Jamshedpur-831014, Jharkhand, India
(An Institution of National Importance under MHRD, Government of India)
Advt. No. NITJSR/REG//CD/2017-18/2670 Date:20.11.2017
Application form for Appointment of Associate Professor (Rs. 37,400-67,000/- with AGP
Rs. 9500/-, PB-4), Professor (Rs. 37,400-67,000/- with AGP Rs.10,500/-, PB-4) and Professor [HAG Scale – Rs. 67,000 – 79,000/-]
(i)Post Appliedfor: / 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)
(As per certificate) / Gender:
Male/Female / Age a on 26.12.2017 / Marital Status:
Married/Unmarried / Nationality / Religion
4. / Category (GEN/OBC/SC/ST/PWD)
(Enclose proof)
5. / Present Employment with Salary Details
Institute/Organization / Designation / Nature of Work / Pay Band / Grade Pay / Total Salary (Per month) in Rs.
6. / Address for Correspondence / Pin Code:
Tel.Nos./Fax Nos
7. / Permanent Address / Pin Code:
8. / Educational Qualifications (Please add more rows if needed)
Sl. No. /
Degree Obtained
/ Specialization/ Subject / 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)Date of the Award of Ph.D. Degree
(iv)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
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 / Designation / Nature 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
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 / Designation / Nature 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
20. / Number of Courses Developed (Add more rows if needed) :
Course Title / Level (UG/PG) / Branch
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)
(vii)
(viii)
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 & Scopus) / In-Press (SCI
& Scopus)
Refereed Journals / National
(SCI & Scopus)
International (SCI & Scopus)
25 / Conference Proceedings / National
International
26. / Number of Books Published:
Title of the Book / Name of Author(s) / Name of the Publisher / ISBN No. / Year of Publication / Reprint No./ Edition No.
27. / Number of Chapters Published:
Title of the Chapter & Book / Name of Author(s) / Name of the Publisher / ISBN No. / Year of Publication / Reprint No./ Edition No.
28. / Editor of Journals
Name of the Journal / Name of the Publisher / National /International
29. / Reviewer of Journals
Name of the Journal / Name of the Publisher / National /International
30. / Ph.D. Thesis Supervised Completed: On-going:
Title of the Thesis / Research area / Year / Supervisor/
Co-Supervisor / Completed/ On-going
31. / Number of Post Graduate Dissertations Supervised:
Title of the Dissertations / Specialization / Year of Completion / Supervisor/
Co-Supervisor
32. / Number of Patents:
Name of Patent / Awarding Organization / Registration No. / Date & Year of Award / Submitted if any
33. / Sponsored/ Industry Projects Completed: On-going:
Title of the Project / Sponsored Agency / Year of Completion / PI/
Co-investigator / Total Amount in Lakhs. / Completed/ Ongoing
34. / Consultancy Projects Completed: On-going:
Title of the Project / Organization / Amount of grant in Lakhs. / Period / PI/
Co-investigator
35. / Number of Awards/ Honours/Prizes/Medals:
Awarded (Title)
Proposed, if any
36. / Number of Short-Term Courses/Workshop/ Symposiums/Seminars Conducted:
Type of the Course/Workshop etc. / Name of the Course/Workshopetc. / Sponsoring Agency / Period of Course / Coordinator/ Co-Coordinator
37 / Number of Seminar Conducted:
Conference Name / National/ International / Duration / Number of participants
38. / Membership/Fellowship in Professional Bodies if any
Name of the Professional Body / Membership status (Life/ Annual)
39. / Your immediate short-term plans for the development of research at NIT Jamshedpur. Also include research and Laboratory facilities (equipment, space, funds, manpower) that you will need for the same
(i)Research
(ii)Laboratory Development
40. / List the courses you would like to develop at NIT JSR
Course Title(s) / Level (UG/PG)
41. / List the courses you would like to teach at NIT JSR
Course Title(s) / Level (UG/PG)
42. / Number of Countries Visited:
Country Name / Period / Purpose of visit
43. / Mention notice period needed for joining if offered a post
