PART ‘A’

SELF APPRAISAL : 20___/___

K.V.N.Naik Shikshan Prasarak Sanstha’s

LOKNETE GOPINATHJI MUNDE INSTITUTE OF
ENGG.EDU.& RESEARCH,NASHIK
Canada Corner,Nashik - 422002
Personal Information

1. Name :
2. Designation :
3. Name of the Department :
4. Email :

5. Telephone / Mobile number :

6. Academic Year of Performance Appraisal :

0 – Unable to judge.

1 – Needs improvement in performance.

2 – Meets expected performance criteria marginally.

3 – Meets expected performance criteria and has documented evidence of productivity.

4 – Exceeds performance criteria frequently and has documented evidence of productivity

5 – Exceeds expected performance criteria consistently and has documented evidence of productivity.

A. Theory -

S. No. Subject Name Sem I Sem II Class Result

 I state the course objectives and grading Procedures clearly in each course syllabus.

I rate myself for Classes Conduction in Liker Scale as …………………………..

 I am confident of my comprehensive knowledge and mastery of the subject matter of each

course that I have taught.
My Evaluation for my subject Knowledge acquisition in Liker Scale is …………………………..

 I encourage critical thinking and analysis in my classes.

 I rate myself for Encouraging students with New Ideas as ………………………….

 I encourage my students to seek my help outside of class on a regular basis for the tutorial
assistance and conference time they need to support and enhance their academic success and I
rate myself for it as …………………………

B. Use of Teaching – Learning Material:

Submission of Use of E – Formation of

SN Class (Year) Branch Name of the subject Teaching Plan to Sources Own Notes
HOD. (Yes / No ) (Yes / No) (Y / N)

 I prepare well-planned and organized presentations for each class.

I evaluate myself for Teaching Materials & Planning as per points table as …………………………..

C. Membership of Professional Body

S. Name of Professional Subject/ Type of Membership

Valid up to
No. Society Dept Membership No

D. Paper Publication / Presentation in Journals / Conferences (National or International)

Name of Date of Date of

National / Volume
SN Journal / Title of paper Presentatio publicati
International No.
Conference n on

Achievements (if Any) :-

E. University Activities

Papers / Insem Exam

CAP Center /
S. No. Internal / External Theory / Practical Students
College name
Evaluated

F . Duties Performed (Curricular & Extra Curricular)

S. No. Duty Name Curricular Extra Curricular Role Played

 I serve competently in completing all departmental/College and University responsibilities

assigned to me.
For duties assigned to me, I rate myself as ………………………..

 I work cooperatively and effectively with Departmental colleagues, Office Staff and Other
Departmental Staff.
For my Cooperation and communication with other staffs I evaluate myself as …………….
  I rate my communication skills and Overall appearance and behavior on Likert Scale as ……………

G. Participation in Preparation of Funding Proposal to be Submitted (under AQIS) / R & D /

MODROB / DST / CSIR / S & T / UGC / TEQUIP / University / Government
Cost of
Name of Funding Agency – Duration of Date of Status as
SN Scheme in
proposal details scheme submission on toady
Lakh

H. Sponsored Projects Sanctioned & Executed

Name of
Funding Agency – Date of Project Cost Duration Status of
SN Scheme / Role Play
details Sanction in Lakh of scheme Execution
proposal

 According to my analysis, I need training of Following subjects / Trends / Activities. So I am

requesting my higher authorities to plan or depute me for Training sessions for my development
which will help me to get transform in better professional.

 During this Academic Year, I have come across following Difficulties. I would like to bring in kind
notice of Higher Authorities so that we can perform better.
 PART B

FACULTY APPRAISAL (to be filled by Head of Department)

Sr. No Parameters HOD Remark

A Theory / Practical Conduction

B Use of Teaching Material

C Duties Assigned

D Punctuality

E Subject Preparation

F Communication Skills

G Team Work

H Overall Appearance

Following Improvements are suggested to faculty member as per his/her performance in the specified
academic year. (Select your response and mark your suggestions in Remark column)

01 Students’ Feedbacks Satisfactory Unsatisfactory Remarks :

02 Communication Beginner Intermediate Fluent Remarks :

03 Personality Pleasant Moderate Poor Remarks :

04
Personality Development Needs :-

05 HOD’s Remark :-

Signature :-

Name of HOD :-

Date :-
 PART C

FACULTY APPRAISAL (to be filled by Head of Institute)

1. Length of service of faculty member?

2. Are you satisfied that the Reporting officer has made his / her report with due care and after taking
into account all the relevant material?

3. Remarks about any meritorious work or otherwise of the Faculty Member.

4. Remark about grading of the Faculty Members by the Reporting Officer.

5. Has the Faculty Member any special characteristics, and/or any abilities which would you like to
appreciate. If so, specify.

Remarks :-

Dr. K.V.Chandratre
(Principal)