FAC/ 2A
Displine
University /
Year
Board
Division /
Grade/
Percentage
of Marks
Remarks if any
(Rank, Hons etc.)
High
School
(Class- X)
Higher
Secondary
( +2 )
Bachelors
(B.A./B.Sc.)
(B.E./B.Tech)
Masters
(M.A./M.Sc.)
(M.E./M.Tech.)
Doctorate
(Ph.D./D.Sc.)
Others (JEE
Rank, GATE
Score, GRE Score
etc.)
7.
Employment (in descending chronological order starting with the present employer):
Employer
Post
Pay Scale
Period of Employment
From
To
Previous Review,
if any, at NIT,
Rourkela
8.
Summary of Performance:
U.G.
P.G.
In Journals
Past five years
Total
In Conferences/Symposia
Past five years
Total
Published (Nos.)
Communicated (Nos.)
Thesis Supervised
Completed
In Progress
M. Tech./ M. Phil
Ph.D.
Sponsored Projects
Consultancy Projects
Sponsored/Consultancy
Projects
-
Completed
In Progress
Proposals under
review
Authored
Edited
Books
9.
3.
Sex
4.
Marital Status
5.
________________________________________________
________________________________________________
(a) Nationality :
(b) Category:
_______________________________________________
SC
8.
ST
YES
OBC
NO
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
Pin Code _______________________________________
Telephone No ___________________________________
Mob.No. ______________________________________
e-mail ID______________________________________
Permanent Address
(Mention Tehsil, District and State
you belong to)
_______________________________________________
_______________________________________________
_______________________________________________
Fac-2B-2
9.
Academic Qualifications: (1) Please attach Xerox copies of certificates including Date of Birth.
(2) Give particulars in a chronological order starting with High School Certificate.
Sl. No.
Degree/
Subject/ Specialization
Certificate
Division/ Grade/
Year
University
% of Marks
/Board
11.
To
Fac-2B-3
12.(a) Title of your M.Tech./Ph.D. Thesis with name and address of Ph.D. Guide.(Enclose abstract of thesis)
Degree
Title of Thesis
Guide
University
(1) M. Tech,
(2) Ph. D.
(b)Thesis supervised
Degree
Name of Student
Year
Co-Supervisor,
Completed
if any
Ph. D.
(1)
(2)
(3)
(4)
(5)
(c ) Sponsored Research/Consultancy Projects - Completed/In progress/Proposal under review
(If space is insufficient attach separate sheet)
_______________________________________________________________________________________
Title of Project Whether
Duration
Amount of
Sponsoring
Co-Investigator(s),
Completed or
Grant
Agency
if any
in Progress
_________________________________________________________________________________________
(1)
(2)
(3)
(4)
(5)
(6)
_________________________________________________________________________________________
(i)
Sponsored Projects
(1)
(2)
(3)
(4)
________________________________________________________________________________________
Fac-2B-4
(ii)
Consultancy Projects
(1)
(2)
(3)
(4)
____________________________________________________________________________________________
(d) Publications :
(i) No. of reviewed publications. [Enclose list of publications in Reviewed Journals (mention co-authors(s),
Title, Journals, Months & Year, Page Nos.)]
(ii)
No. of research papers presented in Conferences {(Enclose list of papers presented in Conferences
Review/Research/Degree/Feasibility Reports.
Sl.
Title
No.
No. of
Co-author,
Pages
prepared
if any
13.
Title
(1)
Books Published:
Publisher
Year
Edition
Level
Reference
Co-author, if any
(2)
(3)
Fac-2B-5
14.
(a)
Teaching Experience:
Teaching at University level:
(i)
(ii)
(iii)
(b)
(c)
(d)
Innovations in teaching:
15.
16.
(i)
(ii)
Prizes/Medals/Awards/Divisions:
(1)
(2)
(3)
(iii)
Scholarship received:
(1)
(2)
(3)
(iv)
(v)
Fac-2B-6
17.
Reference
(At least names of three referees with their complete postal and electronic
addresses. Referees should be persons with, or under whom, the candidate has
worked)
_______________________________________________________________
________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
Place :
Date :
Fac-2B-7
Enclose the following: (Please use clear computer print on A4 size paper only, except
where it is not feasible)
Outline of research proposal that you would like to submit to a funding agency on
joining NIT Rourkela (Annexure I) (Also applicable to internal candidates).
1.
Syllabus of a specialized course in the area that you would like to introduce on joining
NIT Rourkela (Annexure II) (Also Applicable to internal candidates).
2.
4.
(a)
Journals
Author(s), Title of the Paper, Conference, Year, No. of Pages.
(b)
In Conferences/ Symposia:
Author(s), Title of the Paper, Conference, Year, No. of Pages.
(c)
5.
Details of Sponsored/Consultancy Projects handled during past five years -Annexure -VI
Note:
Candidates for the posts of Assistant Professor/Associate Professor should attach copies
of grade marks in courses taken during M.Tech./Ph.D. programmes and abstract of Ph.D.
thesis.
All candidates should enclose two copies of the reprints / preprints of three most
significant recent research publications.
Date __________________
Office Superintendent
(Establishment/Recruitment)
To
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________