KALINGA INSTITUTE OF SOCIAL

SCIENCES (KISS)
BHUBANESWAR
ODISHA - 24

APPLICATION FORMAT FOR TEACHING POSTS

Please Note:
1) For the post of Assistant Professor only part A and C need to be filled in.
2)For the posts of Associates Professor and Professor all the parts i.e “A”, “B” and “C” need
to be filled in.

PART-A : GENERAL INFORMATION

a. ADVERTISEMENT NO. & DATE : ……..………………..…………….

b. NAME OF THE POST APPLIED FOR :

…………………………………………………………….

c. SPECIALISATION/SUBJECT APPLIED FOR:

………………………………………….……………………….

d. DEPARTMENT/ CENTRE/ OFFICE APPLIED FOR :

……………………………………………

1. Name in full (in block capital letters) :

…………………………………………………………….

2. Father’s name :
……………………………………………………………………....………………

3. Permanent Address :
………………………………………………………………………………..
……………………………………………………………………………….
………………………………………………………………………………..
PIN : …………………… Contact phone no. ……………………………….

4. Address for communication : ……………………………….……………………………………..

……………………………………………………………………………….
………………………………………………………………………………..

PIN : …………………… Contact phone no. ……………………………….

Email id : ……………………………………………….…..……………….
5. Date of birth in Christian era :
……………………………………...………………………………

6. Age on the date of application ( that is : ………………..) : …………………………………...

7. Nationality :
………………………………………………………………………………………….
8. Religion :
…………………………………………..…………………………………………………
9. Sex : ………………………………………………………………………………………………….
10. Category (SC/ST/OBC/ PWD/EX-SER) (Pl. attach copy of certificate): ………..………
11. Details of Academic Qualifications (Please enclose attested photocopies) :

Exam. passed Year of Division/ Percentage Name of the Rank and

passing Class of marks Board/ Remark, if
University any

Matriculation/
HSLC

+2/ HSSLC

B.A/ B.Sc/
B.Com
& equivalent

M.A/ M.Sc/
M.Com
& equivalent

M.Phil

Ph.D
Others (Please
specify)

12. Particulars of NET/SLET/GATE etc (Pl. enclose photocopies) :

Name of the Name of the Month Roll No. Subject Score,
Test organization and Year where
applicable

13. Subject in Master’s degree :

………………………………………………………………………..
14. Field of specialization in Master’s degree :
……………..……..………………………………….
15. Title of the Ph. D thesis :
…………………………………………………………………………….
………………………………………………………………………………………………………….
………………………………………………………………………………………………………….
16. Any special achievement /work done in the emerging and innovative areas of knowledge
regarding Tribal and Indian Culture, Heritage, History and Improvement :
………………………………………………………………………………………………………...
…………………………………………………………………………………………………………
…………………………………………………………………………………………………………
17. Length of teaching experiences at UG level : ……………….. years …………….. months

18. Length of teaching experiences at PG level : ……………….. years …………….. months

19. Length of administrative services : …………………. years ……………….. months

20. Length of research experiences : ……………….. years …………….. months

21. Length of research guidance at doctoral level experiences : ………….. years …….. months

22. No. of Ph.D students presently guiding : ………………………………………………………..

23. No. of Ph.D students finally registered for Ph. D degree : ……………………………………..

24. No. of students awarded Ph.D degree:……………………………………………………………

25. Total nos. of Seminar/Conferences attended: International …………………….

National ……………… Regional/Local /Others ………………….…(Please enclose supporting
documents)

26. No. of research papers presented in Seminar/Conferences (please enclose list giving title of
the paper, authors, whether oral or poster, names of the seminar/ conference, dates, venue and
country) : International …………… National …………… Regional/Local/Others ……………

27. Details of past services in Teaching and Administrative posts in Colleges and Universities/
Institutions/National Laboratories/CSIR/ICAR/UGC/ etc (Pl. enclose supporting documents):

Name of Name of the Length of Scale of pay Temporary/ Nature of Remark, if

the Institution services : /Pay band/ Permanent/ duties any
post held band pay/ Ad-hoc etc
AGP/ GP as
applicable

