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APPLICATION_PROFORMA_FOR_TECHNICAL_ASSISTANT

VIEWS: 10 PAGES: 11

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                                         APPLICATION FORM                                                       passport
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              UNIVERSITY OF HORTICULTURAL SCIENCES,                                                            photograph

                  NAVANAGAR, BAGALKOT – 587102


                       APPLICATION FOR APPOINTMENT OF
                             TECHNICAL ASSISTANT



Name:__________________________________________________________



Post applied for___________________________________________________



Advertisement No. & date: No. R/UHSB/Rectt./Advt.2/2011-12, dtd. 18.08.2011



DD No: & Date:______________________________________________



------------------------------------------------------------------------------------------------------------

                                     Instructions to the candidates


    1. The application should be filled in by the applicant in his/her own handwriting.

    2. Please answer each item clearly and completely.

    3. Incomplete applications are liable to be rejected.

    4. The application pro-forma downloaded from website (www.uhsbagalkot.edu.in)
       should accompany the requisite fee (i. e. For SC/ST Rs. 250/- & for others
       Rs. 500/-) (payable to the Comptroller, UHS, Bagalkot) as indicated in the
       notification, at the time of submission of filled in application, or else, the
       application will be rejected.




                                               Page 1
1. Name of the Post applied for


2. Name in full (BLOCK LETTERS)
   (as entered in SSLC or equivalent marks
  card)

3. Address for communications with pin
  code




4. E-mail ID

5. Contact numbers: (With STD codes)          Ph No:

                                              Cell No:

6. a) Gender

b) Date of Birth
(bonafide certificate to be enclosed)
7. Native Place      :
   Taluka            :
   District          :
   State             :
8. Religion

9. Caste

10. Sub-Caste

11. Nationality

12. Name of the State to which you belong

13. a) Do you belong to Scheduled Caste
       or Scheduled Tribe? (Please Tick)
                                              * SC / ST
   b) Do you belong to other backward
      classes? (Please Tick)                  * Cat. I / 2A / 2B / 3A / 3B

   c) Do you claim reservation under any      * Rural/Woman/Ex-servicement/Kannada Medium
     of the Special Categories
                                              / Phy. Handicapped/Project Displaced Person
      (Please Tick)
*(Respective category/caste certificates
from the competent authorities as per
prevailing Govt. Orders in the prescribed
formats have to be enclosed)


                                         Page 2
14. Father’s Name

Address



Occupation

Nationality



15. Have you been outside India? If so, give particulars
   Country             Period of visit                     Purpose of visit




16. Languages that you can read, write and speak
    Reading              Writing             Speaking           Examination passed




                                         Page 3
17. Particulars of examination passed and degrees obtained starting from S. S. L. C.


Examination or           % age,             Subject            Board /                 Year
     Degree            AGP/OGPA                               University
1. SSLC


2. PUC


3. Bachelor’s
   Degree

4. Master’s
   Degree


5. M. Phil

6. Ph.D

7. Others




18. a) Additional Qualifications:

    Examination or           % age,             Subject          Board / University      Period /
       Degree              AGP/OGPA                                                      duration


1. Post-Graduate
Diploma



2. Master’s degree


3. Ph.D.




Note: The specialization at the Master’s degree and Ph. D should be clearly indicated.




                                       Page 4
b) Any other training programmes:
                     Particulars                          Duration                Period
Training programmes in the concerned subject
involving

 i)    More than 3 months duration

 ii) 1-3 months duration

 iii) Less than 1 month duration



19. Particulars of Experience:

Experience:
(Teaching, Research & Extension in the cadre of Instructor including temporary appointments
as Programme Assistant / Research Associate / Full time Senior Research Fellow / Junior
Research Fellow / Merit Associate / Technical Assistant / Assistant Professor)

      Post     Name of      Date of   Date of     Period of        Reason         Basic pay
               Employer     joining   leaving      working       for leaving   (Certified copy of
                                                (year/months/                    the last pay
                                                    days)                        drawn to be
                                                                                  enclosed




                                      Page 5
24. Details of Publications in the concerned field:


            Particulars                 Titles of the Papers/Books   Name of the Journal
                                       Published/Symposia/Seminar/   and year / Publisher.
                                              Conference etc.
Research Papers published in
standard scientific journals
(Originals to be shown at the time
of interview)


Research note/short
communication published in
standard journals or periodicals
like current research etc.


Papers presented and
documented in seminar/
symposia/ conferences at
national/ international level
Popular article published in
leading dailies/ institutional/
Government Departments
/periodicals


Papers presented and
documented in local
conferences / symposia /
seminar and also article published
in souvenir


Research Bulletins / extension
bulletins / extension folders /
chapters in books published by
Universities / national institutes /
standard commercial publishers


Books published by individuals




                                          Page 6
21. Details regarding Awards:

         Particulars           No. of awards           Year        Awarded for

International Award

National / Jawaharlal
Nehru Award

UAS Gold Medal

Private Gold Medal
instituted through
University

State Award

Professional Society

Others




22. Name and Address of the three persons who would be referred.
    1)




    2)




    3)



__________________________________________________________________________

23. Additional information, if any:




___________________________________________________________________________


                                         Page 7
24. Where you offered employment in this University before? Did you reject the same ? if so
    when Indicate full particulars of post with date of offer.:




___________________________________________________________________________

I hereby declare and certify that the entries furnished above, are true to the best of my
knowledge and belief.




Date:


                                                   SIGNATURE OF THE APPLICANT




                                       Page 8
                            Forwardal Certificate by the Employer
          Certified that Mr. / Mrs. ___________________________________________ is working

in the Department / Institute / Organization as ____________________ w.e.f.________ in the

scale of Rs.________________ . He / She is at present drawing a basic pay of Rs.

