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) ii) iii) 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. 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. (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: 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. 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. i) ii) (c) iv) v) 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. Proficiency in Marathi language. 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. ---2— -2- 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) ii) ii) (c) (iv) Those who have passed the following examinations shall be treated as having passed the above prescribed computer qualification: 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. 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. 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. 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 'O' = Outstanding 5.50-6.00 'A' = Very Good 4.50-5.49 'B' = Good 3.50-4.49 2.50-3.49 'C' = Average 'D' = Below Average 1.50-2.49 'E' = Poor 0.50-1.49 'F' = Fail 0.0-0.49 PERCENTAGE EQUIVALENT 75-100 65-74 55-64 45-54 35-44 25-34 0-24 …..3 -3- (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17) Incumbents shall be entitled to pensionary benefits as per rules prescribed by the Govt.of Maharashtra from time to time. Posts carry usual allowances and benefits as admissible under University rules in force from time to time. Those who are in service should apply through proper channel. 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. 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. Attested copies of papers and documents or reprints submitted with application will not be returned. 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. 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. No correspondence will be entertained in respect of advertisement, interview, selection & appointment etc. No TA/DA will be paid either for attending the interview or for joining the post. A candidate furnishing incorrect or false information shall stand disqualified. The right is reserved with the University either to fill or not to fill the post or to modify/alter/cancel the advertisement. Canvassing in any form will be a disqualification. Postal delay shall not be entertained. Sd/( Dineshkumar Joshi) Registrar, Sant Gadge Baba Amravati University. ****** 2 $ Details of havinL assed NET/SET/GATE (Information required for the post of Assistant Professor onI ) Test conducting Year of Score, if any Subject NET / SET/GATE Agency Passing 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) Teaching/Research/Industrial Experience Name of the Post-held with pay scale / Institution Post Graduate Under Graduate pay band To From To From i) Under-Graduate Years Consolidated Experience (taken together) ii) Post Graduate Years 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 To From Post Graduate 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 & Pay Scale / From Name of Department / Pay Band Institution 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? To Total Period Reasons For leaving 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 , is working as Certified that Dr./Shri./Smt./Ku. in the subject w.e.f. in the Deptt. of with in the pay scale / pay band of Rs. (Pay in drawing the basic pay of Rs. Academic Grade Pay of Rs. 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. , aged son / daughter /wife of Shri 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 3. years (mention dates of birth, if any). 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. II. Title of the publication Date/Month of publication/acceptance 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. Author's names(year), Journal No. Title of Article, page with Nos. Volume & Page No. ISSN/ISBN No of the Journal Whether peer reviewed. Impact Factor, if any No. of coauthors 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. Author's Book title, No. names(year), Title editors & of Article, page publisher Nos. 1SSN/ISBN No of the Journal Whether peer reviewed. No. of coauthors Whether you are the main author? API Score 2 iil Full Pacers in Conference Proceedings: Sr.No. Author's Details of Conference names(year), publication Title of Article, page Nos. ISSN/ISBN No of the Journal No. of coauthors 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 & Publisher & Authorship / ISSN Editorship /ISBN No Whether peer reviewed? No. of coauthors Whether you are the main author? C) Ongoing and Completed Research Projects and Consultancies. (c) (i & i') Ongoing Projects /Consul ancies. Title of the Project Funding S.No. Agency (c)(iii & iv) Completed Pro ects /Consultancies: P Sr.No. Title of the Funding Period Project Agency (From-to) Period (From-to) Grant / Amount Mobilized (Rs. lacs) Grant / Amount Mobilized (Rs. lass) Whether policy document/patent as outcome API Score API Score API Score 3 (D) Research. Guidance; Total Number of Sr. No. 