FEDERAL UNIVERSITY OF TECHNOLOGY, OWERRI

OFFICE OF THE REGISTRAR

(ESTABLISHMENTS/SENIOR PERSONNEL MATTERS UNIT)

ANNUAL APPRAISAL FORM (ACADEMIC TEACHING STAFF REVIEWED

CURRICULUM VITAE-TO-BE COMPLETED BY THE STAFF MEMBER.

PERSONAL DATA 28/05/2018

(i) Names (a) Surname AKALEZI
(b) Other Names: CHRISTOGONUS OUDNEY
(ii) SP Number: 2014
(iii) Date of Birth:15/10/1968 (iv) Sex: MALE

(iii) PRESENT Status, Grade Level and Statutory Salary: SENIOR LECTURER
CONUASS(II) 5 STEP 1
(iv) School/Unit: School of Physical Sciences
(v) Department: Department of Chemistry
(vi) Date, Status and Level of First Appointment in this University: February 3, 2005,
Assistant Lecturer
(vii) Last Change in Status in this University with Dates:
Lecturer 1, October 1, 2011
(viii) Reference and date of notification concerning and more recent consideration of
change in status :
(ix)
(x) Date of confirmation of appointment: Feruary 22, 2007
(a) Qualifications
A.1 Doctorates, if any (with dates) PhD, Physical Chemistry, FUTO , 2017
A.2 Masters Degrees if any (with dates) M.Sc. Physical Chemistry, FUTO, 2011
A.3 Other relevant academic or Professional Qualifications: B. Sc. Indust. Chemistry,
FUTO. 1989

Attached list divided into the following categories, indicating dates, authors, titles, journals,
publishers (where relevant) and pages. Items published or accepted for publications; or
productive work accepted since first appointment or last change of status (whichever is later)
should be marked with single asterisk. Joint authorship publications should be marked with
double asterisks. Attached copies of acceptance letters in respect but not yet published.

B.1 Published Papers in Referred Journals

24. Akalezi, C.O, Onyedika, G.O, Chahul, H. F, Oguzie, E.E.

Experimental and Theoretical Studies on the Corrosion Inhibition of Mild

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Steel in Acidic Media by Pentaclethra Macrophylla Plant Extract. Futo Journal
Series (FUTOJNLS) : 2467- 8325 Volume-2, Issue-1, pp- 265 – 280.

23. C.O. Akalezi, C.E. Ogukwe, E.A. Ejele and E.E. Oguzie. Corrosion
inhibition properties of Gongronema latifollium extract in acidic media. Int. J.
Corros. Scale Inhib., 2016, 5, no. 3, 232–247

22. C.O. Akalezi, C.E. Ogukwe, E.A. Ejele and E.E. Oguzie
Mild steel protection in acidic media using Mucuna pruriens seed extract. Int. J.
Corros. Scale Inhib., 2016, 5, no. 2, 132–146

21. Chris O. Akalezi, Emeka E. Oguzie, Cynthia E. Ogukwe, Everest A. EJele

Evaluation of anticorrosion properties of Chrysophyllum albidum leaves extract
for mild steel protection in acidic media. Int J Ind Chem (2016) 7:81–92:
DOI 10.1007/s40090-015-0057-5

20. Enenebeaku K. Conrad, Okorocha J, Nnaemeka, Akalezi O. Chris

Adsorptive Removal of Methylene Blue from Aqueous Solution Using
Agricultural Waste: Equilibrium, Kinetic and Thermodynamic Studies. American
Journal of Chemistry and Materials Science.2015; 2(3): 14-25

19. Chris O. Akalezi, Emeka E. Oguzie, Cynthia E. Ogukwe, Everest A. EJele

Rothmannia longiflora extract as corrosion inhibitor for mild steel, in acidic
media, Int J Ind Chem. (2015) 6:273–284: DOI 10.1007/s40090-015-0050-z

18. H. F. Chahul, C.O. Akalezi and A.M. Ayuba. Effect of Adenine, Guanine and
Hypoxanthine on the Corrosion of Mild Steel in H3PO4, Int. J. chem. Sci. (2015),
Vol 7, No. 1, pp 86-100

17. Cynthia E. Ogukwe, Gabriel O. Oze, Conrad E. Enenebeaku and Chris O

Akalezi, Chemical interaction of synthetic and natural remediating agents
with crude oil on agricultural soil, Der Chemica Sinica, 2014, 5(2):124-128

16. A. E. Ejele, C. O. Akalezi, I.C.Iwu,L.N.Ukiwe, C.K,Enenebeaku and S.U.Ngwu.

'Bioassay-Guided isolation,purification and characterization of
antimicrobial compound from acidic metabolites of piper umbellatum seed
extract'. International Journal of Chemistry (2014), 6(1),61-70.

