This document contains an application format for the Savitribai Phule Pune University Foundation Day Awards Best Teacher Award for the period of 2021-22. The format requests information about the applicant teacher's educational qualifications, teaching experience, research experience and output, publications, honors/awards received, contribution to curriculum development, and justification for why they should be selected for the award. The applicant and their principal must also sign a declaration that the information provided is true and accurate.

1. Annexure - IV
Savitribai Phule Pune University
Foundation Day Awards
(2021-22)
Application Format for Best Teacher Award
(Provide information of the period of last Three Years)
1. Name of the Teacher-
2. Name of the Teacher in Devnagari :
3. Address-
4. Corresponds Details
a) E-mail,
b) Phone No.,
c) Mobile No.
5. Name of College/Institute
6. Whether listed under 2 (f) and 12 B of UGC-If yes give dates-
a) 2 (f) ………………………..
b) 12 B ………………………….
7. Status – Affiliated/ Autonomous- If Autonomous provide details-
___________________________________________________________________
8. Number of UG/PG courses taught by the teacher:
Sr. No. Name of Course / Subject at UG Name ofCourse / Subject at
PG
1.
2.
3.
4.
9. Final year results of the UG/PG courses taught by the teacher.
Sr.
No.
Name of course and
subjecttaughtby the
teacher
Year of
examination
% of
students
passed
Rank holderat
University
1 UG (Subject)
2 PG (Subject)
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2. 10. Number of students admitted during the current year for these UG/PG courses-
Sr.
No.
Name of course Year Number Students admitted
1 UG (Subject)
2 PG (Subject)
11. Information about valid NAAC/NBA accreditation of the college/institute
Sr.
No.
Agency
Year of
accreditation
Grade &
CGPA
NBA
Score
Validity
Period
1 NAAC
2 NBA
12. Educational Qualifications of the teacher.
Sr. No Degree University Year of Passing Class/division
1.
2.
3.
13. Designation-
14. Subject –Specialization
15. Total teaching experience as approved teacher: (provide copies of approval letters)
Sr. No. Position held Name of the
College /
Institute
Nature of appointment
(Temporary/Permanent)
University
approval
letter detail*
*Note - Provide copies of University approval letters.
16. Whether recognized as Research guide by the University,
(Provide copies of recognition letter)
17. Total Research Experience
(Give brief outline of research areas)
___________________________________________________________________________
_________________________________________________________________
18. Information about number of students guided for M.Phil & Ph.D.
Sr.
No.
Name of the
research student
M.Phil./Ph.D. Topic of
Research
Date of
Registration
Date of
award of
Degree
1.
2.

3. 19. Research Projects (Completed and ongoing)
a) Research projects - completed.
Sr.
No.
Title of the project
Date of Sanction
and duration
Names of
PI/Co-I
Funding
Agency
Amount
1.
2.
b) Research projects- ongoing.
Sr.
No.
Title of the project
Date of Sanction
and duration
PI/Co-I
Funding
Agency
Amount
1.
2.
20. Information about papers published in National/International peer reviewed/UGC –CARE listed
Journals in last seven years
Sr.
No.
Author
Title of
paper
Journal Volume Year
Impact
Factor/Citation Index
1.
2.
21. Information about papers published in proceedings of National / International conferences in last
seven years:
Sr.
No.
Author
Title of
Paper
Name of the
Conference
Page No. Year
1.
2.
22. Information about Books/Chapters in Books published with ISBN
Sr.
No.
Title ofBooks/Chapters Authors Publisher Year ISBN
1.
2.
23. Information about participation in Conferences/Seminars/Workshops-
Sr.
No.
Name of
Conference/Seminar/Workshop
presented paper/ Resource
person
Date
1.
2.
24. Information about patents filled/approved (Granted).
Sr.
No.
Title of Patent Author Name Filled -date
Approval
date
1.
2.

4. 25. Honours/Prizes/Awards/Fellowships received at State/ National / International levels.
Sr.
No.
Name of the
Honour/Prize/Award/Fellowship
Level
State/ National /
International
Awarding agency Year
1.
2.
26. Information about membership of various bodies / committees of the university and
college/institute.
Sr.
No.
Name of bodies/committees
(Senate/AC/MC/BoS/NAAC
/NBA etc.)
Name of the
Institute/Body
Year Duration /
Tenure
1.
2.
3.
27. Details of Conferences / Seminars / Workshops organized as a Convener at State/National/
International levels.
Sr.
No.
Name of the Event
Conferences / Seminars /
Workshops
Level
State/National/
International
Date organized
Name of the
Funding
agency
1.
2.
28. Efforts made for all-round personality development of students.
___________________________________________________________________________
___________________________________________________________________________
29. Significant achievements-
___________________________________________________________________________
___________________________________________________________________________
30. Contribution in curriculum development-(provide documentary evidence)
___________________________________________________________________________
___________________________________________________________________________
31. Teaching methods Used (use of ICT in teaching):
___________________________________________________________________________
___________________________________________________________________________
32. Contribution made in examination reforms:
___________________________________________________________________________
___________________________________________________________________________
33. Contribution made in the e-Content Development (Number of Modules developed):

5. ___________________________________________________________________________
___________________________________________________________________________
34. Justification for your suitability as a Best Teacher
___________________________________________________________________________
___________________________________________________________________________
Declaration
(format for Best Teacher Award)
(To be signedbythe applicantTeacherandthe Principal/Directorof the College/Institute onthe
letterhead)
We herebydeclare that
1. Our College/Institute has paid all the dues to the university.
2. No disciplinaryand/orlegal actionhasbeentaken or pending against the applicant teacher
by the College/Institute Management Committee, university and the Government for the
non-compliance of ordersand 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 the
Government.
4. The data and the information included in this proposal are true and correct to the best of
our knowledgeandthe relevantrecordsare availableinthe college/institute forverification.
5. We are aware that the university’sauthorized teamwill validate the informationprovidedin
this proposal for BEST TEACHER AWARD.
Name & Signature of the Name,Signature andseal of the
ApplicantTeacher Principal/Director
Date:
Place: