INDIAN INSTITUTE OF SCIENCE EDUCATION AND RESEARCH KOLKATA

Mohanpur – 741246, Nadia, West Bengal, INDIA

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INSTITUTE POSTDOCTORAL AND RESEARCH SCIENTIST FELLOWSHIPS

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Proposed Faculty Host : / Choose an item.
Position Applied for: / Choose an item. /
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Address for Communication:
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Date of Birth
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PhD Programme details:

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Name of the Supervisor / Click here to enter text. /
Name of the Co-supervisor (if any) / Click here to enter text. /
Name of the Institution/University / Click here to enter text. /
Date of Submission/Award* / DD / MM / YYYY /
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* Expected dates in case of PhD degree has not been awarded at the time of applying.

Details of academic record (from Bachelor onwards)

Sl. No. / Degree / Year / Institution/University / Subjects / CGPA/Grade/% of Marks
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Details of past employment(After Ph.D onwards)

Sl. No. / Designation / Organisation / Duration
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Awards (use separate sheet, if required)

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2. / Click here to enter text. / Click here to enter text. / YYYY /
3. / Click here to enter text. / Click here to enter text. / YYYY /
4. / Click here to enter text. / Click here to enter text. / YYYY /

Details of Publication (use separate sheet, if required)

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Referees(Three (3) Nos)

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Enclosures(check list √ )

☐Application Form

☐Curriculum Vitae

☐List of Publications

☐Future Research Proposal

Declaration

I hereby declare that all the information provided in the application form is correct to the best of my knowledge and belief. I am aware that providing of incorrect information in the application may lead to cancellation of candidature at any stage.

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Date:Click here to enter a date.

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Signature of the applicant

Please send the application along with enclosures, marked “Application for PDF, Choose an item.” in the envelope to the following address or you may email the application form and enclosures in a PDF format directly to the faculty host as per the advertisement details:

To,

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Indian Institute of Science Education and Research Kolkata,

Mohanpur – 741246

Nadia, West Bengal,

INDIA