Nomination Paper for the Election of Fellows

NOMINATION PAPER FOR THE ELECTION OF FELLOWS

OF THE

WESTBENGALACADEMY OF SCIENCE AND TECHNOLOGY

SECTIONAL COMMITTEE

NAME OF NOMINEE

NOMINATION PAPER FOR THE ELECTION OF FELLOWS

OF THE

WESTBENGALACADEMY OF SCIENCE AND TECHNOLOGY

(Three Fellows of good standing are to nominate a candidate)

We the undersigned Fellows of good standing of the West Bengal Academy of Science and Technology, jointly propose, second and support

______(Name in full)

______(Address)

as a candidate for election as a Fellow of the Academy, and do hereby certify our recommendation. He/she may be referred to the Sectional Committee______

NOTE: Proposer should be from the same section in which the nomination is made

Supported by

NOTE: To be supported by at least two Fellows (may be from different sections)

Last Date of Nomination: 31st July

NOMINATION IS VALID FOR THREE YEARS ONLY

A. BIODATA OF THE NOMINEE

(Two Passport size photographs of the Candidate should be attached)

1.Name in full (In capital letters)

(Surname first)

2.Date of birth (with place of birth):

3.Official Designation, Address, Telephone No and email:

4.Residential Address with Telephone No.:

5.Field of specialization and expertise:

6.Number of Research/Technical papers,Books published. It would preferable to have average citation and overall h-index of all publications (if available). (Annexure may be given):

7.Affiliation to Scientific/Technical Committeesat State/National/International level:

8.Member of Learned Societies/Associations/Academies:

9. A brief biographical account (within 100 words)

B. ACADEMIC ATTAINMENTS OF THE NOMINEE

SECTIONAL COMMITTEE

(may continue overleaf)

WestBengalAcademy of Science and Technology

SUMMARY SHEET

(Please furnish all required information briefly and strictly within TWO PAGES)

(Each Nomination paper should be accompanied with this Summary Sheet which would be used as the Guideline during the WAST Fellow selection. Submit the document either handwritten or typed)

1. Name of the Nominee :
2. Nominee’s date of birth :
3. Nominee’s place of birth :
4. Name of the Sectional Committee:

1. Academic distinctions and Awards / Recognition:

(National or International recognitions. For example: Awards from recognized bodies/societies like all the National Academies, ISCA, CSIR, ICAR, DST, DBT etc.)

1. Significant teaching/research contribution*:

(be very brief)

1. Publications(Ten best publication with Impact Factor):

1. Editorial Board Member of National/International journal/Society/Body or Co-Chairing International conference technical session/ Patent (only filed with ref no. or granted will be considered)/Technology Transfer (with valid documentation):

1. List of Extramural Research Projects / Peer Reviewed Projects with amount of funding and your Role

(as a Project Leader/Principal Investigator or Co-PI):

1. Seminar/Symposia/Training organized:

(As Chief Organizer/Convener/Secretary – give name of the event, role, duration of the event, organizer – be very brief)

11. Any other activity:

(Not covered by any of the above, includes institute building/co-curricular activities and monitoring activities, involvement with social jobs of significance etc. -- be very brief)

Place:

Date : (Signature of the Proposer)

*For Section-XI : Significant work towards the development of scientific awareness in Society (Minimum10 years)

PLEASE SEND COMPLETED NOMINATION FORM TO:

Dr. Rajendra Nath Basu, Secretary

West Bengal Academy of Science & Technology(WAST)

Chief Scientist & Head, Fuel Cell & Battery Division
CSIR-Central Glass & Ceramic Research Institute
196, Raja S. C. Mullick Road; Kolkata - 700 032

Email:

Website:

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