28. Names of Seminar/ Summer Institute/Refresher’s Courses/ Symposia attended (Pl. attach
additional sheet, if required) :
Srl. Name of the Seminar Date Venue Paper presented Sponsored by
no etc (yes/No) or not
29. List of Publications(Books,Research Papers etc) (Pl. attach additional sheet, if required) :
Srl. Title of the Research Year of Name of the National /
No Paper/Books publication Journal / International
published Publisher

30. Present position held with date : ………………..………………………………………..………

31. Present Pay: ……………………………….……………………………………………………….

32. Name of the employer, with address : ………………………………………………………..….

………………………………………………………………………………………………………….
PIN : ……………………… Contact phone no. …………..…. Email id : ………………..............…

33. Names of two referees:

a) ……………………………………………………………………………………
………………………………………………………………………………………..
………………………………………………………………………………………….
PIN : ……………………… Contact phone no. …………..…. Email id : ………………...…
b) ……………………………………………………………………………………
………………………………………………………………………………………..
…………………………………………………………………………………………
PIN : ……………………… Contact phone no. …………..…. Email id : ………………...…

34. Any Additional information, the candidate wishes to provide, if any (Pl. attach additional
sheet, if required) :

35. Declaration :
I hereby declare that I have carefully read and understood the instructions and regulations referred
here in and that all the statements made in this application are true and complete to the best of my
knowledge and belief. I understand that the competent authority can take appropriate action against
me in case any of the information is found to be incorrect at any stage.
Signature of the applicant : …………………………….
Date : ……………………….. Name in full : ………………………………………….
Place : ………………………. Designation / Department: ……………………………
Address : …………………………………………………

PART-B
API Proforma for Professor and Associate Professor

ACADEMIC PEFORMANCE INDICATORS BASED ON PERFORMANCE BASED

APPRAISAL SYSTEM TO BE SUBMITTED BY EACH APPLICANT FOR APPOINTMENT
OF TEACHERS AND OTHER ACADEMIC STAFF
AS PER UGC REGULATIONS, 2010

Advertisement No.
Name of the Applicant
Date of Birth
Post applied for and Subject
Name of the Department

SCORES FOR ACADEMIC PERFORMANCE INDICATORS (APIs) IN RECRUITMENTS AND CAREER

ADVANCEMENT SCHEME (CAS) PROMOTIONS OF UNIVERSITY / COLLEGE TEACHERS
CATEGORY I: TEACHING, LEARNING AND EVALUATION RELATED ACTIVITIES
Brief Explanation: Based on the teacher’s self-assessment, API scores are proposed for (a) teaching
related activities; (b) domain knowledge; (c) participation in examination and evaluation; (d) contribution
to innovative teaching, new courses etc. The minimum API score required by teachers from this category
is 75. The self assessment score should be based on objectively verifiable criteria wherever possible and will
be finalized by the screening/selection committee.

S. Nature of Activity Maximum Self Assessment Verified API Score

No. Score Score (for official use)
(to be filled by
applicant)

1 Lectures, seminars, tutorials, practicals, 50

contact hours undertaken taken as
percentage of lectures allocated
 2 Lectures or other teaching duties in 10
excess
of the UGC norms

3 Preparation and Imparting of knowledge / 20

instruction as per curriculum; syllabus
enrichment by providing additional
resources
to students

4 Use of participatory and innovative 20

teachinglearning
methodologies; updating of subject
content, course improvement etc

5 Examination duties (Invigilation; question 25

paper setting, evaluation/assessment of
answer scripts) as per allotment.
Total Score 125
Minimum API Score Required 75

# Supporting documents, wherever required be attached.

(Signature of Applicant)

CATEGORY II: CO-CURRICULAR, EXTENSION AND PROFESSIONAL DEVELOPMENT RELATED

ACTIVITIES.
Brief Explanation: Based on the teacher’s self-assessment, category II API scores are proposed for co-
curricular
and extension activities; and Professional development related contributions. The minimum API
required by teachers for eligibility for promotion is 15. A list of items and proposed scores is given below.
It will be noticed that all teachers can earn scores from a number of items, whereas some activities will be
carried out only by one or a few teachers. The list of activities is broad enough for the minimum API score
required (15) in this category to accrue to all teachers. As before, the self-assessment score should be
based on objectively verifiable criteria and will be finalized by the screening/selection committee.

