APPLICATION FOR THE POST OF CAMPUS DIRECTOR

Note: (1) Please download the relevant Application form and carefully go through the Instructions and the Recruitment Rules for this post appended to the Application form.

(2) Even though initially appointed to a particular Campus, the Campus Director shall be liable for transfer to any other Campus.

Advt.No.: IMU/HQ/ADMN/CD/Rectt./2018/01 dtd. 17.03.2018

ON DIRECT RECRUITMENT / DEPUTATION

1	Name in full (in capital letters)
2	Fathers Name
3	Marital Status	Married / Unmarried
4	Sex	Male / Female
5	a) Date of birth (Day/Month/Year) b) Age as on the last date for receipt of applications by the University	________ /________ /________ _____Years_____ Months ____ Days
6	Are you a citizen of India?	Yes / No
7	(A) Community (GEN/SC/ST/OBC-NCL) (B) Are you Physically Challenged (PwD) candidate?	(A) (B) If Yes, please provide details and copy of self attested Medical certificate.

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8	a. Permanent address	b. Address for correspondence
		Mobile No. Email ID

Details of Educational Qualifications: Please give particulars of all examinations

passed and Degrees obtained starting with the High School Leaving (10th

standard/Matriculation)Examination.

Sl. No.	Name of the Board/University/ Institution	Examination/ Degree/ Diploma passed with year of passing	Distinction/ Class / Division	Subjects (Please mention field of specialization, honours, etc., where applicable	Percentage of marks

10. Details of Employment: Please give particulars of your present and past employment in chronological order, starting with the present one.

Sl. No.	Organization/ Institution	Whether Government/ Quasi-Govt./ Private **	Position held	Date of joining	Date of leaving	Scale of Pay/ Pay Band/ Grade Pay

**Public Universities and equivalent Educational Institutions, Government-aided colleges, Public Sector Undertakings and other such Autonomous organizations will be considered as Quasi-Government.

11. Details of Certificates/Testimonials/Commendations/Awards received:

12. Category: Candidates for the post of Director may be drawn from any of the 4 Categories given below. A given candidate can belong to only one of the 4 Categories. Please go through the qualifications prescribed for the post of Campus Director in IMUs Recruitment Rules appended to this application form.

Please tick any ONE of these 4 boxes:

Category 1	Category 2	Category 3	Category 4
(Academics)	(Research Organisations)	(Mariners)	(Naval Officers)

13. Fulfillment of Educational and Service Qualifications: Please fill the relevant fields pertaining to your Category only. Self-attested photocopies should be furnished as proof for educational qualifications. For service

qualification a certificate signed by a Notary Public supported by self-attested photocopies of relevant documents should be furnished as proof.

Category 1 -(Academics):-

Candidate qualified to be appointed as a Professor in any of the School(s) in IMU. However, the applicable age limit shall be 62 years.	Yes/ No Present Designation:_______________ ________________________________ Name of the University/ Institution/ Organisation: _______________________________ _______________________________ Scale of Pay:_____________________ AGP Rs.: ________________________ No. of years of experience in the present grade:__________________ Age: ___________________________

Category 2 Research Organisations :

(i) Graduate Degree in relevant engineering discipline. (Please specify): ______________________________________ _____________	(Please specify) Percent / Grade
(ii) Post Graduate Degree in relevant engineering discipline (Please specify): ______________________________________	Percent / Grade
(iii) Ph.D. Degree in Engineering (Please enclose copy of Synopsis of Thesis): ______________________________________	Title:______________________ Dept.:_____________________ University:_________________ Date of award:______________

(iv) Number of years of experience in the rank of Scientist F or equivalent in Research Organisation.	years months days (Please specify)
(v) Number of years of experience in the rank of Scientist G or equivalent in Research Organisation.	years months days (Please specify)

Evidence of publications in peer reviewed journals:

Category 3 Mariners:

(i) DG(S) recognized MEO Class I (Motor)/ Master Mariner (FG) Certificate of Competency.	MEO Class I (Motor) CoC Master Mariner (FG) CoC
(ii) Sailing experience at Management level within the meaning of STCW Convention in force.	years months days
(iii) A Ph.D. Degree in relevant discipline.	Yes/No, if Yes please mention the Discipline _______________________ Title:___________________________ Dept.:__________________________ University:______________________ Date of Award:___________________
(iv) At least 20 years total work experience in shipping industry (sailing, on-shore, academics, classification society, and other related fields). For the purpose of calculation of total work experience, the sailing experience shall be multiplied by a factor of two.	Yes/No years months days
[or] At least 10 years of sailing experience which includes 2 years sailing experience at Management level referred to in clause (ii) above.	Yes/No years months days

a) Evidence of publications in peer reviewed journals:
b) Extra Masters or Extra First Class or PGDMOM obtained prior to 2014 or Ph.D:

