NATIONAL INSTITUTE OF TECHNOLOGY JAMSHEDPUR Jamshedpur-831014, Jharkhand, India (An Institution of National Importance under MHRD, Government of India) Advt. No. NITJSR/REG/ADVT/2017-18/CD/124 Date:03.10.2017 Application form for Appointment of Assistant Professor (PB-3 with AGP Rs. 6000/7000/8000) (i) Post Applied with AGP for: Photograph (ii) Deapartment: (iii) Specialization: For Office Use (i) Registrarion No: (ii) Signature of the receiving officer: (iii) Date of Receipt: 1. Name in Full (In Block Letters) 2. Father’s/ Husband/Wife Name 3. Date of Birth: (dd/mm/year) Gender: Male/ Female Age: Marital Status: Married/ Unmarried National ity: Religio n: 4. Category (GEN/OBC/SC/ST/PWD) (Enclose proof) 5. Present Employment with Salary Details Institute/ Organization Designat ion Nature of Work Pay Band Grade Pay Total Salary (Per month) in Rs. 1
Transcript
NATIONAL INSTITUTE OF TECHNOLOGY JAMSHEDPURJamshedpur-831014, Jharkhand, India
(An Institution of National Importance under MHRD, Government of India)
Application form for Appointment of Assistant Professor (PB-3 with AGP Rs. 6000/7000/8000)
(i) Post Applied with AGP for:
Photograph
(ii) Deapartment:(iii) Specialization:
For Office Use(i) Registrarion No:(ii) Signature of the receiving officer:(iii) Date of Receipt:
1. Name in Full(In Block Letters)
2. Father’s/Husband/Wife Name
3. Date of Birth: (dd/mm/year)
Gender:
Male/Female
Age: Marital Status:
Married/Unmarried
Nationality: Religion:
4. Category (GEN/OBC/SC/ST/PWD)(Enclose proof)
5. Present Employment with Salary DetailsInstitute/Organization Designation Nature of
WorkPay Band Grade
PayTotal Salary
(Per month) in Rs.
6. Address for Correspondence
Pin Code:Tel.Nos./Fax Nos
Email
1
7. Permanent Address
Pin Code:8. Educational Qualifications (Please add more rows if needed)
Sl. No.
Degree Obtained Specialization Name of the University/Institute
Year of Passing
% of Marks/ CGPA
Class/ Division
(i) Ph.D.
(ii) M. Tech/MS/MCA/M.Sc./MBA/MA
(iii) BA/B.Sc./B. Tech.
(iv) XII Class
(v) X Class
(vi) Other if any
9. Ph.D. Degree Details(i) Ph.D. Thesis Title
(ii) Research area of Ph.D. Thesis work
(iii) (iv) Date of Submission of Ph.D.
Thesis(v) Date of the Award of Ph.D.
Degree(vi) Name(s) of Supervisor(s) &
Address
10. M.Tech/MS/MCA/M.Sc./MBA/MA Degree Details(i) M.Tech/MS/MCA/M.Sc./MBA/MA Dissertation Title
(ii) Area of M.Tech/MS/MCA/M.Sc./ MBA/MA
Dissertation work
(iii) Name(s) of Supervisor(s) & Address
2
11. Post Doctoral Fellowship Details(i) No. of years of Post Doctoral
Fellowship(ii) Area of Specialization
(iii) Institute/ R&D Lab
12. Industrial Experience Details (Post-Ph.D.) Post-Ph.D. Industrial Experience (in years): Industry/Organization Start Date End Date Duration Designation Nature
of work
Pay Scale
13. Industrial Experience Details (Pre-Ph.D.) Pre-Ph.D. Industrial Experience (in years):Industry/Organization Start Date End Date Duration Designatio
nNature
of work
Pay Scale
14. Teaching Experience Details (Post-Ph.D.) Post-Ph.D. Teaching Experience (in years):Institute/Organization Start Date End Date Duration Designation Nature
of work
Pay Scale
15. Teaching Experience Details (Pre-Ph.D.) Pre-Ph.D. Teaching Experience (in years):Institute/Organization Start Date End Date Duration Designation Nature
of work
Pay Scale
3
16. R & D Experience Details (Post-Ph.D.) Post-Ph.D. R&D Experience (in years): Institute/Organization Start Date End Date Duration Designation Nature
of work
Pay Scale
17. R & D Experience Details (Pre-Ph.D.) Pre-Ph.D. R&D Experience (in years): Institute/Organization Start Date End Date Duration Designatio
nNature
of work
Pay Scale
18. Administrative Experience Details Administrative Experience (in years):Institute/Organization Start Date End Date Duration Designation Nature
of work
Pay Scale
19. Courses Taught during last 3 years (Add more rows if needed)(i) Course Title Level (UG/PG) Branch No. of
20. Number of Courses Developed (Add more rows if needed) : Course Title Level (UG/PG) Branch
4
21. Number of Academic Programmes Developed: Programme Title Level (UG/PG)
22. Conducting Laboratory Classes During Last 3 years (Add more rows if needed)Course Title Level (UG/PG) Branch
23. Research Laboratories Developed (Add more rows if needed)(vi) Name of the Laboratory Level (UG/PG) Remarks
24. Number of Publications (Please attach a separate sheet with all details and also list the best SCI Journal papers along with ISBN No.):
Nature Published (SCI) In-Press (SCI)(i) Refereed Journals National (SCI)
International (SCI)
(iii) Conference Proceedings
National (SCI)International (SCI)
25. Number of Books Published: Title of the Book Name of
Author(s)Name of the
Publisher ISBN No.
