தமிழ்நாடுமத்தியப்பல்கலைக்கழகம்

तमिलनाडु के न्द्रीय विश्वविद्यालय

(संसद द्वारा पारित अधिनियम 2009 के अंतर्गत स्थापित)

CENTRAL UNIVERSITY OF TAMIL NADU

(Established by an Act of Parliament, 2009)
नीलक्‍
कु ड़ी परिसर/Neelakudi Campus,कं गलान्चेरी/Kangalancherry तिरुवारूर/Thiruvarur- 610 005

Application form for promotion under Career Advancement Scheme (CAS) for teachers in all Schools
of Central University of Tamilnadu (As per UGC Regulations 2018)

For Promotion:
I. Assistant Professor (Academic Level 10) to Assistant Professor (Senior Scale/Academic Level 11)
II. Assistant Professor (Senior Scale/Academic Level 11) to Assistant Professor (Selection
Grade/Academic Level 12)

Application for promotion from Level_______ to Level ____________

Paste Self-
Name : ________________________________________ attested Recent
Passport Size
Department:___________________________________ Photograph

School: __________________________________

Notification Reference No. _____________________ Date: ______________

Date of Appointment: _____________ Date of Confirmation: ____________

Period of Assessment for promotion: From ____________to ___________
Date of appearing before the last selection committee (if appeared) _______
Total Academic / Research Scores as per Appendix II, Table 2(UGC Regulations 2018) _________

NOTE: The research scores claimed by the applicant must be based on objectively verifiable
criteria, and supported with documentary evidence. Research scores that cannot be verified will not
be considered. PLEASE READ THE INSTRUCTIONS FOR EACH CATEGORY CAREFULLY,
AND FOLLOW THEM.

1
 PART – A

GENERAL INFORMATION AND ACADEMIC BACKGROUND

1. Name (in Block Letters) :

2. Category :

3. Father’s Name (in Block Letters) :

4. Mother’s Name (in Block Letters) :

5. Date of Birth and Age :

6. Gender :

7. Nationality :

8. Category (SC/ST/OBC/General) :

9. Current Designation :

10. Current Pay Scale & Grade Pay :

11. Date of Confirmation of Present Post :

Date of Initial Appointment and Stage with :
12.
Pay Scale at CUTN
13. Position, Stage and Grade Pay applied for :

14. Date of Last Promotion :

15. Date of Eligibility for Promotion :

16. Address for correspondence (with Pin Code) :

17. Permanent Address (with Pin Code) :

18. Mobile Telephone Number :

19. Landline Telephone Number (with code) :

20. E-Mail ID :

21. ACADEMIC QUALIFICATIONS(Graduation onwards):

Year of Marks Class

College /
Qualifications Passin Obtained /Out of with
University
g Or CGPA Grade %
Graduate Degree (UG)
Post Graduate Degree (PG)
Integrated IMA/IMSc/IMS
(UG-PG)
M. Phil.
Ph.D./D.Phil.
Other Degrees (if any)

2
3
22. RECORD OF ACADEMIC SERVICE PRIOR TO JOINING THE CENTRAL UNIVERSITY OF TAMILNADU (Please Attach Relevant Certificates of
Service Experience)

Nature of
appointment Duration Experience Highest
Pay- Required
(Regular/ Nature degree
Institution Designation Fixed term/ Scale / Pay minimum Encl.
of obtained at Remarks
band and qualification No.
Temporary/ Duties the time of
AGP From To Year Months for the post
Ad-hoc/ Part- appointment
time)

23.RECORD OF SERVICE IN THE CENTRAL UNIVERSITY OF TAMILNADU FROM DATE OF JOINING AS REGULAR TEACHER:

Duration Experience
Pay Scale and
Level Designation From To Remarks Encl. No.
AGP
(dd/mm/yyyy) (dd/mm/yyyy) Year Month

Level 12

Level 13A

Please clearly specify the period of Leave Without Pay (LWP)

4
24. TEACHING EXPERIENCE:
P.G. Classes (in Years):________Period: From_________ To__________

Integrated:iMA / iMSc(in years):________Period: From_________ To__________

U.G. Classes (in Years) : ________Period: From_________ To__________

Ph.D Course WorkTeaching :________Period: From_________ To__________

25. RESEARCH EXPERIENCE: (excluding M.Phil/Ph.D Duration)

i. Total Number of Years : _______

: Period:From__________To_____________

a) Years Spent in M. Phil. : ____________

Period of Name of Research Topic Date of Notification Encl. No.

