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M. J. College, Jalgaon
Appraisal Form

Personal Information
Department :
Full Name (Last-First-Middle Name) :
Address :
Date of Birth :
Subject :
Designation :
Date of Appointment :
 
Date of Confirmation :

Research Experience and Training
Research Stage
Title of Work / Thesis
University where the work was carried out
M. Phil. or Equivalent :
Ph. D. :
Post Doctoral :
Research Guidance (Total No. of Students) : M.Phil. Ph.D. M.Phil. Ph.D.

Teaching Programs / Faculty Improvement Programs Attended
Sr.No.
Orientation / Refresher / Training Course
Name of Institute
Period of Course
Dates
Subject
1. From To
2. From To
3. From To
4. From To
5. From To

Books Published
Sr.No. Title of the Book Subject Publisher Year of Publication Level at which recommended
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2.
3.
4.

Research Articles Published
Sr.No. Title of the Article Subject Name of the Journal & ISSN No. Year of Publication Level at which recommended
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3.
4.

Research Projects carried out
Sr.No. Title of the Project Name of the Funding Agency Amount Duration Remarks
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3.
4.

Seminar, Conference, Symposia, Workshop, etc. Attended
Sr.No. Name of the Conference/Seminar/Workshop Sponsoring Agency or Origanised by Place Date & Period Level Nature of Publication
1.
2.
3.
4.

Seminar, Conference, Symposia, Workshop, etc. Organised
Sr.No. Name of the Conference/Seminar/Workshop Sponsoring Agency or Origanised by Place Date & Period Level Nature of Publication
1.
2.
3.
4.

Innovation / Contributions in Teaching
1. Curriculum Designing : Nature of Participation (Workshop / Syllabus/Question Bank, etc.) :    
2. Preparation of resource Material : Cource Name : Nature of Resource Material (Notes, PPT, Mannuals,etc) :
3. Commnunity Work : National International Secularism Democracy Socialism Peace Scientific Temper Food Drought Relief Small Family Norms Other
4. Positions held / Leadership role played in organization linked : Extension work National Service (NSS) National Service (NCC) Other Similar Activity

Participation in Corporate Life
1. College / University / Institution :      
2. Co-curricular Activities : Activity Date Activity Date Activity Date Activity Date
3. Enrichment of Campus Life : Hostels Sports Games Cultural Activities
4. Membership/ Participation in Bodies / Committees on Education and National Development :
5. Professional Organization of Teachers :      
6. Membership of Professional Bodies, Societies, etc. :
7. Editorship of Journals / Books / Paper, etc. :