Year of Publicati
on
Reprint No./
Edition No.
26. Number of Chapters Published:Title of the Chapter
& BookName of Author(s)
Name of the Publisher
ISBN No.
Year of Publication
Reprint No./
Edition No.
27. Editor of JournalsName of the Journal Name of the Publisher National
/International
28. Reviewer of JournalsName of the Journal Name of the Publisher National
/International
5
29. Ph.D. Thesis Supervised Completed: On-going: Title of the Thesis Research area Year Supervisor/
Co-SupervisorComplete
d/ On-going
30. Number of Post Graduate Dissertations Supervised:Title of the Dissertations Specialization Year of
CompletionSupervisor/
Co-Supervisor
31. Number of Patents: Name of Patent Awarding
OrganizationRegistration No. Date & Year of
Award Submitted if
any
32. Sponsored/ Industry Projects Completed: On-going:Title of the Project Sponsored
AgencyYear of
CompletionPI/
Co-investigatorTotal
Amount in Lakhs.
Completed/ Ongoing
33. Consultancy Projects Completed: On-going:Title of the Project Organization Amount of grant in
Lakhs.Period PI/
Co-investigator
34. Number of Awards/ Honours/Prizes/Medals: Awarded (Title)Proposed, if any
35. Number of Short-Term Courses/Workshop/ Symposiums/Seminars Conducted:Type of the
Course/Workshop etc.
Name of the Course/Workshop etc.
Sponsoring Agency
Period of Course
Coordinator/ Co-
Coordinator
36. Membership/Fellowship in Professional Bodies if anyName of the Professional Body Membership status (Life/ Annual)
37. Your immediate short-term plans for the development of research at NIT Jamshedpur. Also 6
include research and Laboratory facilities (equipment, space, funds, manpower) that you will need for the same(i) Research(ii) Laboratory Development
38. List the courses you would like to develop at NIT JSRCourse Title(s) Level (UG/PG)
39. List the courses you would like to teach at NIT JSRCourse Title(s) Level (UG/PG)
40. Number of Countries Visited:Country Name Period Purpose of visit
41. Mention notice period needed for joining if offered a post42. Name two referees with complete contact details including address, Tel. Nos., Fax Nos., Email
address(i)
(ii)
43. Application Fee: a. Draft No & Date:
b. Amount:
c. Issuing Bank:
44. Any other relevant information
45. List of Enclosures (Academic and Professional Qualifications)(i)(ii)(iii)(iv)(v)(vi)(vii)
7
(viii)(ix)(x)
DECLARATIONI hereby, solemnly declare that the information furnished in this application are true and correct to the best of my knowledge and belief. If at any time I am found to have concealed/ suppressed any material/ information or given any false details, my appointment shall be liable to be summarily terminated without notice of compensation.
