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    debasis_orkut
    This 3-sentence summary provides the key details about the document: The document is an application form for a regular faculty position at Biju Patnaik University of Technology in Odisha, which collects information such as the applicant's educational qualifications, research and employment experience, publications, and other academic activities to evaluate candidates for the posted position. The applicant is asked to provide personal details, academic and professional history, research guidance and publications, awards received, and references for consideration.

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    504app Format Fac

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    debasis_orkut
    42 views3 pages
    This 3-sentence summary provides the key details about the document: The document is an application form for a regular faculty position at Biju Patnaik University of Technology in Odisha, which collects information such as the applicant's educational qualifications, research and employment experience, publications, and other academic activities to evaluate candidates for the posted position. The applicant is asked to provide personal details, academic and professional history, research guidance and publications, awards received, and references for consideration.

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    This 3-sentence summary provides the key details about the document: The document is an application form for a regular faculty position at Biju Patnaik University of Technology in Odisha, which collects information such as the applicant's educational qualifications, research and employment experience, publications, and other academic activities to evaluate candidates for the posted position. The applicant is asked to provide personal details, academic and professional history, research guidance and publications, awards received, and references for consideration.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    42 views3 pages

    504app Format Fac

    Uploaded by

    debasis_orkut
    This 3-sentence summary provides the key details about the document: The document is an application form for a regular faculty position at Biju Patnaik University of Technology in Odisha, which collects information such as the applicant's educational qualifications, research and employment experience, publications, and other academic activities to evaluate candidates for the posted position. The applicant is asked to provide personal details, academic and professional history, research guidance and publications, awards received, and references for consideration.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    BIJU PATNAIK UNIVERSITY OF TECHNOLOGY, ORISSA

    ROURKELA

    APPLICATION FORM FOR REGULAR FACULTY POSITION

    Post applied for ……………………………Discipline …………………..………………………….……….

    Preference of College : (1) …………………………….. (2) …………………………….…………………

    Category (UR/ SC/ ST/ SEBC) ……………….. Draft No. ________ Date ________ Amount______
    (enclose the caste certificate for claim of reservation)

    1. Name in Full :
    (in block letters) (as indicated in secondary school certificate)
    2. Date of Birth :
    (DD/MM/YY)
    3. Nationality :
    4. Category (General/ SC/ST) :
    5. Sex (Male/ Female) :
    6. Marital Status (Married / Unmarried) :
    7. Father’s Name/ Husband’s Name :
    8. Address for Correspondence :
    (with email, fax & phone)
    9. Permanent Address :
    10. Academic Qualifications :
    (from HSC onwards)

    Sl Exam University/ Month/ Subjects Specialization % of Division Rank/


    No passed Board/ Year of Marks/ Position
    Institution passing CGPA*
    In which If any
    degree
    awarded
    1
    2
    3

    * In case of CGPA / CPI, please give marks in percentage along with the conversion formula

    11. Research Experience :

    (i) Scientific / Engineering Discipline :


    (ii) Field of Specialization :
    (iii) Length of Experience :

    12. Professional Training :

    Organization Period Training Area


    From To
    2

    13. Employment Records :

    Name & Period of service Designation Scale of Work Reason of Total period
    address of From To Pay Description leaving of
    employer/ inst. employment

    14. Research Papers in Journals :

    International Journals National Journals


    No. of Papers No of Papers

    * The details to be attached in a separate sheet

    15. Research Papers presented in Conference/ Seminar :

    No Conference/ Seminar Year


    1
    2
    * The details to be attached in a separate sheet

    16. Patents filed (separately for India & Overseas) :

    No Details Year
    1
    2

    17. Research Projects Undertaken :

    Sl Name of the Project Sponsoring Name of Co- Amount


    Agency investigator, if any sanctioned

    18. Research Guidance :

    Sl Name of the Book/ Title M.Tech/ Ph.D Year

    19. Awards / Honours received

    No. of Awards/ Honours Year Detail


    International
    National
    State
    Professional bodies
    Any other

    20. Publications :

    No. Title & Year


    Books
    Book Chapter (s)
    Monograph
    Reports
    3

    21. Affiliation to Professional Society :

    Academic Fellowship (i)_________________________

    (ii)_________________________

    Professional Body (i)_________________________


    Membership
    (ii)_________________________

    22. Other Academic Activities (Curricular/ co-curricula/ Examination/ Hostel/ Sports/ NSS/ NCC/ Scouts etc) :

    Sl. Name of the activities Date of activities held Remarks


    No.
    1
    2

    23. Minimum joining time require (if selected) :

    24. Have you been interviewed by any University during past year ? give detail

    Sl. Name of the post & discipline Date of interview Result/ remarks
    No.
    1
    2
    3

    25. Any other information in support of your candidature :

    26. Name of the two referees :


    Address/ Tel/ Email

    27. Declaration :

    I declare that the foregoing information is correct to the best of my knowledge and belief and
    nothing has been concealed / distorted. If any time, I am found to have concealed / distorted any
    material information, my appointment shall be liable to summary termination without notice. I will, if
    and when required, take up duty in the discharge of Government assignment anywhere in India.

    Place :
    Date : Signature of Candidate

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