S. Nature of Activity Maximum Self Assessment Verified API Score

No. Score Score (for official use)
(to be filled by
applicant)

1 Student related co-curricular, extension and 20

field based activities (such as extension work
through NSS/NCC and other channels,
cultural activities, subject related events,
advisement and counseling)

2 Contribution to Corporate life and 15

management of the department and
institution through participation in academic
and administrative committees and
responsibilities.
3 Professional Development activities (such as 15
participation in seminars, conferences, short
term, training courses, talks, lectures,
membership of associations, dissemination
and general articles, not covered in Category
III below)

Minimum API Score Required 15

# Supporting documents, wherever required be attached.

(Signature of Applicant)

CATEGORY-III: RESEARCH AND ACADEMIC CONTRIBUTIONS

Brief Explanation: Based on the teacher’s self-assessment, API scores are proposed for research and academic
contributions. The minimum API score required by teachers from this category is different for different levels of
promotion and between university and colleges. The self-assessment score will be based on verifiable criteria and will
be finalized by the screening/selection committee.

S No. APIs Engineering/Agricultur Faculties of Languages Max. points Self Verified

e/Veterinary Arts/Humanities/Social for Assessment API Score
Science/Sciences/Medi Sciences/Library/ University Score (for
cal Sciences Physical and college (to be official
education/Management teacher filled by use)
position applicant)
III A Research Refereed Journals * Refereed Journals* 15 /
Papers publication
published in:
Non-refereed but Non-refereed but 10 /
recognized and recognized and reputable Publication
reputable journals and journals and periodicals,
periodicals, having having ISBN/ISSN
ISBN/ISSN numbers. numbers.
Conference proceedings Conference proceedings 10/
as full papers, etc. as full papers, etc. publication
(Abstracts not to be (Abstracts not to be
included) included)
III (B) Research Text or Reference Text or Reference Books 50 /sole
Publications(bo Books Published by Published by author;
oks, chapters in International Publishers International 10 /chapter
books, other with an established peer Publishers with an in
than refereed review system established peer review an edited
journal articles) system book
Subjects Books by Subject Books by / 25 /sole
National level national author,
publishers/State and level publishers/State and 5/
Central Govt. and chapter
Publications with Central Govt. in
 ISBN/ISSN numbers. Publications edited books
with ISBN/ISSN
numbers.
Subject Books by Other Subject Books by Other 15 / sole
local publishers with local publishers with author, and 3
ISBN/ISSN numbers. ISBN/ISSN numbers. /
chapter in
edited books
Chapters contributed to Chapters contributed to 10 /Chapter
edited knowledge based edited knowledge based
volumes published by volumes published by
International Publishers International Publishers
Chapters in knowledge Chapters in knowledge 5 / Chapter
based volumes by based volumes in
Indian/National level Indian/National level
publishers with publishers with
ISBN/ISSN numbers ISBN/ISSN
and with numbers of numbers and with
national and numbers
international directories of national and
international directories

III (C) RESEARCH

PROJECTS

III (C) Sponsored (a) Major Projects Major Projects amount 20 /each
(i) Projects carried amount mobilized with mobilized with grants Project
out/ ongoing grants above 30.0 lakhs above 5.0 lakhs

b) Major Projects Major Projects Amount 15 /each

amount mobilized with mobilized with minimum Project
grants above 5.0 lakhs of
up to 30.00 lakhs Rs. 3.00 lakhs up to Rs.
5.00 lakhs

c) Minor Projects Minor Projects (Amount 10/each

(Amount mobilized with mobilized with grants Project
grants above Rs. 50,000 above Rs. 25,000 up to
up to Rs. 5 lakh) Rs.
3 lakh)

III (C) Consultancy Amount mobilized with Amount mobilized with 10 per every
(ii) Projects carried minimum of Rs.10.00 minimum of Rs. 2.0 lakhs Rs.2.0 lakhs,
out / ongoing lakh Rs.10.0 lakhs and respectively

