How Could You Contribute to the Progress of Your University

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CENTRAL UNIVERSITY OF KERALA
(Established under the Central Universities Act, No.25 of 2009)

Application for Faculty Position & Deputy Librarian
This application comprises :
Part A : Personal/academic profile
Part B : API score indicators/self-assessments for Categories I, II and III Part C : Supporting data for API score self-assessments given in Part B Part D : Guidelines for filling up Part B
This application comprises :
Part A : Personal/academic profile
Part B : API score indicators/self-assessments for Categories I, II and III Part C : Supporting data for API score self-assessments given in Part B Part D : Guidelines for filling up Part B

Part A : Personal/academic profile
Part A : Personal/academic profile

Details of Application fee remittance
DD No. & Date| Bank & Branch| Rs.|
634955, 30/03/03| Canara Bank, Bank Road, Kasargode| 300/-|

For Office Use Only|
Diary No. & Date| |

Advertisement No.| |
Post applied for | Assistant Professor|
Name of the Department/School| Social Work|
Specialization, if any| Medical and Psychiatry|

Paste self-attested photograph here|

1. Personal particulars :
Name| First Name| Middle Name| Surname|
| Sabu| Kochupurackal| Ulahannan|
Date of Birth| Date| Month| Year| Age as on the last date prescribed for submission of application| Gender* | | | | | | Male| Female|
| 25| 05| 1980| 33| Male| |
Father’s Name| Ulahannan K M|
Mother’s Name| Philomina K J|
Marital Status| Married|
Nationality| Indian|
Category *| SC| ST| OBC| General√ |
*Tick mark (√)the appropriate box

2. If differently-abled, indicate relevant particulars:
Relevant particulars| If applicable, write ‘yes’| Percentage of disability| Sl. No. of proof enclosed| a) Blindness or low vision| | | |
b) Hearing impairment| | | |
c) Locomotor disability or cerebral palsy (includes all cases of Orthopedically handicapped)| | | |

3. Contact Addresses with tel./cell numbers and e-mail ids For Communication| A2 Staff Quarters, Malabar Medical College.Modakallur POAtholy vieCalicut-| Permanent address| Kochupurackal HouseChungakkunnu POKannur DistrictKeralaPIN- 670651|

4. Educational/Academic Qualifications
Degree| Name of University| Year of Passing| % ofmarksobtained| Division/ Class/ Grade| Subject(s)| B.A | Kannur University| 2002| 48%| Third| English Literature| MSW| Nagpur University| 2010| 56.8%| Second| Medical and Psychiatric Social Work| M.Phil| Nagpur University| 2012| Waiting for Result| | | NET| Roll No: 13100173| 2013| 68%| | Social Work|

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5. Teaching Experience:
Designation| Institution| From| To| Pay Scale /Band with AGP| Guest Lecturer| Orange City College of Social Work| 2010| 2011| 14000/-| | | | | |
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6. Research Experience:
Designation| Institution | Area of Research| Duration|
Research Assistant| Center for Social Work Research and Practice| Tribal, Social Exclusion, Farmer’s Suicide.| 2012 – Till date| | | | |

7. Publications
Publications| Published| ISBN/ISSN No.| Accepted/ In Press| Book (s)| | | |
Book (s) edited| | | |
Book (s) co-authored/ co-edited| 1| | |
Research articles in peer-reviewed journals| 3| | |
Chapters in book (s)| 2| 978-93-82570-05-9978-3-8454-0622-0| | Patents| Filed : …| Granted : …|
Note: Detailed information regarding publication giving ISBN/ISSN numbers of book(s) and impact factor of journal(s) may be given on separate sheets.

8. Seminars/Conferences/Workshops/Symposiums/Training Programme, etc. | In India| Abroad|
Organized| 1| |
Participated as Paper Contributor /Resource Person/ Presenter / Discussant| 8| | Attended| 6| |
Note:...
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