Place:
Date: Signature of the Applicant
8
NATIONAL INSTITUTE OF TECHNOLOGY JAMSHEDPURJamshedpur-831014, Jharkhand, India
(An Institution of National Importance under MHRD, Government of India)
(i) As Sole Supervisor(ii) As 1st Supervisor(iii) As Co-Supervisor(s)
4 Journal Papers in SCI/Scopus (Paid Journal not allowed) [since last promotion]
(i) As first author / Main supervisor(ii) As co-author
5 Conference Papers indexed in SCI/Scopus/Web of Science Conference / any internally renowned conference
12
[Max 10 Credit Points](i) As first author / Main supervisor(ii) As co-authors / Co-supervisor
6 HOD, Dean, Chief Warden, Prof In-Charge (T&P), Advisor (Estate), CVO, PI (Exam), TEQIP (Coordinator)[Max 16 Credit Points since last promotion]
Position No of Sem(i) (ii) (iii) (iv)
7 Warden, Asst Warden, Associate Dean, Chairman/Convener institute academic committee, faculty in Charge Computer Center/IT Services / Library / Admission / Student activities and other institution activities [Max 8 Credit Points since last promotion]
Position No of Sem(i) (ii) (iii) (iv)
8 Chairman and Convener of different standing committee and special committee (ex officio status will not be considered). Faculty in charges (each for one yr duration) of different units or equivalent [Max 3 Credit Points since last promotion]
Position No of Sem(i) (ii) (iii) (iv)
9 Departmental activities identified by HODs like lab in charge, or department level committee for a min period of 1 yr. [Max 3 Credit Points since last Promotion]
No of Sem/Yr
Activity(i) (ii) (iii) (iv)
10 Workshop/FDP/Short term courses of min 05 working days duration offered as
13
coordinator or convener [Max 8 Credit Points since last promotion]
_________Nos
11 For conducting national programs like GIAN etc. as course coordinator [Max 4 Credit Points (of 2 weeks duration)/ Max 2 Credit Points (for 1 week duration) since last promotion] (i) Program of 2 Weeks duration _________Nos(ii) Program of 1 Week duration _________Nos
12 National/International Conference organized as Chairman/Secretary (Max 6 Credit Points since last promotion)
13 Length of service over and above the relevant minimum teaching experience required for a given cadre (Max 10 credit Points since last promotion)
14 Establishment of New Lab(s) (4 Credit points since last promotion)
15 Theory Teaching of over and above 6 credit hrs. course (Max 6 Credit Points since last promotion)
16 PG Dissertation Guided (Max 10 Credit Points since last promotion)
17 UG Dissertation Guided (Max 4 Credit Points since last promotion)
18 Text/Reference Books Published on relevant subjects from reputed International publishers (Max 18 Credit Points since last promotion)
_____Nos.
19 Text/Reference Books Published on relevant subjects from reputed national publishers or book chapters in the book published by reputed international publishers (Max 6 Credit Points since last promotion)
_____Nos.
20 Significant Outreach Institute Activities (Max 4 Credit Points since last promotion)
22 Placement % (Only for the placement cell officers/Faculty in-charge of Placement) (since last promotion) [Placement % above 85%, max 20 points, Placement % from 75-84%, max 10 points,
Total Credit Points
14
*Date of last promotion ______________________________________________________________
To claim credit points in different categories, enclose relevant documents with self-attestation.
There are ………….……………………………….number of enclosures with
……………………………pages attached along with this form.
DeclarationI hereby declare that the information furnished above is true to the best of my knowledge and
belief. If at any time it is found that I have concealed any information or have given any
incorrect data, my candidature/ appointment may be cancelled/terminated, without any notice
or compensation
Date: ………………….. [Signature of applicant with date]Place: ………………….
15
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National Institute of Technology Jamshedpur-831014Jharkhand (India)
(An Institution of National Importance under MHRD, Govt. of India)
Candidate Name : ___________________________________________________
Post Applied : ___________________________________________________
Department : ___________________________________________________
1. [a] Externally Sponsored R&D Project[S] as PI/Co-PISl
No.Title of Project Period Sponsoring
OrganisationAmount
[in lakhs]
Co-Investigator[s],
if any
Role
[b] Patent[s] grantedSl
No.Name of Patent Registration
No.Date of Award/
Application
Awarding
Country
Co-Awardee[s],if any
2. Consultancy Project(s) as PI/Co-PISl
No.Details Period Organisation Amount
[in Lakhs]Co-
Investigator[s], if any
Role
16
3. Details of Ph.D. Thesis supervised (awarded) / thesis submitted) as Sole Supervisor / 1 st
Supervisor / Co-supervisorSl No.
Title of Ph.D. Thesis
Role Institute Name of student[s]
Co-Supervisor[s
],
if any
Year Status [Awarded/Submitted
4. Journal Papers since last promotion [paid journal not allowed][a] Papers published/accepted in SCI Journals
Sl No.
Author (s)
Role (First author /
Main Supervisor
/ Co-author)
Title of the paper
Name of Journal
Vol. No.
ISBN/ISSN No.
Page No. From to
Year
[b] Paper published /accepted in Scopus Indexed JournalsSl No.
Author (s)
Role (First author /
Main Supervisor
/ Co-author)
Title of the
paper
Name of Journal
Vol. No.
ISBN/ISSN No.
Page No.