M.Phil. Institute/ (Dissertation) of result conferring
Fro To University the degree
m
(1) (2) (3) (4)

b) Years Spent in Ph.D. : _____________

Period of Ph.D Name of Research Topic Date of Encl. No.

Fro To Institute/ (Dissertation) Notification
m University of result
conferring
the degree
(1) (2) (3) (4)

c) Post Doctoral Research Experience as research scientist, research associate etc. (in yrs) :
ii. Years of Guiding Ph.D. / M. Phil.: Ph.D. __________ : M. Phil.__________

iii. Total No. of Papers Published: i. International Journals __________

ii. National Journals __________

iii. State Level Journals __________

(Not Abstract but Full paper only)Total __________

iv. Total No. of Conferences/Seminars/Workshops Attended and papers presented:

i. International: Attended _______: Attended and Papers Presented_____

ii. National: Attended _______: Attended and Papers Presented_____
iii. State Level: Attended _______: Attended and Papers Presented_____

Total: _______. Attended: ______ Attended and Papers Presented:______

5
26) AWARDS /PRIZES/HONOURS/RECOGNITIONS :

1. _________________________________________________________________________

2. _________________________________________________________________________

27) FIELDS OF SPECIALIZATION IN THE SUBJECT/DISCIPLINE:

a)
28) ORIENTATION/REFRESHER COURSE ATTENDED (ONLY UGC RECOGNIZED):(Attach certificates)
Sl. Particulars Place Duration Sponsoring Encl. No.
No From To Agency
01
02
03

29) ANY OTHER TRAINING PROGRAM/SUMMER SCHOOL / WORKSHOPS/ QIP/ FIP ETC
ATTENDED: (Attach certificates)

Sl. Particulars Place Duration Sponsoring Encl. No.

No From To Agency
01
02
03

30) YOUR VISION FOR THE DEPARTMENT /SCHOOL:

______________________________________________________________________________________

______________________________________________________________________________________

______________________________________________________________________________________

______________________________________________________________________________________

31) YOUR CONTRIBUTION TO THE DEPARTMENT /SCHOOL/DISCIPLINE AND UNIVERSITY:

______________________________________________________________________________________

______________________________________________________________________________________

______________________________________________________________________________________

______________________________________________________________________________________

6
32) FUTURE ACADEMIC DEVELOPMENT PLAN FOR SELF AS WELL AS DEPARTMENT
/SCHOOL:

______________________________________________________________________________________

______________________________________________________________________________________

______________________________________________________________________________________

______________________________________________________________________________________

ANY OTHER RELEVANT INFORMATION:

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

7
 PART-B
BRIEF NOTE: Based on the teacher’s self-assessment, Grading criteria and Scores and or
publications. The minimum Grading criteria and scores and or publications required by teachers from
this category is different for different levels of promotion. The self- assessment grades, scores and or
publications should be based on objectively verifiable records. It shall be finalized by the screening
cum evaluation / selection committee. Universities may detail the activities, in case institutional
specificities require, adjust the weightage without changing the minimum total scores required.

(As per UGC Regulations 2018, APPENDIX II, TABLE 1: Assessment Criteria and
Methodology for University/College Teachers.)

A. TEACHING, INVOLVEMENT IN THE UNIVERSITY STUDENTS

RELATED ACTIVITIES/ RESEARCH ACTIVITIES*:
1. TEACHING:(Classes taught includes sessions on tutorials, lab and other teaching related
activities) (Give semester-wise details, wherever necessary)
TEACHING
Teaching=
(Number of
Number Classes Verified
Sl. Academic Total Claimed Remar *Encl
Semester of Taught / by the
No Year Classes by the ks No.
Classes Total Committ
Assigned Candidate
Taught Classes ee
Assigned)
X 100%
Odd Sem.
Year 1
Even Sem.
Odd Sem.
Year 2
Even Sem.
Odd Sem.
Year 3
Even Sem.
1 Odd Sem.
Year 4
Even Sem.
Odd Sem.
Year 5
Even Sem.
Odd Sem.
Year 6
Even Sem.

2. INVOLVEMENT IN THE UNIVERSITY STUDENTS RELATED ACTIVITIES / RESEARCH ACTIVITIES:

Verified
Sl. Academic Claimed Remar *Encl
Semester Activity by the
No Year by the ks No.
Committ
Candidate
ee
a. Administrative responsibilities such as
1 Year 1 Odd Sem. Head, Chairperson/ Dean/ Director/
Co-ordinator, Warden etc.