44. / Name two referees with complete contact details including address, Tel. Nos., Fax Nos., Email address
(i)
(ii)
45. / Application Fee:
a. Draft No & Date:
b. Amount:
c. Issuing Bank:
46. / Any other relevant information
47. / List of Enclosures (Academic and Professional Qualifications)
(i)
(ii)
(iii)
(iv)
(v)
(vi)
(vii)
(viii)
(ix)
(x)
DECLARATION
I 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
jk"Vªh; izkS|ksfxdh laLFkku Tke’ksniqj
National Institute of Technology Jamshedpur-831014
Jharkhand (India)
(An Institution of National Importance under MHRD, Govt. of India)
Advt. No. NITJSR/REG//CD/2017-18/2670 Date: 20.11.2017
CREDIT POINT CALCULATION SHEET
Candidate Name:______
Post Applied:______
Department: ______
Sl. No. / Activity / Nos. / Credit Points / Total1 / a) Externally Sponsored R&D Projects
(i) As PI
(ii) As Co-PI
(b) Patent(s) Granted
2 / Consultancy Projects [Max 10 Credit Points]
(i) As PI
(ii) As Co-PI
3 / Ph.D. Completed (including submitted cases)
(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
[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/ITServices/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 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)
21 / Fellow IEEE, FNA, FNAE, FNASc [Max 10 Credit Points]]
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
*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.
Declaration
I 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: ………………….
jk"Vªh; izkS|ksfxdh laLFkku Tke’ksniqj
National Institute of Technology Jamshedpur-831014
Jharkhand (India)
(An Institution of National Importance under MHRD, Govt. of India)
Advt. No. NITJSR/REG//CD/2017-18/2670 Date: 20.11.2017
CREDIT POINT DETAILED SHEET
Candidate Name: ______
Post Applied: ______
Department: ______
1.[a] Externally Sponsored R&D Project[S] as PI/Co-PI
Sl No. / Title of Project / Period / Sponsoring Organisation / Amount[in lakhs] / Co-Investigator[s],
if any / Role
[b] Patent[s] granted
Sl No. / Name of Patent / Registration No. / Date of Award/ Application / Awarding Country / Co-Awardee[s],if any
2.Consultancy Project(s) as PI/Co-PI
Sl No. / Details / Period / Organisation / Amount[in Lakhs] / Co-Investigator[s],
if any / Role
3.Details of Ph.D. Thesis supervised (awarded) / thesis submitted) as Sole Supervisor / 1st Supervisor / Co-supervisor
Sl 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 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 / Year5.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 Conference and date / Vol. No. of the Proceedings / ISBN/ISSN No. / Indexed in6.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
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 / InternationalFrom / 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 experience14.Establishment of new Lab(s) [4 Credit Points since last promotion]
Sl No. / Name of Lab / Year of Establishment / Department/Institute15.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 Semester16.PG Dissertation Guided [Max10 Credit Points since last promotion]
Sl No. / Title of Dissertation/Project / Department/Institute / Name of students[s] / Co-Supervisor[s], if any / Year17.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 / Year18.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. / Publisher19.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 publication / Book Title / Title of Chapter, if any / Page No.(if reqd) / ISBN/ISSN No. / National / International / Publisher
From / To
20. Significant Outreach Institute Activities[Max 4 Credit Points since last promotion]
Sl No. / Name of Activity / Activity Title / Department / Institute / Period / Sponsoring Agency (if any)From / To
21Fellow IEEE, FNA, FNAE, FNASc [Max 10 Credit Points]
Sl No. / Academic / Professional Body / Membership ID / PeriodFrom / To
22Placement % (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 attachedalong with this form.
Declaration
I hereby declare that the information furnished above is true to the best of my knowledge and belief. If at any timeit 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: ………………….
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