Felicitation 2023 2024

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Annexure VI

SavitribaiPhule Pune University

Application Format for providing Information


by
Principal/Director/Teacher
for
Felicitation on the Foundation Day(2023-24)
(Provide information of thelast Academic Year)

1. Name of the Teacher/Principal/Director : Upload Photo

2. Name of the Teacher / Principal / Director in Devnagari :

3. Correspondence Details
a) E-mail Id……………………………………………
b) Phone No………………………………………..
C) Mobile No……………………………………….

4. Name of the College /Institute / University Department:

5. Status – Affiliated / Autonomous- If Autonomous provide details :


__________________________________________________________________

6. Number of UG/PG courses taught by the teacher:


Sr.No. Name of Course / Subject at UG Name of Course / Subject
at PG
1.
2.
3.

7. Educational qualifications:
Sr.No. Degree University Year of Passing Class/ Division

8. Designation:

9. Total teaching experience as approved teacher: (provide copies of approval letters)


10. Whether recognized as Research guide
(Provide copies of recognition letter)

11. Total Research Experience:


_________________________________________________________________________
_______________________________________________________________

12. Number of Research Projects (Completed and ongoing):


a) Research projects- completed

Sr.No. Title of the Date of Names of Funding Amount


project Sanction PI/Co-I Agency
and
duration
1.
2.

b) Research projects- ongoing


Sr.No Title of the project Date of PI/Co-I Funding Amount
Sanction and Agency
duration
1.
2.
3.

13. Number of papers published in National/International peer reviewed/UGC –CARE listed


Journals in last seven years.

Sr.No Author Title of Journal Volume Year Impact Factor/Citation


. paper Index
1.
2.

14. Number of papers published in proceedings of National/International conferences in last


seven years:

Sr.No Author Title of Name of the Page No. Year


paper conference
1.
2.

15. Information about participation in Conferences/Seminars/Workshops-

Sr.No. Name of Participated/ Date


Conference/Seminar/Workshop presented paper/
Resource person
1.
2.
16. Significant Honors/Prizes/Awards received at State/ National/International levels.

(Please provide copy of Certificate / award letter etc.)

Level Date,
Sr. Name of the
State/ National / Awarding agency Month
No. Honour/Prize/Award/Fellowship
International &Year
1.
2.

17. Justification for your suitability for Felicitation on the Foundation Day of the university:

__________________________________________________________________________

Declaration

(To be signed by the applicant Teacher and the HOD/Principal/Director of the University
Department/College/Institute on the letter head)

We hereby declare that

1. Our College/Institute has paid all the dues to the university.


2. No disciplinary and/ or legal action has been taken or pending against the applicant by the
College/Institute Management Committee, university and the Government for the non-
compliance of orders and rules issued by the College Management, university and the
Government.
3. No fine has been imposed on the applicant teacher by the college, university and Government.
4. The data and the information included in this proposal are true and correct to the best of our
knowledge and the relevant records are available in the Department/college/institute for
verification.
5. We are aware that the university’s authorized team will validate the information provided in
this proposal for Felicitation of Principal/Director/Teacher.

Name & Signature of the Name, Signature and seal of the


Applicant Teacher HOD/Principal/Director

Date:
Place:

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