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Category 4 Naval Officers:-

Serving/Retired Naval officer with 5 years of experience in the rank of Commodore or equivalent/above and with experience in navigation/marine or electrical engineering/ naval architecture branches.	Yes/No years months days Name of the Rank: _______________ Name of the branch: ______________

a) Evidence of publications in peer reviewed journals:
b) Experience in Navy Training Institutes/Headquarters:

14. Details of Enclosures to be sent with the Application:

a) The following enclosures are common to all 4 categories of candidates:

1. Self-attested photocopy of 10^th standard certificate or equivalent in support of Date of Birth.
   
   
2. Self-attested photocopy of Community certificate/ PwD certificate.
   
   
3. Self-attested photocopies of Certificates/ Testimonials/ Commendations/ Awards.
   
   
4. Self-attested photocopies of evidence of published work publications as books and / or research/ policy papers in refereed journals.
   
   

b) Enclosures applicable to Category 1, 2 & 4 candidates:

1. Self-attested photocopies of U.G and P.G degree certificates.
   
   
2. Self-attested photocopies of P.G degree mark sheets or grade sheets.
   
   
3. Self-attested copy of Ph.D. Degree certificate in relevant discipline and copy of the synopsis of thesis.
   
   

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4. Certificate of Service Qualification as Associate Professor signed by a Notary Public and supported by self-attested photocopies of relevant documents.

c) Enclosures applicable to Category 3 candidates:

1. Self-attested photocopies of DG(S) recognized MEO Class I (Motor) Certificate of Competency.
   
   
2. Self-attested photocopies of relevant documents as proof as sailing experience at Management level.
   
   
3. Self-attested photocopy of Ph.D Degree in relevant discipline and copy of the synopsis of thesis.
   
   
4. Certificate of Service Qualification and Sailing experience signed by a Notary Public and supported by self-attested photocopies of relevant documents.
   
   

15. DECLARATION

(i)

I declare that I have carefully read and fully understood the various instructions, Recruitment Rules for the post and other conditions and I hereby agree to abide by them.

(ii)

I declare that all the entries made by me in this application form are true to the best of my knowledge and belief.

(iii) I declare that I have not suffered any punishment so far in my career and that no disciplinary or criminal case is pending against me.

(iv) I am aware that if any of the particulars furnished or statements made by me in the application are found to be false, my appointment (if selected) is liable to be terminated summarily by IMU without any notice and I agree to the same.

Place:

Date: __________________

To

The Registrar, Indian Maritime University, Headquarters, East Coast Road, Semmencherry, Sholinganallur (P.O.) Chennai-600119

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Endorsement from the Present Employer

The application of Dr./Mr./Mrs./Ms., submitted for the post of Campus Director in the Indian Maritime University is forwarded to the Registrar, Indian Maritime University, Chennai, India. He/She is working in this organization, viz.__________________ in the post of _________________ in a temporary/permanent capacity with effect from in the Scale of Pay Band / Grade Pay of Rs.___________ . He/She is drawing a basic pay of Rs.________________ . Further, it is certified that the applicant has not suffered any punishment and that no disciplinary or criminal case is pending/ contemplated against him/her.

(Signature of the forwarding officer with Seal) Place: Name:

Date: Designation:

To

The Registrar,

Indian Maritime University,

Headquarters, East Coast Road,

Semmencherry, Sholinganallur (PO),

Chennai -600119

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Application for the post of Campus Director DECLARATION OF MINIMUM SERVICE QUALIFICATION

(N.B. This Declaration should be signed by the candidate and got attested by a Notary Public)

I ___________________________ son/daughter of Shri. _____________________ hereby solemnly declare that I have worked in Organizations/Institutions as per the details given below:-

S. No.	Organization/ Institution name	Whether Govt./QuasiGovt./Private	Position held	Experience in Academics/Research Organizations/Marin e/Naval (Please Specify)	Date of joining	Date of leaving	Last drawn monthly salary

Date: Place:		Signature of candidate
	Attested by Notary Public With Seal

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Application for the post of Campus Director DECLARATION OF EDUCATIONAL/OTHER QUALIFICATIONS

(N.B. This Declaration should be signed by the candidate and got attested by a Notary Public)

I ___________________________ son/daughter of Shri. _____________________ hereby solemnly declare that I have Educational/other qualifications as per the details given below:-

S. No.	Category 1: *Academics	Category 2: *Research Organizations	Category 3: *Mariners	Category 4: *Naval Officers

1. *-The qualifications should be as per recruitment rules mentioned in Advt.
   
   
2. Write NA for columns which are not applicable.
   
   

Date: Place: Signature of candidate

Attested by Notary Public With Seal