15. Emeka E. Oguzie, Kanayo L. Oguzie, Chris O. Akalezi, Irene O. Udeze, Jude N.
Ogbulie, and Victor O. Njoku “Natural Products for Materials Protection:
Corrosion and Microbial Growth Inhibition Using Capsicum
frutescens Biomass Extracts”, dx.doi.org/10.1021/sc300145k | ACS
Sustainable Chem. Eng. 2013, 1, 214-22

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 14. C.O. Akalezi, C.K.Enenebeaku, E.E.Oguzie.'Inhibition of acid corrosion of mild
steel by biomass extract from the petersianthus macrocarpus
plant'.Journal Materials Environment Science, (2013),4(2) ,217-226.

13. C. Akalezi, C. Enenebeaku, B. Okolue, E. Oguzie, ‘Potentials of Hyppocratea

planch leaves extract as inhibition towards the corrosion of mild steel in acidic
media’, Der Pharma Chemica, 2012, 4(3): 1195-1205

12. C. O.Akalezi, C.K.Enenebeaku and E.E.Oguzie."Application of aqueous extracts

of coffee senna for control of mild steel corrosion in acidic environment".
International Journal of Industrial Chemistry (2012),
3:13 doi:10.1186/2228- 5547-3-13.

11. C. E. Ogukwe, C.O. Akalezi, M. A. Chidiebere, K.L. Oguzie, Z.O. Iheabunike,

E. E. Oguzie, Corrosion Inhibition and Adsorption of Anthocleista
Djalonesis Leaf Extract on the Acid Corrosion of Mild Steel;
Portugaliae Electrochimica Acta, 2012, 30(3), 189-202, DOI:
10.4152/pea.201203189

10. E.E. Oguzie, Z.O. Iheabunike, K.L. Oguzie, C.E. Ogukwe, M.A. Chidiebere, C.K.
Enenebeaku, C.O Akalezi." Corrosion inhibiting effect of Aframomum Melegueta
extracts and adsorption characteristics of the active constituents on mild steel in
acidic media ". Journal of Dispersion Science and Technology, (2012), 34(4),
516-527.

9. C.O. Akalezi, C.K. Enenebeaku, C.E. Ogukwe and E.E. Oguzie. " Experimental
And Quantum Chemical Studies Of The Corrosion Inhabitation of Mild
Steel In Academic Media By Malachite Green Dye". Journal of Chemical
Society of Nigeria, (2012), 37,(1), 117-124.

8. Chris O. Akalezi, Cynthia E. Ogukwe , Conrad K. Enenebeaku & Emeka E.

Oguzie. "Corrosion Inhabitation of Aluminium Pigments in Aqueous
Alkaline Medium Using Plant Extracts". Environment and pollution, (2012)
1(2), 45-60

7. Oguzie E.E, Enenebeaku C.K. Akalezi C.O, Aneke.J.N. Corrosion inhibition

and Adsorption behavior of Malachite green dye on Aluminium Corrosion.
Chemical Engineering Communication, (Taylor & Francis Group), (2011),
198 (1),46-60.

6. Oguzie E.E, Enenebeaku C.K, Akalezi C.O, Okoro S.C, Ayuk A.A, Ejike E.N.
Adsorption and Corrosion inhibiting effect of dacryodis edulis extract on low-
carbon-steel corrosion in acidic media. Journal of Colloid and Interface
Science,(2010),349,283-292.

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 5. I.J. Alinor, C.O. Akalezi, Proximate and mineral Composition of Dioscorea
rotundata (White Yam) and Colocasia esculenta (White Cocoyam),
Pakistan Journal of Nutrition , 9

4. James N. Aneke, Chris O. Akalezi, Maimillian I. Chibuike, Emeka E. Oguzie,

Luke N. Ukiwe, Proximate Characterization of the Methanolic extract of Cassia
alata leaves, The African Journal of Plant Science and Biotechnology 4(1), 118-
120, (2010): Global Science Books.