8
 b. Examination and evaluation duties
assigned by the Department/ School /
university or attending the
examination paper evaluation.
c. Student related co-curricular,
extension and field based activities
such as student clubs, career
counselling, study visits, student
seminars and other events, cultural,
sports, NCC, NSS and community
services.
d. Organising seminars/ conferences/
workshops, other Department/
School /university activities.
e. Evidence of actively involved in
guiding Ph.D students.
f. Conducting minor or major research
project sponsored by national or
international agencies.
g. At least one single or joint publication
in peer reviewed or UGC list of
Journals.
a. Administrative responsibilities such as
Head, Chairperson/ Dean/ Director/
Co-ordinator, Warden etc.
b. Examination and evaluation duties
assigned by the Department/ School /
university or attending the
examination paper evaluation.
c. Student related co-curricular,
extension and field based activities
such as student clubs, career
counselling, study visits, student
seminars and other events, cultural,
Even Sem. sports, NCC, NSS and community
services.
d. Organising seminars/ conferences/
workshops, other Department/
School /university activities.
e. Evidence of actively involved in
guiding Ph.D students.
f. Conducting minor or major research
project sponsored by national or
international agencies.
g. At least one single or joint publication
in peer reviewed or UGC list of
Journals.
Odd Sem. As above Odd Sem. In Year 1
Year 2
Even Sem. As above Even Sem. In Year 1
Odd Sem. As above Odd Sem. In Year 1
Year 3 Even Sem. As above Even Sem. In Year 1
Odd Sem. As above Odd Sem. In Year 1
Year 4
Even Sem. As above Even Sem. In Year 1
Odd Sem. As above Odd Sem. In Year 1
Year 5 Even Sem. As above Even Sem. In Year 1
Year 6 Odd Sem. As above Odd Sem. In Year 1

9
 Even Sem. As above Even Sem. In Year 1
* Should be claimed by the applicant with supporting documents..

B. ACADEMIC / RESEARCH SCORE. (As per UGC Regulations 2018, APPENDIX II,
AND TABLE 2: Methodology for University and College Teachers for calculating Academic/
Research Score.)
1. RESEARCH PAPERS IN PEER-REVIEWED OR UGC LISTED JOURNALS:

Sl. Title of Name Vol Impa Numb Type of Sr. Claim Verified Enc
N the of the ., ct er of Authorship No. in ed by the l.
o. Resear Journ PP Facto autho (First UGC Score Commit No.
r* tee
ch al No. rs author/correspo listed
Paper & nding Journ
Ye author/principal/ als
ar co-author)

*Impact factor to be determined as per Thomson Reuters list.

2. PUBLICATIONS (other than Research papers)

Sl. Title of the Book Author Co- Name of the ISBN / Claimed IQAC Encl.
No Author(s) Publisher, ISSN Score Verified No.
. Month, Year Score
(a) BOOKS AUTHORED WHICH ARE PUBLISHED BY:
International publishers

National publishers

Chapter in Edited Book

Editor of Book by International Publisher

Editor of Book by National Publisher

10
(b) TRANSLATION WORKS IN INDIAN AND FOREIGN LANGUAGES BY QUALIFIED FACULTIES

CHAPTER OR RESEARCH PAPER

BOOK

Note: Attach front, index and back pages justifying the claim showing the ISBN/ISSN No.

3. CREATION OF ICT MEDIATED TEACHING LEARNING PEDAGOGY AND CONTENT

AND DEVELOPMENT OF NEW AND INNOVATIVE COURSES AND CURRICULA.

Sr. Claimed Verified Encl.

No. Activity*
Score by the No.
Committe
e
(a) DEVELOPMENT OF INNOVATIVE PEDAGOGY

(b) DESIGN OF NEW CURRICULA AND COURSES

(c) MOOCs
Development of complete MOOCs in 4 quadrants (4 credit course) (In case of MOOCs of lesser
credits 05 marks/credit)

MOOCs (developed in 4 quadrant) per module/lecture

Content writer/subject matter expert for each module of MOOCs (at least one quadrant)

Course Coordinator for MOOCs (4 credit course)(In case of MOOCs of lesser credits 02
marks/credit)

(d) E-CONTENT

11
Development of e-Content in 4 quadrants for a complete course/e-book

e-Content (developed in 4 quadrants) per module

Contribution to development of e-content module in complete course/paper/e-book (at least one

quadrant)

Editor of e-content for complete course/ paper /e-book

* Each activity should be claimed by the applicant with supporting documents.

