Division/Grad
e/ Percentage
Month &
Year
of passing
01.03 Ph D:
University/Institution
Subject/thesis title
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Month & Year
of award
02. Experience in the field of Higher Education during last 15 years in
teaching and research in a university/well-established institution of repute
and/or at the undergraduate and post-graduate level
02.01 Experience in the field of Higher Education during 15 years in teaching
and research in a university:
University*
P os t
From
To
Total (in years
and months)
Total experience
* Name of the University: If space provided for entering the name of the University
is insufficient, use abbreviations in the column and expanded forms as foot note
below the table.
02.02 Experience in the field of Higher Education during last 15 years in
teaching and research in a well-established institute of repute:
Institution*
P os t
From
To
Total (in years
and months)
Total experience
* Name of the Institution: If space provided for entering the names of the Institution
is insufficient, use abbreviations in the column and write full name and place
below the table.
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02.03 Experience in the field of Higher Education during 15 years in
teaching and research at the undergraduate and post-graduate
level:
Institution*
P os t
From
To
Total (in years
and months)
Total experience
* Name of the Institution: If space provided for entering the names of the
Institution is insufficient, use abbreviations in the column and write full
name and place below the table.
03.
Details of research publications in peer-reviewed/referred
international research journals after Ph. D and/or published quality
books in a recognised discipline, referred for study in higher
education at the National/International level.
03.01 Research publications in peer-reviewed/referred international
research journals after Ph. D: (Post Ph.D. Publications are to be
stated.)
S.N.
Title of the publication
Name of the
international journal
Month and year of
publication
1.
2.
3.
4.
5.
* Please attach additional sheets for details of research publications in
international journals after Ph D if space provided is not adequate
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03.02 Details of published quality books in a recognised discipline,
referred
for
study
in
higher
education
at
the
National/International level:
S.N.
Title of the book
Name of the publisher
Institutions where
referred for study
1.
2.
3.
4.
5.
04. Details of administrative experience in the field of Higher Education
not below the rank of Professor and Head of the Department in a
university/Principal (in Professor’s Grade) of a senior college/Head
of a national/international institution of Advanced Learning
04.01 Details of administrative experience in the field of Higher
Education as Head (in Professor’s Grade) of a Senior college:
S.N.
1.
Description
Details
Date of appointment as Professor
on regular basis
2.
Name of the University and
Department
3.
Total tenure as Head of the
Department as Professor(From
…….. to ………, in years and
months)
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04.02 Details of administrative experience in the field of Higher
Education as Principal (in Professor’s Grade) of a senior college:
S.N.
1.
Description
Details
Date of appointment to
Professor Grade on regular
basis
2.
Name of the College and
location
3.
Tenure
as Principal
(From …….. to …….., in years
and months)
04.03 Details of administrative experience in the field of Higher
Education as Head of a national/international institution of
Advanced Learning:
S.N.
Description
Details
1.
Date of appointment to Professor
Grade on regular basis
2.
Name of the College and
location
3.
Tenure
as
Principal
(From ………to ………, in years
and months)
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05. Details of execution of at least one major research project
S.N.
Title of the project
Project
expenditure
(Rs. In
lakh)
Granting
agency
Date of
start
Date of
completion
1.
2.
3.
4.
5.
Note: If space provided in the column is insufficient please use abbreviations
and expand suitable in the foot note. Please attach additional sheets and
furnish information in the same proforma for other major projects executed.
06. Details of experience of working with international bodies or
international exposure through participation in workshops,
seminars or conferences held outside the country.
06.01 Working with international bodies
Sl.
Name of the international body
1.
2.
3.
4.
5.
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Nature of experience
06.02 International exposure through participation in workshops,
seminars or conferences held outside the country:
S.N.
Title of
workshop/seminar/conference
Month & Year
Place
1.
2.
3.
4.
5.
Note: Please attach additional sheets containing information in similar
proforma for other international workshops. Seminars or conferences
held outside the country if more than five.