3. E. E. Oguzie, C. O. Akalezi, C. K. Enenebaku , Inhibitive effect of methyl green

dye on the corrosion of low carbon steel in acidic media, Pigment and
resin Technology ( Emerald group Publishing Ltd UK) 386 (2009)
359-365

2. Luke N. Ukiwe, Chris I. Nwoko, Chris O. Akalezi, The Role of pH and Acids in
the Extraction and Precipitation of Lignin in Cashew (Anacardium
occidentale), The African Journal of Plant Science and
Biotechnology 3(1), 86-88, (2009): Global Science Books

1. Oguzie E.E, Njoku V.O, Enenebeaku C.K, Akalezi C.O.”Effect

Hexamethylpararosaniline chloride on mild steel corrosion in acidic media,
Corrosion Science (2008), 50, 3480-3486.

B.2.1 MINOR PRODUCTIVE WORK

B.2.2 MAJOR PRODUCTIVE WORK (Such as technological, inventions. Significant and

Useful Products, Pilot plant Developments in techniques or in Teaching or Organizational
Methods etc.) … ….. … …

B3 BOOKS IN MAIN DISCIPLINE AND PUBLISHED BY REPUTABLE

PUBLISHERS AT THE FOLLOWING LEVELS
B.3.1 University Teaching and Research
… … …

B.3.2 University Text

i. Ayuke.A.A., Akalezi. C.O., Duru, C.E.
“Reaction Kinetics of chemical Compounds” ISBN: 978-072-509-1
Supreme Publishers, Owerri Nigeria

ii. Chris O. Akalezi

“Organic Chemistry Fundamentals” ISBN: 978-219-748-3
Benzene Concepts, Owerri, Imo State

B.3.3 Others:

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B.4 Chapters in researched books (in main discipline/teaching area at the University/research
level).
B.5 Technical/technical reports
B.6 Published short notes

(C) TEACHING AND PROFESSIONAL EXPERIENCE

C.1 Full-Time Post Masters teaching in a University or at an equivalent level (give Dates,
Employees, Posts Held)

Federal University of Technology Owerri, Department of Chemistry

2005-2008. . . . .. . . . . . . . . . . . . . . . . ASSTISTANT LECTURER
2008-2011 . . . . . . . . . . . . . . . . . .. . . . LECTURER 11
2011-PRESENT…………………………LECTURER 1

C.2 Relevant Professional Experience in Industry of Appropriate Non-Teaching Institution

(give Dates, Employees, Posts held):
(1) 1998- 2005: Technical Support Officer with EMMYSON Nigeria,
(Fine Chemical marketers, Paints and cosmetic chemical distributors and consultants)
(2) 1990- 1998: CHEMIST 1- Nigerial Iron ore mining Company (NIOMP), Itakpe, Kogi
State,

C.3 Specify any Degree Programme development work, participated in major seminars,
supervision of graduate and postgraduate work, or other teaching/professional
experience you consider relevant material especially since appointment/last change of
grading in this University.

iii. JOURNAL PAPER REVIEWING FOR , 2009 – 2012.

vi. PARTICIPATED IN THE 2007 CHEMICAL PRINCIPLE EXHIBITION IN CHEM.

DEPT. FUTO 24TH Feb., 2007.

vii. PARTICIPATED IN TRAINING OF TRAINERSWORKSHOP ON “PLANNIN AND

WRITING GRANT ORIENTED PROPOSALS (25-27 JUNE 2007) AT UNIVERSITY
OF IBADAN, IBADAN NIGERIA POST GRADUATE SCHOOL

1. SUPERVISION OF GRADUATE WORK

(i) B.Sc. Supervision (2005-2011 only): A Total of 33 Project Students.

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G. OTHER RELEVANT INFORMATION

G.1. State any significant experiences gained during the reporting period and how they have
improved your performance in University activities

[1] Extraction(using various solvents) and Isolation(using column chromatography) of

phytoconstituents from Plants,

[2] Established a well developed undergraduate research programme on the study of

organic corrosion inhibitors, including assessment of plant extracts for corrosion
inhibiting efficacy.

