Dr. D. Y.
Patil Group of Institutions’ Technical Campus
Dr. D. Y. Patil School of Engineering Lohegaon, Pune
Dr. D. Y. Patil Knowledge City, Charholi Bk., Via. Lohegaon, Pune – 412 105.
Form No. IQAC/28
Annual Performance Appraisal Form
Teaching staff
(Period of Appraisal: From 01st July to 30th June )
EMPLOYEE DETAILS:
Name of the faculty
Department
Designation
Date of Joining the Institute
Gross Salary
GUIDELINES:
The period of evaluation shall be 1st July to 30th June of any year.
All the information should be provided accurately and clearly. Additional information worth a mention may
be provided in separate sheets.
The faculty must refer the Performance Appraisal Scheme document for more details, before filling the
appraisal form.
Appraisal Committee for Faculty: Evaluating Authority (EA) is the HoD and the Reviewing Authority (RA)
is The Head of Institution (Principal).
Appraisal Committee for HoD: Evaluating Authority (EA) is the Head of Institution (Principal), the
Reviewing Authority (RA) is The Director (or the competent authority appointed on his behalf).
The EA shall verify all the information, by supporting proofs before commenting on the performance.
RECORDS OF ABSENCE (TO BE FILLED BY THE ADMIN / HOD OFFICE)
Sl. Type of Leave No. of Leaves Availed Signature of
Admin / HOD
No. Term - I Term - II with Date
1 Casual Leave ( CL)
2 Medical Leave ( ML)
3 Duty Leave ( DL)
4 Maternity Leave ( MTL) ( if applicable)
5 Leave Without Pay (LWP)
CATEGORY – I : TEACHING, LEARNING & EVALUATION
(MINIMUM SCORE REQUIRED: 75)
Sr. APIs API Score Self Evaluation
No. Allotted Evaluation by EA
1. Lectures, Tutorials, Practicals conducted 50
2. Extra Teaching Duties 10
3. Curriculum Enrichment 10
4. Participatory & Innovative Teaching-Learning
20
Methodologies
5. Examination Duties 10
6. Student Feedback 20
7. HoD's Feedback 05
TOTAL (I) 125
(Note: Attach supporting documents to validate the claim)
Note: *Minimum 80 % compliance is mandatory for point 1, below which no scores may be assigned.
CATEGORY – II : CO-CURRICULAR, EXTENSION & PROFESSIONAL DEVELOPMENT
(MINIMUM SCORE REQUIRED: 15)
Sr. APIs API Score Self Evaluation
No. Allotted Evaluation by EA
1. Student Centric Activity 20
• Inter-College Level Activity/ Event Convener/
Coordinator (20) Member (5)
• College Level Activity/ Event Convener/
Coordinator (10) Member (2)
• Certificate Course/ Add on Course with
min. 50% teaching (15) with no teaching (5)
• Guest Lecture for Students (2 per lecture)
2. Academic and Administrative Committees & 15
Responsibilities
• College level : Incharge (10) Member (2)
• Department level : Incharge (5) Member (1)
Sr. APIs API Score Self Evaluation
No. Allotted Evaluation by EA
3. Professional Development Activities 15
(attending seminars, conferences, workshops, talks,
lectures, dissemination, general articles, invited
lecture or talk, keynote talk, etc of duration less than
1 week) (3 each)
TOTAL (II) 50
(Note : Attach supporting documents to validate the claim)
CATEGORY – III: RESEARCH & DEVELOPMENT
(Minimum Score Required: AP-6K (05), AP-7K (10), AP-8K (15), Assoc. Prof (20), Prof. (25))
Sr. Self Evaluation
No. APIs Evaluation by EA
1. Sponsored Research Projects
30 lakhs and above ( 30 & 20)
05 to 30 lakhs (20 & 10)
01 to 05 lakhs (15 & 05)
Upto 01 lakh (05 & 01)
External Funding for Research Activities
2. ( Conf. / WS / Seminar / STTP / FDP etc)
05 to 10 lakhs (Maximum 10)
01 to 05 lakhs (Maximum 05)
0.5 lakh to 01 lakhs (01)
3. Publications
Journal (15 & 10)
Conf. Proceedings (full paper with ISBN No.) (10 & 5)
Conf. Proceedings (full paper without ISBN No.) (5 & 3)
Technical Articles (3)
4. Invited lectures / Paper Presentation
International Conf. (7 per lecture / 5 per paper presented)
National Conf. (5 per lecture / 3 per paper presented)
State / University level (3 per lecture / 2 per paper presented)
Sr. Self Evaluation
No. APIs Evaluation by EA
5. Student Publications (15 max)
Journal (full paper) : 5/ publication
Books and Chapters in Books
6. International Publisher : 30 per book & 10/ chapter for single author
National Publisher : 20 per book & 05/ chapter for single author
Patent
7. Overseas (50) Indian (25)
Industrial Training / Online courses (Max: 15 points)
8.
More than 2 weeks (10) , Up to 2 weeks (05)
Courses/ Programs Attended (Max: 10 points)
9.
International (Overseas) (20)
International (India) (10)
National/ State/ University (5)
10. Courses/ Programs Organized for Faculty (Max: 10 points)
International (10) National / State / University (5)
Research Guidance
11. Ph.D. (20 & 10)
M.Phil & Masters by Research (5)
Research Evaluation and Review (Max: 10 points)
12.
Ph.D. (5), M.E./M.Tech (3) Journal / Conf. (2)
Collaborative Research
13.
International (10) National (5)
14. Product / Process Development (10 / 05)
15. Collaborations / Donations / Lab. Dev. ( 03 each)
16. Consultancy Projects:
Amount mobilized with a minimum of Rs.10 lakhs.
(10 for every Rs.10 lakhs)
17. MOU / T & P Activities ( 03 each)
18.
Fellowships / Awards:
International Award / Fellowship from academic bodies
(15 per Award / 15 per Fellowship).
National Award / Fellowship from academic bodies
(10 per Award / 10 per Fellowship).
State / University level Award from academic bodies
(05 per Award).
TOTAL (III)
EVALUATION SUMMARY:
Minimum Self Evaluation
APIs Required Evaluation by EA
Category – I :
75
Teaching, Learning & Evaluation
Category – II :
15
Co-Curricular, Extension & Professional Development
Category – III :
Research and Development
Total
(Note: Attach supporting documents to validate the claim)
ADDITIONAL COMMENTS (if any) by THE FACULTY
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
Date: Signature of Faculty
ASSESSMENT by The HoD (EA)
(The assessment should be based predominantly on the criterion mentioned. The opinion of
colleagues, subordinates, superiors will be given due weightage. The overall utility/ contribution of
the candidate to the department and institute are assessed. In case of interdepartmental or FY
assignments, EA should seek remarks from the concerned HoD as the case may be)
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
On a 10 point scale, the performance of __________________________ can be rated at _______
Date: Head of Department
REVIEW of ASSESSMENT & RECOMMENDATION by The Director (RA)
___________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
Date: Director
Edited by Recommended by Approved by
Dr. S. M. Khairnar Dr. S. S. Sonavane Hon. Dr. Ajeenkya D. Y. Patil
Dean (R&D) Director Chairman
