SANT GADGE BABA AMRAVATI UNIVERSITY - Jobs … Gadge Baba Amravati University, who have passed the prescribed Computer Skill Test of the respective level, conducted by the University.

SANT GADGE BABA AMRAVATI UNIVERSITY

EMPLOYMENT NOTICE

No.SGBAU/1/102/B-57(A-1)/1-757/2014 Date : 26th June, 2014 Applications are invited in the prescribed form for the following posts ;

1) (Advt. No. 1/2014) Finance & Accounts Officer in the pay band of Rs.37400-67000/-+ Grade Pay Rs. 8900/- or Rs.10,000/- (whichever is admissible) plus other allowances as admissible under the University/ State Govt. rules.

2) (Advt. No. 2/2014) Executive Engineer in the pay band of Rs. 15600-39100/-+ Grade Pay Rs. 7600/- plus other allowances as admissible under the University/ State Govt. rules.

Details of qualifications, experience etc. are available on university website www.sgbau.ac.in.

The last date of issue as well as submission of the application form duly filled in along with necessary enclosures to the undersigned is on or before 31st July. 2014, Postal delay shall not be entertained.

Sd/- ( Dineshkumar Joshi ) Registrar

SANT GADGE BABA AMRAVATI UNIVERSITY Particulars of qualifications, experience, scale of pay etc. with regard to the post of Finance & Accounts Officer advertised vide Employment Notice No. SGBAU/1/102/B-57(A-1)/ 1-757/2014, dated 26/ 6/2014

1) FINANCE & ACCOUNTS OFFICER : (ADVT. NO. 1/2014) QUALIFICATIONS :

i) A Master’s Degree with at least 55% of the marks or its equivalent grade of B in the UGC 7 point scale. The condition of 55% of marks at Master’s level is relaxable in case of applicants who are already in the

University system. A relaxation of 5% from 55% to 50% of the marks at the Master’s level is permissible for SC/ST candidates. A relaxation of 5% from 55% to 50% of the marks is permissible to the Ph.D. Degree holders who have passed

their Master’s Degree prior to 19th September 1991. ii) At least 15 years of experience as Lecturer (Senior Scale) / Lecturer with 8 years experience in Reader’s Grade

along with experience in educational administration. OR

Comparable experience in research establishment and/ or other Institutions of Higher Education. OR

15 years of administrative experience of which 8 years as Deputy Registrar or an equivalent post. iii) (a) In addition to the above qualification, the candidate shall possess the following qualification in Computer Operation within two years from the date of appointment, if does not posses. “A Certificate in Computer operation prescribed by the Director of Information Technology, Govt. of Maharashtra. OR Certificate of D.O.E.A.C.Societies “C.C.C.” or “O” level or “A” level or “B” level or “C” level or MS-CIT or GECT Certificate of Maharashtra State, Higher & Technical Education Board”. However, the qualification at (iii)(a) shall be exempted to the departmental candidates of Sant Gadge Baba Amravati University, who have passed the prescribed Computer Skill Test of the respective level, conducted by the University.

(b) Those who have passed the following examinations shall be treated as having passed the above prescribed computer qualification:

i) Degree and diploma in Computer Technology / Computer Engineering / Information Technology

and; P.G. / Advance Diploma in Computer Application, ADCSSAA awarded by the Board of Technical Education, Maharashtra State. ii) Degree / Diploma awarded by all the Govt. recognized universities in Computer Technology/ Computer Engineering / Information Technology and P.G./Advanced Diploma in Computer Application, Computer Application System and Analysis. (c) The candidates from the University or from the service of Govt. of Maharashtra, who have crossed the age of 50 years, shall be exempted from submitting the certificate of computer qualification.

iv) Proficiency in Marathi language. v) Preference will be given to the Deputy Registrars or its equivalent administrative officers of the University

fulfilling the qualifications and experience mentioned under i) to iv) above. AGE : Age shall not be less than 45 years. Provided, however, that in respect of employee in service of any University,

College or Recognized Institutions, the minimum age limit may be relaxed.