III (C) Completed Completed project Completed project report 20 /each

(iii) projects : Report(Acceptance from (Accepted by funding major
Quality funding agency) agency) project and
Evaluation 10 /
each minor
project

III (C) Projects Patent/Technology Major Policy document of 30 / each

(iv) Outcome / transfer/ Govt. Bodies at Central national
Outputs Product/Process and State level level output or
patent /50
/each
for International
level,

III (D) RESEARCH

GUIDANCE
III (D) M.Phil. Degree awarded only Degree awarded only 3 /each
(i) candidate
III (D) Ph.D Degree awarded Degree awarded 10 /each
(ii) candidate

Thesis submitted Thesis submitted 7 /each

candidate

III(E) TRAINING
COURSES AND
CONFERENCE
/SEMINAR/WORK
SHOP PAPERS

III(E) Refresher (a) Not less than two (a) Not less than two 20/each
(i) courses, weeks duration weeks duration
Methodology
workshops,
Training,
Teaching-
Learning-
Evaluation
Technology
Programmes,
Soft Skills
development
Programmes,
Faculty
Development
Programmes
(Max: 30 points)

(b) One week duration (b) One week duration 10/each

III(E) Papers in Participation and Participation and

(ii) Conferences/ Presentation of research Presentation of research
Seminars/ papers (oral/poster) in papers(oral/poster) in
workshops
etc.**

a) International a) International 10 each

conference conference
b) National b) National 7.5 / each

c) Regional/State level c) Regional/State level 5 /each

d) Local – d) Local – 3 / each

University/College University/College

III(E) Invited lectures (a) International (a) International 10 /each

(iv) or presentations
for conferences/
symposia
 (b) National level (b) National level 5

*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.

** If a paper presented in Conference/Seminar is published in the form of Proceedings, the points would accrue for
the publication (III (a)) and not under presentation (III (e)(ii)).

Note: 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.

# Supporting documents, wherever required be attached.

(Signature of Applicant)

PART-C : OTHER RELEVANT INFORMATION

Please give details of any other credential, significant contributions, awards received etc. not mentioned
earlier.

S.No Details (Mentioned Year ,value etc, where relevant)

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

1 6

2 7
 3 8

4 9

5 10

I certify that the information provided is correct as per records available with the University and/or documents
enclosed along with the duly filled PBAS Proforma.

(Signature of Applicant)

INSTRUCTIONS FOR FILLING UP PART -B OF THE PBAS PROFORMA

Part B of the Proforma is based on Appendix III, Table 1 of the UGC Regulations 2010. It is to be filled
out for the recently completed academic year.

The proforma is to be filled as per these tables and self-assessment scores given. For each category,
maximum
scores that can be given or carried forward is indicated in the Table.

The self-assessment scores are further to be based on the indicators/activities given below. Universities
may modify the detailed indicators and related scores based on their experience and requirement without
changing the score requirements assigned to categories and sub-categories in Appendix-III, Table-1.

N.B. : The self-assessment scores and subject to verification by the University/College,

and by the Screening Cum Verification Committee or Selection Committee as the case may be.

I. Teaching and Evaluation Related Performance

(i)a.
Lecturer/Practicals/Tutorials/Contact classes taken Max Score : 50
should be based on verifiable records.
No. score should be assigned if a teacher has taken
less than (say) 80% assigned classes. Universities
may give allowance for periods of leave where
alternative teaching arrangements would ordinarily
be made.
Maximum score if there is 100% achievement.

b.
If teacher has taken classes exceeding UGC norm, Max Score : 10
then two point to be
assigned for each extra hour of classes

(ii)
Imparting of knowledge/instruction vis a vis with Max Score : 20
the prescribed material(Text book/Manual etc.) and
methodology of the curriculum
(100%compliance=20 points)

(iii) Use of Participatory and Innovative Teaching-Learning Methodologies, Updating of subject Content,
Course Improvement etc.