D. CONFERENCE AND LEARNED SOCEITIES ACTIVIES

D.1 Conference Attended and Papers Read with Dates since joining the University:
i. 4th National Conference on the Application of Science for National Development and
Exhibition Mubi, 10th – 12th June 1999. “Analysis of the Vitamin Content of Telfaria
Accidentalis (Fluted Pumpkin)”.

ii. The Tropical Environmental Forum (TEFO)

2nd National Conference Calabar , July 7th -9th, 1999 ‘Determination of the Active
Principles of Garcinia Kola Seed” (Bitter Cola)”

iii. Tropical Environmental Forum (TEFO) 3 rd National Conference Calabar, May 24th -26th,
2000. “Preparation of Glycerine from Palm Husk and Animal Fat”.

iv. 5th National Conference on the Application of Science for National Development and
Exhibition Mubi, June 14th – 17th 2000. “Unhealthy Air Particulates matter: A Case Study
of Orji Mechanic Village in Owerri. Imo State .”

v. Chemical Society of Nigeria (CSN) 23rd Annual international Conference (Awka 2000)
September 24th – 28th 2000. “The Effect of Aluminium Industry Effluent on River
Mbaa”.

vi. Tropical Environment Forum (TEFO) 4 th National Conference Uyo, October 30 th

November 1, 2001. “Vitamin E Content of some African Nuts”.

vii. Chemical Society of Nigeria (CSN) 25 th International Annual Conference (CANAAN

2002) Calabar, September 23rd – 27th 2002. “Cellulose Assay of Sugarcane Fiber
(Bagasses)”.

viii. Chemical Society of Nigeria (CSN) 26 th International Annual Conference (BENUE

2003) 22nd – 26th September 2003 “Phytochemical Screening on the Leaves of
Sanseviera trisfasciata (Ebube Agu)”.

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ix. Annual General Meeting and Conference of Nigerian Corrosion Association (NICA) Port
Harcourt 2004. (25-27 March 2004) “Studies on the Inhibitive Action of Methylene Blue
Dye on Aluminum Corrosion in KOH Solution”. J. of Cor. Sc. & Tech I, I, 2004, 88-91.

x. Chemical Society of Nigeria (CSN) 27th International Annual Conference (BENIN

2004), 20th -24th Sept. 2004. “Corrosion inhibition of Mild Steel in Sulpuric Acid
Solution by Congo Red Dye I”.

xi. A Resource Person to a National Conference on School Sanitation and Hygiene for
Schools in Nigeria. “Solid Waste and Agricultural Development in Schools” held at the
following venues and dates:

South-East 16/11/04 Owerri

South-South 19/11/04 Port Harcourt
South-West 25/11/04 Ibadan
North-Central 30/11/04 Abuja
North-East 7/12/04 Bauchi
North-West 14/12/04 Kaduna

xii. 30th International Conference of the Chemical Society of Nigeria (CSN), ASOCHEM
ABUJA 24th – 28th Sept. 2007. “EICHRONIA CRASSIPES FROM SOUTHERN
NIGERIA WATERS AS A WATER QUALITY INDICATOR”.

xiii. 33rd Annual International Conference, Workshop and Exhibition of Chemical Society of
Nigeria(CSN) OGUN 2010.”Chemical Compositions of Leaves and Stem of Essential
Oils of Calatropics procera” 20th-24th September, 2010.

xiv. 34th Annual International Conference, Workshop and Exhibition of Chemical Society of
Nigeria (CSN) KWARA 2011.”Chemical Interactions of Natural and Synthetic
Remediating agents with Crude Oil Spilled Agricultural Soil” 19 TH - 23RD September
2011.
xv. 35th Annual International Conference, Workshop and Exhibition of Chemical Society of
Nigeria (CSN) HEARTLAND 2012. “TETRAPLEURA TETRAPTERA FRUIT
EXTRACT AND ITS CORROSION INHIBITION PROPERTIES ON MILD STEEL
IN AQUEOUS ACIDIC MEDIA” 17TH – 21ST September 2012 .