PAY BAND : Rs.37400-67000/- + Grade Pay Rs. 8900/- or Rs.10,000/- (whichever is admissible) plus admissible allowances.

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2) EXECUTIVE ENGINEER: (ADVT. NO. 2/2014) Qualifications :

i) Degree in Civil Engineering in the faculty of Engineering of a statutory University or its equivalent.

ii) At least 5 years’ administrative experience of similar post. iii) (a) In addition to the above qualification, the candidate shall possess the following qualification

in Computer Operation within two years from the date of appointment, if does not posses. “A Certificate in Computer operation prescribed by the Director of Information Technology, Govt. of Maharashtra. OR Certificate of D.O.E.A.C.Societies “C.C.C.” or “O” level or “A” level or “B” level or “C” level or MS-CIT or GECT Certificate of Maharashtra State, Higher & Technical Education Board”. However, the qualification at (iii)(a) shall be exempted to the departmental candidates of Sant Gadge Baba Amravati University, who have passed the prescribed Computer Skill Test of the respective level, conducted by the University.

(b) Those who have passed the following examinations shall be treated as having passed the above prescribed computer qualification:

ii) Degree and diploma in Computer Technology / Computer Engineering / Information Technology

and; P.G. / Advance Diploma in Computer Application, ADCSSAA awarded by the Board of Technical Education, Maharashtra State. ii) Degree / Diploma awarded by all the Govt. recognized universities in Computer Technology/ Computer Engineering / Information Technology and P.G./Advanced Diploma in Computer Application, Computer Application System and Analysis. (c) The candidates from the University or from the service of Govt. of Maharashtra, who have crossed the age of 50 years, shall be exempted from submitting the certificate of computer qualification. (iv) Proficiency in Marathi language.

AGE : Age shall not be less than 30 years. Upper age limit shall be 40 years of age. However, upper age limit shall not

be applicable to the persons who are already in the service of the Universities or affiliated Colleges.

PAY BAND : Pay Band of Rs. 15600-39100/-+ Grade Pay Rs. 7600/- plus other allowances as admissible under the University/ State Govt. rules

Notes : (1) Prescribed application form for the post of Finance & Accounts Officer and Executive Engineer can be had on

payment of Rs.400/- (Rs.200/- in case of B.C.candidates) and Rs. 200/- (Rs. 100/- in case of B.C.candidates)respectively (Non refundable) by cash/ Demand Draft in favour of President, Sant Gadge Baba Amravati University Employees' Credit Co-op. Society Ltd., Amravati from the Counter of the Society, Near Main Administrative Building at the University Campus, Amravati during office hours.

Downloaded application form may be submitted along with necessary enclosures to the undersigned with Demand Draft of Rs.400/- (Rs.200/- in case of B.C.candidates) or Rs. 200/- (Rs. 100/- in case of B.C. candidates) as the case may be (Non refundable) in favour of Registrar, Sant Gadge Baba Amravati University, Amravati within due date.

The last date of issue as well as submission of the application form duly filled in along with necessary enclosures to the undersigned is on or before 31st July, 2014. Postal delay shall not be entertained. Qualifications and age shall be considered as on closing date.

(2) The appointment to the post of Finance & Accounts officer shall be for a term of five years and shall be eligible for re-appointment for only one more term of five years.

(3) B in the 7 point scale with letter grades O,A,B,C,D,E & F shall be regarded as equivalent of 55% wherever

the grading system is followed as prescribed by U.G.C. Seven Point Scale

GRADE GRADE POINT PERCENTAGE EQUIVALENT 'O' = Outstanding 5.50-6.00 75-100 'A' = Very Good 4.50-5.49 65-74 'B' = Good 3.50-4.49 55-64 'C' = Average 2.50-3.49 45-54 'D' = Below Average 1.50-2.49 35-44 'E' = Poor 0.50-1.49 25-34 'F' = Fail 0.0-0.49 0-24

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(4) Incumbents shall be entitled to pensionary benefits as per rules prescribed by the Govt.of Maharashtra from time to time.