4. (a) RESEARCH GUIDANCE - Ph.D. awarded / Thesis submitted*

Sl. Name of Title of the Awarded / University Month Verified by Encl.
No. the Thesis Thesis and Year Claimed No.
Score
the
Scholar submitted Committee

* Submit Ph.D. Notification/Certificate of Submission

M.Phil./P.G. awarded *
Sl. Name of the Title of the M.Phil University Month Verified Encl.
No. Scholar Dissertation/Thesi . / P.G. and Claimed No.
Score
by the
s Year Committee

* Submit M.Phil./P.G. Notification /Certificate of awarded

(b) RESEARCH PROJECTS COMPLETED

Sl. Title of the Project Names Funding Grant Duration Verified Encl.
No (More than 10 of PI Agency Sanctioned by the No.
. lakhs) and co- Claime Committee
PI d Score
From To

Sl. Title of the Project Funding Grant Duration IQAC Encl.

No (Less than 10 Agency Sanctioned Claime No.
Verified
. From To d Score
lakhs) Score

12
 (c) RESEARCH PROJECTS ONGOING:

Sl. Title of the Names Funding Grant Duration Verified Encl.

No. Project of PI Agency Sanctioned by the No.
(More than 10 and Claimed
Committee
lakhs) co-PI Score
From To

Sl. Title of the Funding Grant Duration Encl.

Verified
No. Project Agency Sanctioned Claimed No.
From To by the
(Less than 10 Score
lakhs)
Committee

(d) CONSULTANCY
Sl. Title and Nature of Agency to Grant Duration Verified Encl.
No. the Project it is offered Componen Claime No.
by the
t d Score
From To Committee

5. (a) PATENTS
Sl. Details of Patent International Year Verified Encl.
No. / National Claimed No.
by the
Score
Committee

(b) *Policy Document (Submitted to an International body/organization like

UNO/UNESCO/World Bank/International Monetary Fund etc. or Central Government or State
Government)
Sl. Details of Policy Document International/ Year Verified Encl.
No. National / Claime No.
by the
State d Score
Committee

(c) Awards/Fellowship
Sr. Name of the Awarding International/ Date Verified Encl.
Claimed
No. Award / Fellowship Institute/ National / Awarded by the No.
Score
Organization Committee

6. *INVITED LECTURES / RESOURCE PERSON/ PAPER PRESENTATION IN SEMINARS/

CONFERENCES/FULL PAPER IN CONFERENCE PROCEEDINGS (Paper presented in

13
 Seminars/Conferences and also published as full paper in Conference Proceedings will be
counted only once)

Sr. Title Name Organiser/ Duration International(Ab Verifie Encl

No of the Institute road)/ .
Invited/ d by
. Event International(wit Claime No.
Oral/ the
hin country) / d Score
Poster Comm
National / State /
University level ittee

NOTE:
 Paper presented if part of edited book or proceeding then it can be claimed only once.
 For joint supervision of research students, the formula shall be 70% of the total score for Supervisor and Co-supervisor.
Supervisor and Co-supervisor, both shall get 7 marks each.
 *For the purpose of calculating research score of the teacher, the combined research score from the categories of 5(b). Policy
Document and 6. Invited lectures/Resource Person/Paper presentation shall have an upper capping of thirty percent of the total
research score of the teacher concerned.
 The research score shall be from the minimum of three categories out of six categories.

APPLICANT CLAIMED SCORE

Summary of Total Claimed Score (1+2+3+4+5+6)

Assessment Period from______________ to ______________

Year Claimed Score Total
Claimed
Entire Assessment Period 1 2 3 4 5 6
Score
from_____________ to ____________
Total Claimed Score

IQAC Verified Score

Summary of Total Claimed Score (1+2+3+4+5+6)

Assessment Period from______________ to ______________
Year Claimed Score Total
Claimed
Entire Assessment Period 1 2 3 4 5 6
Score
from_____________ to ____________
Total Claimed Score

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.

Place: Signature of the applicant ____________________

Date: Designation

14
Forwarded by:

Head of the Department Dean

Department of ………………… School of …………..………..

15