<p> MAHARANA PRATAP UNIVERSITY OF AGRICULTURE AND TECHNOLOGY, UDAIPUR egkjk.kk izrki Ñf"k ,oa izkS|ksfxdh fo'ofo| ky;] mn;iqj</p><p>Performa for Performance Based Appraisal System (CAS) (For the Year ...... )</p><p>A. General Information</p><p>1. Name : 2. Father’s/Husband’s Name: 3. Mother’s Name: 4. Post Applied for: 5. Area of Specialization: 6. Present place of posting with full official and residential address along with phone numbers and e-mail address:</p><p>B. Qualification (Starting from Graduation) S. Degree Subject Year of Univ./Institute O.G.P.A/ Proof No. Passing Percentage No. 1. Graduation 2. Post Graduation 3 Ph.D. 4 Post Doctoral/ Any Other Trainings (Not less than one year) </p><p>C. Experience* (as Assistant Professor or equivalent post) S. No. Designation Place of Duty Station Period Nature of Proof From To Duty No.</p><p>1 D. Academic Awards S. Award Name of Year of Whether, Individual/ Proof No. Award Award Team Award* No. 1. University Level Gold Medal (Under Graduate) 2. University Level Gold Medal (Post Graduate) 3. University Level Gold Medal (Doctoral) 4. National/Institutional Award instituted by ICAR/UGC/GOI/ National Academies/ National Scientific Societies 5. International Award</p><p>* For Team Award also specify the status, e.g., Leader or Associate</p><p>E. Other University/Institute Duties (while working as Assistant Professor or equivalent post) S. No. Name of Duty Period Proof No. From To</p><p>F. Other Teaching/Research /Extension Activities (while working as Assistant Professor or equivalent post)</p><p>1. Students Guided Level Number of Proof No. Students completed Master Major Advisor Co- Advisor Doctoral Major Advisor Co- Advisor</p><p>2. Externally Funded Research Projects S. Project Capacity in Funding Budget Location Duration Proof No. Title which Agency of the No.</p><p>2 associated project From To (PI/Co-PI ) ( Rs.)</p><p>3. Organization /Implementation of other schemes S. Name of scheme Capacity in Period Work Proof No. which From To done No. associated </p><p>G. Publications (as Assistant Professor or equivalent post) (i) Research Papers in standard scientific referred journals (Give list with proof). (ii) Best Paper/ Poster award at a National/International Symposium/Conference (Give list with proof). (iii) Paper presented and documented in National Symposium/Conference at National /International level (Give list with proof). (iv) Popular articles published in leading Farm Journals/Magazines (Give list with proof). (v) Books published by Universities, National Institutes/Standard Publishers (Give list with proof). Type of Book Name of Book Authors Publisher Proof No. a. Authored Book b. Edited Book c. Book Chapter d. Bulletins</p><p>H. A brief statement to highlight your outstanding achievements in 200 words (as Assistant Professor or equivalent post)</p><p>3 I. Services rendered in remote areas* (while working as Assistant Professor or equivalent post) S. No. Post held Place of Posting Period Proof No. From To</p><p>* Remote areas as notified by Central/State Governments/ICAR – Please attach a copy of notification/ proof, in the absence of which the period of services rendered in remote areas will be deemed nil. </p><p>Remark – Attach proof for Point No. B to G and I.</p><p>DECLARATION I ...... certify that the above information is correct</p><p> and complete to the best of my knowledge and belief and nothing has been concealed /</p><p> distorted. If at any time it is found that any information is false concealed / distorted,</p><p> then my appointment shall be liable to summarily termination without any notice /</p><p> compensation & criminal case may be initiated against me under the relevant provision</p><p> of Indian Panel Code and other laws as applicable.</p><p>Signature of Candidate ------</p><p>Verified (alongwith recommendations) of Head of Department</p><p>Specific Recommendations and Countersignature of Dean/Director</p><p>4</p>