____________ . The DA and other allowances amount to Rs_______________________.

          We have no objection in forwarding his / her application for a post in the
University of Horticultural Sciences, Bagalkot.


Place:
Date:
                                                           Signature and Designation
____________________________________________________________________________




     Forwardal Certificate (Applicable only to UHS, Bagalkot Employees)


          Certified that Mr. / Mrs. ___________________________________________ is working

in      this   Office   /    College   /     Research   Station   as   ___________________

w.e.f.__________________ in the scale of Rs. _________________________ .



His / Her present basic pay is Rs____________________________________ .


Place:


Date:


                                                           Signature and Designation




                                           Page 9
UNVIERSITY OF HORTICULTURAL SCIENCES, BAGALKOT – 587102
              Information to the candidate applying for appointment
1. The entire notification along with the detailed qualifications & application pro-forma prescribed for
   each of the categories of the posts notified is accessible from the website
   http://www.uhsbagalkot.edu.in of the University of Horticultural Sciences, Bagalkot. The
   candidates have to obtain application proforma through website only.

2. The applicants have to obtain application form through website & enclose Demand Draft obtained
   from the Nationalized Banks for Rs.500/- (For SC/ST Rs.250/- only) payable to the Comptroller,
   University of Horticultural Sciences, Bagalkot drawn within the period from 18.08.2011 to
   17.09.2011 while submitting the filled in application pro-forma.

3. The filled-in applications which do not accompany the prescribed fee are liable to be rejected.

4. Separate applications with separate fee are required for each of the post applied. Applications for
   two different posts should not be tagged together.

5. The detailed score card and qualifications for selection of candidates to the posts of Officers,
   Teachers, Technical Assistant & Service personnel are in accordance with the University Notification
   displayed in website http://www.uhsbagalkot.edu.in.

6. Relaxation of 5% marks at Master’s level & 5% of marks at Graduate level is provided to the
   physically & visually handicapped persons for appointment to various posts of Teachers in
   UHS, Bagalkot.

7. Ex-servicemen or children of defence personnel killed or disabled in action are exempted from
   payment of application fee provided they furnish appropriate certificate along with the filled-in
   applications.

8. Knowledge of reading and writing Kannada is desirable for the posts of Associate Professor and
   Assistant Professor & persons with working knowledge of Kannada will be preferred.

9. The candidates who have studied under Trimester System and other than 10 point grading system
   are required to produce the equivalent percentage certificates obtained from the respective
   University.

10. Working hours of the University: 8.30 am to 4.00 pm (Saturday: 8.30 am to 12.30 pm)

11. Applications must be accompanied by attested copies of Marks Sheets, Certificates,
    Experience Certificates, Publications, Research Notes, Certificates of Awards/Medals,
    Certificates related to past service etc. and the details of research or related publication, if
    any, in support of eligibility.

12. Candidates already in service (Government/Quasi Government or private) should submit their
    applications through proper channel. Candidates anticipating delay in sending their applications
    through proper channel may submit an advance copy of the application along with the processing
    fee. The original application duly forwarded by the parent office must reach this office within a week
    after the last date prescribed for submission of filled in applications. Such of the candidates who do
    not forward their applications through the parent office have to produce a No Objection Certificate
    at the time of interview, failing which they will not be allowed to appear for the interview.




                                          Page 10
13. All communications, in respect of applications for recruitment against the posts advertised by the
    University, should be addressed to the Registrar, University of Horticultural Sciences, Sector
    No.60, Navanagar, Bagalkot - 587 102 (Karnataka).
    ,
14. The vacancies now notified are provisional and are subject to variations. The University reserves
    the right to fill-in any or all the vacancies.

15. The minimum and maximum age limit prescribed for the posts of Technical Assistant /
    Service Personnel is 18 years and 40 years, as on the last date prescribed for receipt of filled
    in applications. However, there is no age limit for In – Service candidates including MREs &
    DREs.


16. For all recruitments to the posts in the University, other things being equal, the University employees
    shall be given preference.

17. Filled-in applications together with copies of testimonials should also be sent in an envelope,
    superscribing on it, “APPLICATION FOR THE POST OF ____________________________” to
    THE REGISTRAR, UNIVERSITY OF HORTICULTURAL SCIENCES, SECTOR NO.60,
    NAVANAGAR, BAGALKOT-587 102 (KARNATAKA) on or before 4.00 pm on 17.09.2011 from the
    candidates staying in India and abroad. The candidates staying abroad may also download the
    application proforma from the website (www.uhsbagalkot.edu.in) and submit the application forms
    along with the relevant documents and the prescribed fee in foreign currency.

18. Applications received after the last date and incomplete applications will be rejected. The University
    is not responsible for the postal delay.

19. Furnishing any false information in the application form shall hold the candidate liable to action
    deemed fit.

20. Only short listed candidates based on order of merit in the essential qualification prescribed for the
    post will be called for interview in the ratio of 1:10. However, all eligible Ph. D. degree holders will
    also be called for the interview for the teaching posts only. The candidates have to attend the
    interview at their own cost.

21. No recommendations should be forwarded to the University. Canvassing in any form will disqualify
    the candidature.

22. The selected candidates are liable to be transferred anywhere in Karnataka to the
    Colleges/Research Stations/Extension Centres etc., coming under the University jurisdiction.

23. The appointed candidates are governed by the Rules and Regulations of the University.


                                                                                     Sd/-
                                                                                  REGISTRAR




                                          Page 11

								
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