D.2 Active Membership of Relevant Professional Body(ies).

a. LIFE MEMBER CHEM. SOC. OF NIGERIA SINCE 1999

b. TREASURER (2003-2005), CHEM. SOC. OF NIGERIA IMO/ABIA CHAPTER

c. FINANCIAL SEC. (2005-2006), CHEMICAL SOCIETY OF NIGERIA IMO/ABIA

CHAPTER.

d. MEMBER, SCIENCE ASSOCIATION OF NIGERIA

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 e. MEMBER, NIGERIAN CORROSION ASSOCIATION (NICA)

f. MEMBER, REGISTERED ENVIRONMENTAL PROFESSIONAL (NREP), 2005.

g. MEMBER, INSTITUTE OF CHARTERED CHEMIST OF NIGERIA (ICCON) –

INDUCTED November, 2009.

h. TREASURER (Nov.2011-DATE 2014), CHEMICAL SOCIETY OF NIGERIA

IMO/ABIA CHAPTER.

E UNIVERSITY ADMINISTRATION
E.1 Any headship, in this University with dates:
E.2 Membership of university/school committees, in this University with dates:

a. SOSC DEANSHIP ELECTORAL COMMITTEE 2014, MEMBER

b. SOSC DEANSHIP ELECTORAL COMMITTEE 2004, MEMBER

c. SOSC TECHNICAL COMMITTEE 2004 – 2006 MEMBER

d. MEMBER FUTO EXT. SERVICES & WELFARE 2005 – 2008

e. MEMBER EQUIPMENT/LAB COMMITTEE (SOSC) 2006/2007 SESSION.

E.3 HALLMASTERSHIP/STUDENT ADVISORSHIP /SIWES / LABORTORY

ORGANIZATION/OTHERS
Internal University services, in this University with dates:
1 MEMBER -POSTGRADUATE EXAMINATION BOARD (CHEM. DEPT.) 2005 –
DATE 2014.

2 SIWES CO-ORDINATOR CHEM. DEPT 2005/2006

3 MEMBER –EQUIPMENT AND CHEMICAL PURCHASING COMMITTEE

2005/2006 SESSION.

4 YEAR ADVISER- FROM 2003/2004 TO 2007/2008 SESSION

5 CHAIRPERSON- WELFARE COMMITTEE CHEM. DEPARTMENT 2005 to 28 Jan

2014.

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 6 CO-ORDINATOR- CENTER FOR CONTINUING EDUCATION (CCE) FUTO FOR
CHEMISTRY DEPARTMENT, 2006 TO 2008.

F. COMMUNITY SERVICES:
Give details (e.g. research extension work, services on public bodies, membership of
socio-cultural groups, editorship of learned journals, public lectures, radio or TV talks,
service to learned and professional bodies, publications outside main fields etc.)

1. FINANCIAL SECRETARY-DORCAS GROUP, PRAISE CENTRE CHURCH

INTERNATIONAL, OWERRI (2000-2005).

2. MEMBER- BISHOPRIC & CONVENTIONAL PLANNING COMMITTEE OF

PRAISE CENTRE CHURCH INTERNATIONAL OWERRI (2002)

3. MEMBER- WOMEN IN TECHNICAL EDUCATION (WITED) IMO CHAPTER, 1992

to 2003.

4. MEMBER - WOMEN WING OF UFUMA DEVELOPMENT UNION, PORT

HARCOURT BRANCH, 1995 TO 2012.

5. RESOURCE PERSON- “THE WOMEN AS HELP-MEET IN THE FAMILY” NOV

2005 TO WOMEN OF EXCELLENCE IN PRAISE CENRE CHURCH, OWERRI.

6. SECRETARY, WOMEN OF EXCELLENCE, PRAISE CENRE CHURCH, OWERRI

AUGUST 2006 TO 2010.

7. MEMBER, PRAISE THEOLOGICAL INSTITUTION REVIEW COMMITTEE 22 ND

JANUARY 2008.

8. TREASURER, ACADEMIC STAFF UNION OF UNIVERSITIES, ASUU-FUTO

CHAPTER 6th Feb 2013 to DATE 2014.

9. LEADER, LYDIA GROUP OF WOMEN OF EXCELLENCE. PRAISE CENTRE

CHURCH INTERNATIONAL, OWERRI.

10. SECRETARY, ANNUAL CONVENTION PLANNING COMMITTEE, PRAISE

CENTRE CHURCH INTERNATIONAL, OWERRI. 2ND MARCH to Nov. 2014.

11. FINANCIAL SECRETARY, ACADEMIC STAFF UNION OF UNIVERSITIES,

ASUU-FUTO CHAPTER 2ND July 2015 to DATE.