Indicators/Activities Maximum Score

Updating of courses, design of curriculum (5-single course) 10
Preparation of resource material, fresh reading materials, 10
Laboratory manuals
etc.
Use of Innovative teaching-learning methodologies; us of ICT; 10
Updated
subject content and course improvement
a. ICT Based Teaching material : 10 points/each
b. Interactive Course : 5 points/each
c. Participatory Learning modules : 5 points/each
Developing and imparting Remedial/Bridge Courses and 10
Counseling modules
(Each activity : 5 points)
Developing and imparting soft skills/communication 10
skills/personality
development course/modules (Each activity : 5 points)
Developing and imparting specialized teaching-learning 10
programmes in
physical education, library, innovative compositions and creations
in music,
performing and visual arts and other traditional areas (Each
activity : 5 points)
Organizing and conduction of popularization 10
programmes/training courses in
computer assisted teaching/web-based learning and e-library
skills to students
(a) Workshop/Training Course : 10 points each.
(b) Popularization program : 5 points each
Maximum Aggregate Limit 20

(iv) Examinations Related work

Indicators Maximum Score

College/University end semester/Annual Examination work as per 20
duties
allotted.
(Invigilation-10 points; Evaluation of answer scrips-5 points; Question
paper
setting-5 points).
(100% compliance=20 points)
College/University examination/Evaluation responsibilities for 10
internal/continuous assessment work as allotted (100% compliance=10
points)
Examination work such as coordination, or flying squad duties etc. 10
(maximum
of 5 or 10 depending upon intensity of duty) (100% compliance=10
points)
Maximum Aggregate Limit B (iv) 25

II : Co-curricular, Extension and Profession Related Activities and Participation in the Corporate Life of
the
Institution.

(i) Extension and Co-curricular Related Activities:

Institutional Co-curricular activities for students 10

such as field
studies/educational tours, industry-implant training
and placement activity (5
point each).
Positions held/Leadership role played in 10
organization linked with Extension
Work and National service Scheme (NSS), or any
other similar activity (each
activity 10 points)
Students and Staff Related Socio Cultural and 10
Sports Programmes, Campus
publications (departmental level 2 points,
institutional level 5 points)
Community work such as values of National 10
Integration, secularism,
democracy, socialism, humanism, peace, scientific
temper; flood or, drought
relief, small family norms etc. (5 points each)x
Maximum Aggregate Limit 20

(ii) Contribution to Corporate Life and Management of the Institution :

Contribution to Corporate life in 10
Universities/Colleges through meetings,
popular lectures, subject related events, articles in
college magazine and
University volumes(2 points each)
Institutional Governance responsibilities like, Vice 10
Principal, Dean, Director,
Warden, Bursar, School Chairperson IQAC
coordinator (10 points each)
Participation in committees concerned with any 10
aspect of departmental or
institutional management such as admission
committee, campus development,
library committee (5 point each).
Responsibility for, or participation in committees 10
for Students Welfare,
Counseling and Discipline (5 each)
Organization of Conference/Training :
International (10 points)
National/Regional (5 points)
Maximum Aggregate Limit 15

(iii) Professional Development Related Activities :

Indicator/Activities Maximum Score

Membership in profession related committees at 10
state and national level
a. At national level : 3 points each
b. At site level : 2 points each
Participation in subject associations, conferences, 10
seminars without paper
presentation
(Each activity : 2 point)
Participation in short term training course less than 10
one week duration in
education technology, curriculum development,
professional development,
Examination reforms, Institutional governance
(each activity : 5 points)
Membership/participation in Bodies/Committees 10
on Education and National
Development( 5 each).
Publication of Articles in newspapers, magazines 10
or other publications (not
covered in category 3); radio talk etc. (1 point
each).
Maximum Aggregate Limit 15

CATEGORY : III Research and Publications and Academic Contributions

This is to be filled as per Appendix III Table-1, Category III of the UGC Regulations 2010. Wherever the
research contribution is jointly made, the API Scores should be shared between the contributors as per the
formula in the Table-1
III Summary of API Scores

The summary must take into account the maximum score limits for each set of indicators as given in
Appendix III, Table-1

IV. Similar PBAS proforma could be developed by the Universities for the Cadres of Librarian/Deputy
Librarian/Assistant Librarian and Director of Physical Education & Sports/Deputy Director of Physics
Education & Sports/Assistant Director of Physical Education & Sports based on the API Scoring pattern
outlined in Appendix III: Tables-IV to IX of the UGC Regulations, 2010.

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