From to
Year
5. Papers published/accepted in Conference Proceedings Indexed in SCI/Scopus/Web of Science/or any internationally renowned conference [Max. 10 Credit points]
Sl No.
Author (s)
Title of the paper
Role (First
author / Main Supervisor / Co-
author)
Name of Conferen
ce and date
Vol. No. of the
Proceedings
ISBN/ISSN No.
Indexed in
17
6. HOD, Dean, Chief Warden, Prof In-Charge (T&P), Advisor (Estate), CVO, PI (Exam), TEQIP Coordinator [Max 16 Credit Points since last promotion]
Sl No.
Position held No. of Semesters
PeriodFrom To
7. Warden, Asst Warden, Associate Dean, Chairman/Convener Institute Academic Committee, Faculty In-Charge Computer Center/IT Services/Library/Admission/Student activities and other institution activities [Max 8 Credit Points since last promotion]
Sl No.
Position held No. of Semesters
PeriodFrom To
8. Chairman and Convener of different standing committees and special committees (ex officio status will not be considered). Faculty in charges (each for one yr duration) of different units or equivalent [Max 3 Credit Points since last promotion]
Sl No.
Position held No. of Semesters
PeriodFrom To
9. Departmental activities identified by HODs like lab in charge, or department level committee for a min period of 1 Yr. [Max 3 Credit Points since last promotion]
Sl No.
Activity No. of Years
PeriodFrom To
18
10. Workshop/FDP/Short term courses of min 05 working days duration offered as coordinator or convener[Max 8 Credit Points since last promotion]
Sl No.
In the Capacity of
Title Period Organised at
Sponsored by
Amount [in
lakhs]From To
11. For conducting National Programs like GIAN etc. as course coordinator [Max 4 Credit Points (of 2 weeks duration / Max 2 Credit Points (for 1 week duration) since last promotion][a] Programs of 2 weeks duration
Sl No.
In the Capacity of
Name of Program
Period Organised at Sponsored byFrom To
[b] Programs of 1 weeks duration Sl No.
In the Capacity of
Name of Program
Period Organised at Sponsored byFrom To
12. National/International Conferences organized as Chairman/Secretary [Max 6 Credit Points since last promotion]
Sl No.
In the Capacity of
Title Period Organised at
Sponsored by
National /
International
From To
13. Length of service over and above the relevant minimum teaching experience required for a given cadre [Max 10 Credit Points since last promotion]
Sl No.
Current cadre Experience in Current Cadre Over and above teaching experience
19
14. Establishment of new Lab(s) [4 Credit Points since last promotion]Sl No.
Name of Lab Year of Establishment Department/Institute
15. Theory Teaching of over and above 6 credit hrs course [Max 6 Credit Points since last promotion]
Sl No.
Name of the Course
Total teaching hours per week Year and Semester
16. PG Dissertation Guided [Max 10 Credit Points since last promotion]Sl No.
Title of Dissertation/Project
Department/Institute Name of students[s]
Co-Supervisor[s
], if any
Year
17. UG Dissertation Guided [Max 4 Credit Points since last promotion]Sl No.
Title of Dissertation/Project
Department/Institute Name of students[s]
Co-Supervisor[s
], if any
Year
18. Text/Reference Books Published on relevant subjects from reputed international publishers [Max 18 Credit Points since last promotion]
Sl No.
Author(s) Year of publication
Book Title ISBN/ISSN No.
Publisher
19. Text/Reference Books Published on relevant subjects from reputed national publishers or book chapters in the book published by reputed International publishers [Max 6 Credit Points since last promotion]
Sl No.
Author(s) Year of publicati
on
Book Title
Title of Chapte
r, if any
Page No. (if reqd)
ISBN/ISSN No.
National /
International
Publisher
From
To
20
20. Significant Outreach Institute Activities [Max 4 Credit Points since last promotion]Sl No.
Academic / Professional Body Membership ID PeriodFrom To
22 Placement % (Only for the placement cell Officers/Faculty in-charge of Placement) (since last promotion) [Placement % above 85%, max 20 points; Placement % from 75-84%, max 10 points] [
Sl No.
In the Capacity of Institute Year PeriodFrom To
23. Any other relevant information:........……………………………………………………
To claim credit points in different categories, enclose relevant documents with self-attestation.
24. There are …….number of enclosures with ………pages attached along with this form.
DeclarationI hereby declare that the information furnished above is true to the best of my knowledge and belief. If at any time it is found that I have concealed any information or have given any incorrect data, my candidature/ appointment, may be cancelled/terminated, without any notice or compensation
Date: ………………….. [Signature of applicant with date]Place: ………………….