(5) Posts carry usual allowances and benefits as admissible under University rules in force from time to time. (6) Those who are in service should apply through proper channel. (7) Prescribed .application form along with true copies of testimonials, certificates, degrees, diplomas and complete

list of published research papers to his/her credit if any as the case may be, in eight sets (in respect of the post of Finance & Accounts Officer) should reach the University Office within due date. Original documents will have to be produced at the time of interview.

(8) The candidate shall have to submit along with the application form, a declaration in FORM 'A' as per the rules prescribed by the Govt. of Maharashtra in respect of small family vide Notification No.SRV.2000/CR (17/2000) XII, dt.28.3.2005.

(9) Attested copies of papers and documents or reprints submitted with application will not be returned. (10) All copies of application form should be filled in by the candidate in his/ her own handwriting. Xerox copies of

the application shall not be entertained. (11) All belated, incomplete and the applications which are not in the prescribed form will be rejected and no

intimation in this regard will be sent to the candidates. (12) No correspondence will be entertained in respect of advertisement, interview, selection & appointment etc. (13) No TA/DA will be paid either for attending the interview or for joining the post. (14) A candidate furnishing incorrect or false information shall stand disqualified. (15) The right is reserved with the University either to fill or not to fill the post or to modify/alter/cancel the

advertisement. (16) Canvassing in any form will be a disqualification. (17) Postal delay shall not be entertained. Sd/- ( Dineshkumar Joshi) Registrar, Sant Gadge Baba Amravati University.

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2

$ Details of havinL assed NET/SET/GATE (Information required for the post of Assistant Professor onI )

NET / SET/GATE Subject Score, if any Year of Passing

Test conducting Agency

9) Particulars of Teaching Experience in University/College, and/or experience in research at the University/National level institutions/Accredited Research Institution/industry, if any, the period of time taken by candidates to acquire M.Phil. and /or Ph.D. Degree shall not be considered as teaching/experience: (Attach true copies of Certificates of the employer clearly mentioning dates (from — to) Name of the Post

held nature of a ointment pay scale/band)

Name of the Institution

Post-held with pay scale /

pay band

Teaching/Research/Industrial Experience

Under Graduate Post Graduate

From To From To

i) Under-Graduate

Years ii) Post Graduate

Years

Consolidated Experience (taken together) Years

10) Particulars of experience on Clock Hour,• Contributory, Part-time, without Pay, Visiting, on stipend, in charge, etc.

Name of the Institution Nature of Appointment

Teaching/Research/Industrial Experience

Under Graduate Post Graduate

From To From To

I I) Particulars of Contribution to educational inr ovation, design of new curricula and courses, and technology —mediated teaching learning process:

12) Administrative Experience, if any, in chronological order.

Post Held & Name of Department /

Institution

Pay Scale / Pay Band

From To Total Period Reasons For

leaving

13) Period required for joining, if appointed

14) A) Minimum pay, if the initial pay is not acceptable.

B) Whether demand of enhanced pay is a request or condition?

3

DECLARATION

hereby declare. that all the information

given above is true to the best of my knowledge and belief. I am not aware of any circumstances, which may

impair my fitness for employment in Sant Gadge Baba Amravati University. I have never been disqualified /

debarred from appearing in any University Examination / University Work. I have never been dismissed from

University / College / Government Service.

Place:

Date:

Signature of Applicant

(To be furnished by the candidate who is already in service)

NO OBJECTION CERTIFICATE ,

Certified that Dr./Shri./Smt./Ku. is working as

in the subject in the Deptt. of

w.e.f. in the pay scale / pay band of Rs. with

Academic Grade Pay of Rs. drawing the basic pay of Rs. (Pay in

Pay Band + A.G.P.) This Office has no objection if he/she is selected for the post of

in the Sant Cadge Baba Amravati University and will be relieved within the stipulated period.

