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Application Form

A. Personal Information


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B. Academic Background

Examination Passed Subject/Specialization/Title of Thesis Name of the Board/University Year of Passing Percentage of Marks
10 (Secondary)
10+2 (Higher Secondary)
Diploma
Graduation
i]
Post Graduation
i]
M.Phil
Ph.D
Post Doctoral (if any)


(%)

C. Experience

Academic

Nature of Job Country University College Position Area Date From Date To

Non-Academic

Nature of Job Country Organization Designation Area Date From Date To

D. Publication Details

(Give Numbers)
(Give Numbers)
(Give Numbers)
(Give Numbers)

E. Patents

Sl. No. Name Year Organization National/International

F. Projects / Consultancy

Sl. No. Title Granting Agency Year Amount

G. Awards / Distinctions, if any:

Sl. No. Name of the Award Year

H. Whether attended any Orientation/Refresher/Research Methodology course :

Name of the Course Name of the organizing body Duration (in days) Date held

I. Whether taken any MOOCs :

Name of the Course Period taken Whether received Certification Offered by

J. Any other relevant information:

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