G. OTHER RELEVANT INFORMATION:

G.1 State any significant experience gained during the reporting period:

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a. RESEARCH ON THE CORROSION INHIBITING EFFECT OF DIFFERENT
ORGANIC DYES.

b. ABILITY TO COMBINE UNIVERSITY DUTIES WITH CHEM. SOC. OF NIG (CSN)

ADMINISTRATIVE ASSIGNMENT.

c. ADDRESSED 400 AND 200 LEVEL SOSC STUDENTS DURING A SIWES

ORIENTATION PROGRAMME IN March 2006.

d. PRODUCTION OF POLYURETHANE FOAM IN CHEMISTRY LABARATORY

FUTO 24TH Feb. 2007.

e. GREATLY ASSISTED THE HOD CHEMISTRY DURING THE LAST SUCCESSFUL

(90% PASS) ACCREDITATION EXERCISE OF THE DEPARTMENT OF
CHEMISTRY (11TH-14TH Nov 2007).

f. ABILITY TO COMBINE YEAR ADVISER’S ADMINISTRATIVE WORK WITH

LECTURES, 2003-2008.

G.2 Describe any University activities (BCDE&F) above you performed very satisfactory.
a. CO-SUPERVISION AND EDITING OF POSTGRADUATE THESIS THAT WERE
SUCCESSFUL AT THE EXTERNAL EXAMINER’S LEVEL

b. ORGANIZED A WELFARE PACKAGE FOR EACH AFFECTED PERSON IN THE

DEPARTMENT
c. SUCCESSFUL PRESENTATION OF CHEMISTRY DEPARTMENT’S DATA TO THE NUC
AUDIT TEAM (9-11 May, 2007)

G.3 If so please explain the reason:

a. DECICATED MORE HOURS TO OBTAIN A SCIENTIIFIC RESEARCH WORK
THAT WAS EDUCATIVE AND PUBLISHABLE.

b. ENCOURAGED CHEM. STAFF TO GIVE A FINANCIAL SUPPORT TO OUR

AFFECTED COLLEAGUES.

c. STRICTLY ADHERED TO THE ACTING HOD’S INSTRUCTION AND BRIEFING

COUPLED WITH A THOROUGH STUDYING OF THE DEPARTMENTAL DATA.

(H) HUMAN RELATION

How would you describe your relationship with:
(a) YOUR SENIOR OFFICER? SATISFACTORY
(b) YOUR COLLEAGUES? SATISFACTORY
(c) STAFF WORKING UNDER YOU: SATISFACTORY

Any Note:…………………………………………………………………………..

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……………………………………………………………………………………………………
…………………………………………………………………………
Signature of Staff Member.

ANNUAL APPRAISAL FORM ACADEMIC TEACHING

STAFF/SUPPORT STAFF SCORE TABLE AND RECOMMENDATIONS

(To be complete by Dean, Director after Appraisal has met)

School of: …………

PhysicalSciences
….. 1601
SP. NO. …………………………….
Name of staff Member:…………Dr. Cynthia Ekwy OGUKWE………
Year: ……2014/2015 Session…………………………………………..

HEADING SCORE AT SCORE AT REMARKS

LAST PRESENT
APPRAISAL APPRAISAL
A. Qualifications

B. Publications & Other

Productive Works

C. Teaching &
Professional Experience

D. Conferences & learned

Societies Activities

E. University Administration

F.
TOTAL MARK Recommended
for promotion
Percentage

1. Comment on (G) of the Revised CV (if any)

2. Comments on (G) of the Revised CV (if any)

3. Add any explanatory notes concerning the score table:

4. Is a vacancy available in the event of promotion?

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5. (This section is to be completed by the member of staff being reported on.) The
comments of the Departmental Appraisal Panel have been brought to my attention. I
agree/ disagree for the following reasons:

6. Overall assessment and recommendations by the school/Unit Appraisal panel

(including any unsatisfactory aspects to be brought to the staff member’s attention:

7. To be completed by Deans/Librarian/ Director after the School Appraisal Panel has

met).
(a) I endorse the report and recommendations of the Department Appraisal Panel.
(b) I do not agree with the report and recommendations of the Departmental
appraisal panel for the following reason(s)

(Delete whichever is not applicable)

I therefore Recommend as follow:

To be promoted to Reader.

8. Does the Dean, Librarian/Director concur with 6 above?

If not indicate difference (a)
Date: Signature:
Dean:
School of:

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