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PIAT PBAS MANAGEMENT SYSTEM

Directorate of Ayurveda Medical Education, Kerala

Part A: GENERAL INFORMATION

Academic Year

Name of College

1. Name (in Block Letters)

2. Father's/Mother's Name

3. Department

4. Current Designation

5. Date of last promotion (CAP)

8. Telephone & Mobile No

7. Permanent Address (with Pincode)Manjappillil Illom, VP 28/C, Sowparnika Lane, Kundamon Bhagam Peyad PO, Thiruvananthapuram

9. Email

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Log PBAS Activity

Category -- Select -- Category I (Teaching) Category II (Extension) Category III (Research)

Main Activity-- Select --

Sub-Activity-- Select --

Description / Date

Probable Score

Claimed Score

Current Academic Ledger

Cat	Activity	Details/Date	Score	Action

DIRECTORATE OF AYURVEDA MEDICAL EDUCATION

Annual Self-Assessment Proforma for the Performance Based Appraisal System (PBAS)

Academic Year

Name of College:

Part A: GENERAL INFORMATION

1. Name (in Block Letters)
2. Father’s Name/Mother’s Name
3. Department
4. Current Designation and Pay
5. Date of last promotion (CAP)
6. Address for correspondence	Same as Permanent address
7. Permanent address (with Pincode)
8. Telephone & Mobile No
9. Email

PART B: ACADEMIC PERFORMANCE INDICATORS

Score Summary

Indicator Category	Score Claimed
Category I Total (Max 100)	0
Category II Total (Max 100)	0
Category III Total	0
GRAND TOTAL PIAT SCORE	0

LIST OF ENCLOSURES (ANNEXURE)

I certify that the information provided is correct as per records available with the university and/ or documents enclosed along with the duly filled PBAS Performa[cite: 90].

Signature of the Teacher with Designation, Place & Date [cite: 91]

Signature of HOD / Principal

Report generated via Kerala Ayurveda Faculty Portal (piatscoring.blogspot.com)