Signature of the applicant ____________ _____________________ *Name as signed (in BLOCK LETTERS)*Application not Date : ______________________ signed by the candidate is liable to be rejected. Name Male/Female Married / Unmarried (in Capital Letters) Date of Place of birth Category: Gen/SC/ST/OBC/PWD/others Name of the Name of the Board/ Month & Year CGPA A. Educational qualifications Division % of Marks course University Passed/Award (if applicable) Bachelor’s degree Master’s degree Ph.D. with course work/Ph.D. with M.Phil/Ph.D. with M.Tech/Ph.D. with Pharm/Ph.D with NET or Equivalent at national level NET/SLET NET-JRF/Equivalent Medals Level National Level 6. Teaching Experience No. of years No. of months Under-graduate level Post-graduate level experience reflecting research Research Experience after Ph.D Post-doctoral: Teaching/Research Published[ISBN 7. Publications Accepted /In Print(Nos.) Communicated / ISSN] (Nos.) International Journal Indexed in Thomson Reutor Paper/Book Chapter National Journal indexed & peer reviewed Books published Other publications Total No. of Citations h-index (excluding self-citations) 11.Research Quality In India Abroad (No.) (No.) (No.) 12.Seminars/ Conferences/ Workshops/ Training programmes, organized etc. 13.Peer recognition (Fellowship of National/international organizations, editor of national/International journals/ Significant contribution in work place developmental Activities
Date : ______________________ Signature of the applicant ____________ _____________________ *Name as signed (in BLOCK LETTERS)*Application not signed by the candidate is liable to be rejected. Name (in Capital Letters) Male/Female Married / Unmarried Date of Place of birth Category: Gen/SC/ST/OBC/PWD/others A. Educational qualifications Name of the course Name of the Board/ University Month & Year Passed/Award Division % of Marks CGPA (if applicable) Bachelor’s degree Master’s degree Ph.D. with course work/Ph.D. with M.Phil/Ph.D. with M.Tech/Ph.D. with Pharm/Ph.D with NET or Equivalent at national level NET/SLET NET-JRF/Equivalent Medals Level National Level 6. Teaching Experience No. of years No. of months Under-graduate level Post-graduate level experience reflecting research Research Experience after Ph.D Post-doctoral: Teaching/Research 7. Publications Published[ISBN / ISSN] (Nos.) Accepted /In Print(Nos.) Communicated International Journal Indexed in Thomson Reutor Paper/Book Chapter National Journal indexed & peer reviewed Books published Other publications 11.Research Quality h-index Total No. of Citations (excluding self-citations) 12.Seminars/ Conferences/ Workshops/ Training programmes, organized etc. In India (No.) Abroad (No.) (No.) 13.Peer recognition (Fellowship of National/international organizations, editor of national/International journals/ Significant contribution in work place developmental Activities
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