Place: Date:

Signature of employer/Competent Authority with designation & Seal

DECLARATION

FORM — A

(See Rule 4 of the Maharashtra Civil Services (Declaration of Small Family) Rules, 2005)

Shri / Smt. / Kum.

son / daughter /wife of Shri , aged years

resident of •• do hereby declare as follows :-

I. That I have filled my application for the post of

2. I have (Number) living children as on today. Out of which No. of

children born after Dt.28.3.2005 is (mention dates of birth, if any).

3. I am aware that, if any total number of living children is more than two due to the children born after

dt.28.3.2005, I am liable to be disqualified for the same post.

Signature of Applicant

4

IMPORTANT INSTRUCTIONS FOR FILLING UP OF AN APPLICATION. FORM FOR THE TEACHING / OTHER POSTS OF THE UNIVERSITY.

This form is to be submitted in 11 similar copies. (One in original &10 photocopies (Good

Quality) will be, considered). All the papers, enclosures and Form of Application in uniform

size, either Legal or A4 would be preferred.

2. The Departmental Candidates (this University teachers & employees) need not attach copies of

Certificates/Mark sheets, Degrees, Experience Certificates, Certificates of Refresher /

Orientation courses, etc. which are already incorporated in their service book). However, they

should attach copies of Academic Distinctions, if any, awarded & not mentioned in their

Service Book.

3. The attested True copies of Mark sheets, Experience Certificates, Caste Certificate, No

Objection Certificate & other testimonials shall be attached to ONLY MAIN APPLICATION

FORM. (First Copy) However, basic eligibility showing certificates such as P.G. Mark list.

NET/SET/GATE certificates, Cast Certificate. NET/SET Exemption Certificate, Ph.D. Degree

Certificate shall be attached to all the copies of application form.

4. Candidates applying through proper channel should obtain No Objection Certificate from the

present employer on only Main Copy of this application form.

5. These forms should be punched by punching machine and tied using a Tag or Lace only; spiral

binding, stapling, binding in a Book Form should be avoided so as to make them convenient for

filing in the office files.

6. Passport size Photograph is to be pasted on Main Application Form only. Do not staple.

7. Person sending Advance Copy of the Application Form should send only one copy, complete in

all respect. Eleven Copies are not expected, in such cases.

8. Candidates applying for the same post in two different categories, i.e. OPEN & B.C. should

submit their applications separately. Common Application Form for two categories or two posts

will not be considered.

9. Fresh Candidates (who are not working as teachers) applying for the post of Asstt.Professor.

Asstt.Librarian, Asstt.Director of Physical Education need not to submit PBAS Proforma.

Others should submit copy of PBAS Proforma alongwith all enclosures, in sequence.

10. Candidates applying for the post of Professor, Director and Associate Professor & equivalent

should separately submit 5 sets of their Bio-data and Five/Three major research publications, as

per Important Notes given in the Advertisement in addition to PBAS proforma. Please prepare

& attach Index of publications in the following Format.

Sr.No. Title of the publication Date/Month of publication/acceptance

II. LIST OF ENCLOSURES: Please list and attach copies of certificates, Caste Validity, Experience

Certificates, etc. related to the information given in the Application Form serially as per sequential

column Nos.

SANT GADGE BABA AMRAVATI UNIVERSITY

Self-Assessment Proforma for the Performance Based Appraisal System (PEAS) for Direct Recruitment to the post of Professor, Associate Professor; Director (A.S.C.); Librarian; Deputy

Librarian; Director of Physical Education, Dv. Director of Physical Education, etc.

RESEARCH, PUBLICATIONS AND ACADEMIC CONTRIBUTIONS (Cat.IH) (Note: - Attach separate sheets in the same format, if more space required.)

A) Published Panels in Journals Sr. No.

Author's names(year), Title of Article, page

Nos.

Journal with

Volume & Page

No.

ISSN/ISBN No of the Journal

Whether peer

reviewed. Impact

Factor, if any

No. of co- authors

Whether you are the

main author?

API Score

2

3

4

5

6

7

8

9

10

B (i) Articles /Chapters published in Books: Sr. No.