07. Experience of organising events such as workshops, seminars,
conference at an international level, within the country in the field
of higher education.
S.N.
Title of
workshop/seminar/
conference
Month &
Year
1.
2.
3.
4.
5.
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Place
Nature of experience
and details of capacity
with which organised
08. Demonstrated experience in leadership
S.N.
Brief description of nature of
leadership
activity and role played
Documented evidence of
achievements in leadership
1.
2.
Note: Please attach additional sheets containing information in similar
proforma for other relevant activities.
Part ‘B’
Desirable experience
09. Experience of working on the Statutory Authorities/forums of a
university such as Board of Studies, Academic Council,
Management Council or Executive Council of Board of
Management, Senate, etc.:
S.N.
Institution*
Statutory
forum/authority
and position
Page 10 of 14
From
To
Total (in
years
and
months)
10. Demonstrable experience of handling Quality issues, assessment
and accreditation procedures, etc.:
Area
S.N.
Institution
1.
Quality
issues
2.
Assessment
and
accreditation
procedures
3.
Any other
issue
(Please
specify)
Period
(From ... to
and total
period in
years and
months)
Achievements and
evidence therefor
Note: Please attach separate sheet if space provided is not adequate
11. Experience to guide Ph. D students:
S.N.
Student
Thesis title
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Period of
guideship
Ph D awarded
in
12. Experience at the State or national or international level in handling
youth development work such as organizing student-centric
activities for their all-round development and for providing them
rich campus life as envisaged in the Maharashtra Universities Act.
S.N.
Area
1.
Organizing
student-centric
activities for their
all-round
development and
for providing
them rich campus
life as envisaged
in the
Maharashtra
Universities Act.
3.
Any other similar
issue (Please
specify)
Institution
Period
(From ... to
and total
period in
years and
months)
Achievements and
evidence therefor
PART ‘C’
Expected Skills and Competencies
13. Please Indicated briefly the level of your proficiency against each
of the areas and items indicated below:
1. Technical Skills –
(a) Openness towards technology and a deep conviction
regarding its potential applications in a knowledge-based
settings;
(b) Level of comfort in the use of technology ;
2. Managerial Skills –
(a) Ability to anticipate issues and problems and prepare
advance strategic plans;
(b) Ability to generate resources and allocate the same appropriately ;
(c) Capacity to work effectively under pressure and manage work
and resources within tight deadlines;
(d) Understanding of financial management including
revenue generation, planning and fiscal control;
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3. Alignment with corporate objectives and State as well as
National level priorities
(a) Ability to identify the needs of the communities in key sectors;
(b) Understanding of the challenges before the National and how
Higher Education can respond to developmental needs ;
(c) Understanding f curriculum development issues, especially
those relating to widening participation and social inclusion ;
4. Leadership skills –
(a) Ability to motivate a diverse group of stakeholders ;
(b) Desire to further the mission and goals of the organization;
(c) Ability to think strategically and innovatively and maintain a
broad perspective;
(d) Ability to lead by personal example with openness to new ideas
and a consultative approach in implementation of the same
5. Interpersonal communication and collaborative skills(a) Details of experience in developing and executing National
and International collaborative arrangements;
(b) Ability to interact effectively and persuasively with a strong
knowledge-base at senior levels and in large forums as well as
on a one-to-one basis;
(c) Evidence of being an active member of professional bodies
and associations in pertinent fields.
Other Information
014. a) Any other specific information in support of outstanding
contribution if not covered earlier. (Do not attach
annexure or supporting documents)
b) Vision document for the development of University in
context of present application (Attach separate sheet –
maximum 2 pages)
c) Justification for your candidature (Not more than 2 Pages)
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015.Any other similar post(s) applied earlier, if any
S.N.
Name of the
Name of organization
post
Status as on
today
016. Name and Contact details of three distinguished individuals as
references
I hereby declare that the statements made in the application (Part-A, B,
& C) are true to my personal knowledge and belief.
Candidate’s Signature
Date:
Place:
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