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 Duration Programme Organized by Sr. No. API Score (E) (ii) Papers presented in Conferences, Seminars, Workshops, Symposia Sr. Title of the Paper Title of Organized by Whether No. presented Conference / international / Seminar national / state / regional / college or university level (E) (iii) Invited Lectures and Chairmanships at national or international Conferences /Seminars, etc. Sr. Title of lecture / Title of Organised by No. Academic Session Conference / Seminar etc. Whether international/ national API Score API Score 4 IV. SUMMARY OF API SCORES: Category III Total - API Score for entire Assessment Period Assessment period (From - To) Criteria 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.) ipk h/pk b2iA1,p11cai ST/GAD/or-47/12-13/1th. I *I, XiftMul T. 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Wei ti I %Sig) t16H4-1c0 - 4 4I1311 t 31.raci it fdecl4ia (Sant Gadge Baba Amravati University) TITaitzlFr qn (Attestation Form) (tWilezITITITYR ?OTT, 141440 0410 VIrf3T-90001.3i.I119hooei9oi, ft. go.oq.Rooe 7iwfkerd) 9) 4swr - zff TfRit4P1 RrIFftif h& 9J d) 5e40 %-1T 4islf4,211vsfurrria uk-caR wft-itt 9t -t-fr aram o1cf. 1) eft gsgit-gulT 1 arTgaT clqf aufk 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. -Iteff re (-041-1th 3ilit 1-114 4)cre4I-Icl•(344R TeiTT44, cf c-ITfesTIe1Iai zfre vciiterIoa RITefifftier tiiorderf 3TM Mf Iraerri-curva 3TrfarZrrftit clI4NScl)61 tlicarif tift4. 3Rk V< ell ot ar c Tieerdtftsfeff Ter&wiff t--4t S an). *p.m egef4-4-a.. 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. w !NI mil, wraim-9.9-rmitt &ret d1 gRf4A1 3TT f$--4T q-fgResfT wit& qv:0- d4cf1 aTT artr au tzraTfItc 1)qicrnowiu) fqqf-iitr 3wa 3) mrdi 441 TrgrriTr Elazrrfr csci-. Ifthe 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. 13) *pf -n4 (loom 3TERM) Cl4uf 914 3TifF4TH c?-41•66 (iAuictrigt .U1 glt Trait 114 31-139i4 9't4 Surname Name 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 (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), 5) &air sre) Present address in full (i.e. Village, Thana and District or House Number, Lane/Street/Road and Town) F,) (ar) ERT Tkof trdr omico, Tr6) am). f4grr Ery t/trirf/trol 3Trfar sTR) (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 tardi7 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. - -cc eRTitaT 3RTIF ctll coluircil 3tierF (Pcimitif 8) ripflc 4 44fcr ti,or tact 9 glififf 31*-0 cmcoly aff 3171KIRT, qzflt 29 44 Le *lietil-ick Wit famruft 9 4riffiff dpicili .66), tRtZrfff (411 triPriN-16') cutclar Rozniui fur mzliF 3R11F 7,11 cmcoiLidcf 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. vet i4 1177 Titgrf frgrift rr (i.uur4 Trig, aro). 4' / Period / From Li / To ji"T 541 5) 1ftdr4 - (3T) Titiuf 9t7, &fur 9 Father's - (a) Name in full with aliases if any (4) Titzrwr (eeil 7441cf aRk4r ceilti6 (3r) (a) (r) trffr EINE) (b) Present Postal address (if dead give last address) (b) () ER4r ORM tifiT (b) Permanent home address ( 5) (c) () ce44Ptiltf () (d) (d) Profession 04,1114 3RTFTrff tiqfffirf i ctnzikiefiri ITT ZIT4T (e) If in service give designation and official address (e) 4 Z1 Ac` f,) (9) Urdtg 6) (I) Nationality of — (3T) 4gtF (a) Father (31) (a) (4) 31[4 (b) Mother (4) (b) zr-dt/4- 1 (c) Husband/Wife (T) (c) (3) 314q-4R (d) Candidate (d) ( R )I:MR/WA4 Warfelfff (2) Place of birth of Husband/Wife (3T) ffifit'dw HfZ-iim 7) (a) Exact date of birth (9 ) c uIZqcktil Id4oluirt#41 t sPi-lict), 7et/re/MT 'NT y94iev-ii4 9i4 arift zre) Residential address in full (i.e. Village, Thana and District or House Number, Lane/Street/Road and Town) (1) trgra. tri 91 (31) (a) Name of the District Head Quarter of the place mentioned in the preceding Column - t9 (4) TrEzrr3/4 qtr (b) Present Age (4) (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 (3T) (d) (4) grbst aurgrr et 4 '<welt er aireff? (b) District and State to which you belong ? (4) (b) 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. Tl/ii8lfa£IIM41Tl Ak 4 guf trAr Name of School / College with full address 5rAzr .1tAiDate of entering li scrqrqr itt* Date of leaving zerf 44t4rr Examination passed 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 war --aA tRATrr Wqr t1C114tf1 mFrr4 q Designation or post held or description of work Period ENO From CM ti cicyci r / writ<T41 err get tmit li s qi 1*-4r TipOt ErAr Full address of the Office / firm or institution *Pi mra Full reasons for leaving the previous service 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• actlifilLatiltereMr, irrthrt igrr ctri-icKtrv2rr qr TymertrulfgrrzA tgu4ldtruimeg%rar mluicqie ircdtd gq-arr qi 1,1 qset .wa'imeul duRlmldi419fdu4Ic1 arr-a ? -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 ulcLII 41 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. 4-1 (T5 ) \tck ef4, 31Z4c UR. ET [(3T), (4) th- c-41 959T ITrdl9T tlge tgeMf, reT, T-P-ITT4-CdT, q1141Z-141, 9mitu RiTif sf1-& zufar -414104/ReriLlIcsitaifir-TREftr-t—anrr-d1 fam-roft 4-&Rd. 3TTed-FTE icrivii-c1. 4-t-cr Portz me l d.] [If the answer to (a) or (b) or (c) is 'Yes' fill particulars of the case, arrest detention, fine, conviction, sentence, and the nature of the case pending in the Govt./University/ Educational authority etc. at the time of filling up this etc. form should be given] Place : \34c4Nitil T4Ter/Signature of the Candidate Date :
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