Author's names(year), Title

of Article, page Nos.

Book title, editors & publisher

1SSN/ISBN No of the Journal

Whether peer

reviewed.

No. of co-

authors

Whether you are the

main author?

API Score

2

iil Full Pacers in Conference Proceedings: Sr.No. Author's

names(year), Title of Article, page Nos.

Details of Conference publication

ISSN/ISBN No of the Journal

No. of co- authors

Whether you are the main author?

API Score

(iii) Books Published as single author or as an editor / co-editor: Sr. No.

Editor's/Author's names(year), Title of Article, page Nos.

Type of Book & Authorship / Editorship

Publisher & ISSN /ISBN No

Whether peer reviewed?

No. of co- authors

Whether you are the main author?

API Score

C) Ongoing and Completed Research Projects and Consultancies.

(c) (i & i') Ongoing Projects /Consul ancies.

S.No. Title of the Project Funding

Agency Period

(From-to) Grant / Amount

Mobilized (Rs. lass)

API Score

(c)(iii & iv) Completed Pro ects /Consultancies: P Sr.No. Title of the

Project Funding Agency

Period (From-to)

Grant / Amount Mobilized (Rs. lacs)

Whether policy document/patent

as outcome

API Score

3

(D) Research. Guidance;

Sr. No. Total Number of

students Thesis Submitted Degree awarded API Score

M. Phil or Equivalent*

Ph. D. or equivalent

(* Declared equivalent by any Statutory University/Body)

(E) (i) Training Courses, Teaching-Learning-Evaluation Technology Programmes,

Faculty Development Programme (not less than one week duration

Sr. No. Programme Duration Organized by API Score

(E) (ii) Papers presented in Conferences, Seminars, Workshops, Symposia Sr.

No.

Title of the Paper

presented Title of

Conference /

Seminar

Organized by Whether

international /

national / state / regional / college

or university

level

API

Score

(E) (iii) Invited Lectures and Chairmanships at national or international Conferences /Seminars, etc.

Sr. No.

Title of lecture /

Academic Session Title of

Conference / Seminar etc.

Organised by Whether international/

national

API

Score

4

IV. SUMMARY OF API SCORES:

Category Criteria Assessment period

(From - To)

Total - API Score for entire

Assessment Period

III Research and Academic

Contribution

(Attach supporting documents/proofs to verify the API scores claimed, in chronological order)

OTHER RELEVANT INFORMATION

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

Sr.No. Details (Mention Year, value etc. whatever relevant)

(Please attach copies of certificate, sanctioned orders, papers etc., wherever necessary)

DECLARATION

declare that all the information given above is

correct as per documents enclosed alongwith this proforma and to the best of my knowledge and belief.

Place:

Date: Signature of Applicant

ENCLOSURES: (Please attach, copies of certificates/letters/publications related to the information given above

serially as per sequential column Nos.)

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TITaitzlFr qn (Attestation Form)

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1) Warning : The furnishing of false information or suppression of any factual information in the attestation form

would be disqualification and is likely to tender the candidate unfit for employment under the Government.

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2) If detained, convicted, debarred etc. subsequent to the completion and submission of this form the details should be communicated, immediately, to the authority to whom the attestation form has been sent earlier, as

the case may be failure to do so will be deemed to be suppression of factual information.

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3) If the fact that false information has been furnished or that there has been suppression of any factual information in the attestation form, comes to notice at any time, during the service of a person his service would be liable to be terminated.

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(iAuictrigt .U1 glt Trait 114 ef Rstrr awzmardta

co wit& cm Tram areFTR:r 1'q1 NM IR WA.

areKrRT fMtz mirk)

4) Name in full (in block capitals) with aliases, if any Surname Name (Please indicate if you have added or dropped at any stage any part of your name or surname)

is) ,itzrrffr R4trf gill (rgut Trk MO fir %cif ER

smic), &air sre)

5) Present address in full (i.e. Village, Thana and District or House Number, Lane/Street/Road and Town)

F,) (ar) ERT Tkof tr-dr am). f4grr Ery

omico, Tr- t/trirf/trol 3Trfar sTR)

6) (a) Home address in full (i.e. Village, Thana and District or House Number, Lane/Street/Road and Town)

(4) 4ifarecii-iN egart affrerm Far tar-di7

trffr ardor ITT-d-zr titNivelid tstmr R9f-ef

(b) if originally a resident of Pakistan, the address in that country and the date of migration to the Indian Union.

-

-c-

8) rip flc 4 44fcr ti,or tact 9 glififf 31*-0 cmcoly aff c eRTitaT 3RTIF ctll coluircil 3tierF (Pcimitif

dpicili .66), tRtZrfff (411 triPriN-16') cutclar 3171KIRT, qzflt 29 44 Le *lietil-ick Wit famruft 9 4riffiff

cmcoiLidcf 3R11F 7,11 Rozniui fur mzliF 4) Particulars of places (with periods of residences) where you have resided for more than one year at a time

during the preceding five years. In case of stay abroad (including Pakistan) particulars of all places where you have resided for more than one year after attaining the age of 21 years should be given.

Titgrf frgrift rr (i.uur4 Trig, aro). 4' vet i4 / Period trgra. tri 91 c uIZqcktil Id4oluirt#41

'NT y94iev-ii4 9i4

Name of the District Head Quarter of the place mentioned in the preceding Column

1177 / From Li / To ji"T 541 t sPi-lict), 7et/re/MT

arift zre) Residential address in full (i.e. Village, Thana and District or House Number, Lane/Street/Road and Town)

(1) 1ftdr4 - (3T) Titiuf 9t7, &fur 9 ceilti6 (3r)

5) Father's - (a) Name in full with aliases if any (a)

(4) Titzrwr (eeil 7441cf aRk4r

trffr EINE)

(b) Present Postal address (if dead give (b)

last address)

() ER4r ORM tifiT ( 5) (b) Permanent home address (c)

() ce44Ptiltf ()

(d) Profession (d)

04,1114 3RTFTrff tiqfffirf i ctnzikiefiri

ITT ZIT4T

(e) If in service give designation and (e) official address

f,) (9) Urdtg 4 Z1 Ac`

6) (I) Nationality of —

(3T) 4-gtF (31)

(a) Father (a)

(4) 31[4 (4)

(b) Mother (b)

zr-dt/4- 1 (T) (c) Husband/Wife (c)

(3) 314q-4R

(r)

(9) (3T) 7) (a)

(d) Candidate (d)

( R )I:MR/WA4 Warfelfff

(2) Place of birth of Husband/Wife

ffifit'dw HfZ-iim

(31) Exact date of birth

(a)

- t9 -

(4) TrEzrr3/4 qtr (4) (b) Present Age (b)

(q5) > Erte)-- rr ka-4 qtr () (b) Age at Marticulation (c)

c) (an) vt--9facour A 40 aTik a1 fk- r 4 xivci (a) Place of birth, district and State in

which situated

(4) grbst aur-grr et 4 '<welt er aireff? (b) District and State to which you

belong ?

S) taftiffi 3TgaT, 44iT411 94 &IT 4trfErrio ftetuT141

faffill3) 4 gliachef 4 4aiDerici4icik 44 qvAg 9) Educational Qualifications showing place of

education with year in schools and college since the 15th years of age.

3T. ffi. No.

zerf 44t4rr Examination

passed

Tl/ii8lfa£IIM41Tl Ak 4 guf trAr Name of School / College with

full address

5rAzr .1tAi- Date of entering

li scrqrqr itt* Date of leaving

1

2

3

4

5

90) (3T) W? T7gr a)ffit flt 3TUTffi' Wffififfi' ZIT4T 10) (a) If you have any time employed, given details

--aA war tRATrr Wqr t1C114tf1

Period

CM ti cicyci r / writ<T41 err

1*-4r TipOt ErAr Full address of the

Office / firm or institution

get tmit li s qi

*Pi mra Full reasons for leaving

the previous service

mFrr4 q Designation or post

held or description of work

ENO From

trEk To

90) (4) 41ION1 9)ffit tux *Ncr/HRW1 VP191111-fd .tixort f,4f TFORitaigtf

itteff/qEM-nd T-e q'Hthef air 'R/41 9*41 titsuqr41/14)qr Trgrrr &art tuf crivl zu. trafiRtkg

m-r-it tt) CNU4Id 31TA" M CPRi f$41 c61 Tl• actlifilLatiltere Mr, irrthrt igrr ctri-icKtrv2rr

qr TymertrulfgrrzA tgu4ldtruimeg%rar mluicqie ircdtd gq-arr qi 1,1 qset .wa'imeul duRlmldi419fdu4Ic1 arr-a

?

(3T) (d)

(4) (b)

-c -

10) (b) If the previous employment was under the Government of India/ a State Government/ an undertaking owned or controlled by the Government of India or a State Government/ an autonomous body/ University/Local body, please State fully the reasons for leaving/ termination of that appointment. Whether any disciplinary proceedings framed against you or had you been called uopn to explain your conduct in any matter at the time you gave notice of termination of service or at a

subsequent date before your services were actually

terminated?

9 9) (31) TgTaT 311icrita Mint 3T-Ct crN /vir44 tn4' seetf cv1ef

cmuLlici/TatT9W4 Voiicf 311A ant cOlei it-4T 0 ulcLII41

349vrtu44-s -414m414)1, 4.4 cfr<u4icils <Nugicr/tEiffl-4.

csDuqicr 31&t cni4 ft4T cO)ulczila ellcoNr argrfirrwiff

c4iteirttk914r 64.9u4iti 9111 cpvild 3Tr.-4t ant crn4/

3Nd cwfauilo aTra 34 014, ftqf cO)olcengl qt4P-1101,4-ti

1*-41. *o't coluicetteil OeifeiT4114:orolicrkrtRiTe-1-457

traTt wtiUClltfl l99T ,Nuqict atrir S coizt/Thlp cltu4llcf

311 &Tit colt'?

11) (a) Have you ever been arrested/ prosecuted/ kept under detention, or bound down/ fined/ convicted by a court of law

for any offence or debarred/ disqualified by any Public Service Commission from appearing at its examinations/ selections

or debarred from taking any examination/ rusticated by any

University or any other educational authority/ Institution?

9 9) (q)7iT411-0.7 97T tredter co oicti141-e-11q1e1+410, Old it4T

act 0 olcql terftffllificoolicr/R-tf-Ou qiivtiP'totguratt

cr-t-R4r14-- .wrzr?

11) b) Is any case pending against you in any court of law. University of any other educational authority/ Institution at the time of

filling up this attestation form?

9 9 ) (T) afforf fkb- co ukttiecl -L11q1c,N1cf thalftf tgerlf '(jr 3fit

ft-4r cm), T, 313:111ff cclltlr lico.tot so9ico, ticrITzti

TIM-RuT rAtd. 31t. TThstcrimi cod,' Nsic41.4auft WTQfkI.

11) c) Whether he/she is facing any criminal prosecution in any court

and if yes to state details thereof such as case number, in

which court the case is pending, under which section, etc.

[(3T), (4) th-4-1 (T5) \tck ef4, 31Z4c UR. ET 959T ITrdl9T tlge tgeMf, reT, T-P-ITT4-CdT, q1141Z-141, 9mitu

c-41 RiTif sf1-& zufar -414104/ReriLlIcsitaifir-TREftr-t—anrr-d1 fam-roft 4-&Rd. 3TTed-FTE icrivii-c1. 4-t-cr Portz

me ld.] [If the answer to (a) or (b) or (c) is 'Yes' fill particulars of the case, arrest detention, fine, conviction, sentence,

etc. and the nature of the case pending in the Govt./University/ Educational authority etc. at the time of filling up this

form should be given]

Place :

\34c4Nitil T4Ter/Signature of the Candidate

Date :