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Application Form

This document is an application for faculty positions at Visvesvaraya National Institute of Technology, Nagpur. It requests personal information, academic records, professional experience, teaching activities, research outputs, vision statements, and referee contact details from applicants.

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0% found this document useful (0 votes)
35 views8 pages

Application Form

This document is an application for faculty positions at Visvesvaraya National Institute of Technology, Nagpur. It requests personal information, academic records, professional experience, teaching activities, research outputs, vision statements, and referee contact details from applicants.

Uploaded by

gmaruthi_1
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Application for Faculty posts (Professor, Associate Professors/Assistant Professors (Regular / Contract / Contract on consolidated salary/Visiting/Adjunct)

Visvesvaraya National Institute of Technology, Nagpur North Ambazari Road, Nagpur 440 010, India

Personal Information:
Post Applied for

Department Present post Date of joining in present post Email Telephone Residence: Mobile:

Name Emp. Code (for VNIT faculty only) Address (Present)

Areas of Specialization Category: Open (UR)/SC/ST/OBC/PH : Academic record of 10th and 12th examination: Examination School / College / Board Year of Joining
10 th 12
th

Year of Passing

Class / Division

Academic record starting with graduation: Degree College / University / Institute

Year of Joining

Year of Graduation

Class / Division

Note: Provide attested Xerox copy of the relevant certificate / documents at the end.

Professional experience (Particulars of your past position(s); include any postdoctoral/visiting/adjunct appointments held) Employer Position held including AGP From To

AWARDS/RECOGNITION FROM INTERNAL/EXTERNAL BODIES: S. Year Title Awarding body no.

Activity recognized

PART II. Assessment details


Provide details for the assessment period (i.e., time spent in the present post) only, in reverse chronological order, i.e., starting with the present calendar year; include a full CV separately.

TEACHING (Mention only numbers here; provide a full list in Annexure T as per format provided) Item Number Student strength per course (approximate range) Different courses Total including repetitions of the same course UG core courses taught PG core courses taught UG electives taught PG electives taught UG labs conducted PG labs conducted RESEARCH (Mention only numbers here; provide a full list in Annexure R as per format provided) R.1 Output in the public domain Item Number Remarks (e.g. 1 best paper award)
Journal Papers Monographs/book chapters Conference Papers Patents Issued Patents Filed Copyrights regd Products Developed

R.2 Research guidance Student Category Post doctoral fellows mentored PhDs graduated
PhDs in progress Masters graduated State whether MTech/MSc etc Masters in progress State whether MTech/MSc etc

Number

Remarks (e.g. 1 best thesis award)

R.3 Sponsored Projects (Give year-wise details of funding agency, co-investigators if any, outlay, etc.) starting with the current year and going back Category Number Remarks Projects initiated and completed Projects initiated earlier but completed during the period of assessment Projects initiated during the period of assessment and ongoing

ADMINISTRATION Sl. No Category / Position

Function including duration

PROFESSIONAL ACTIVITIES (Journal review, project assessments, membership of professional committees/bodies, conferences organized, etc.) Sl. No Category Function

EXTENSION ACTIVITIES (Consultancy services, outreach activities under CEP/QIP/NPTEL etc) Sl. No Category Function

PART III VISION STATEMENT: Write a note on your short term (next 5 years) and long term (career) goals for (a) Teaching and (b) Research

Short Term Goal (a) Teaching

(b) Research

Long Term Goal (a) Teaching

(b) Research

PART IV REFEREES (Provide names and contact details of FOUR referees in your research area who you consider suitable to evaluate your research) Name Title/Occupation Address

Email Phone Fax

Name Title/Occupation Address

Email Phone Fax

Name Title/Occupation Address

Email Phone Fax Name Title/Occupation Address

Email Phone Fax

Date:

Name and Signature 5

Annexure R Format for recording details of research output for the assessment period: (All details to be provided in reverse chronological order, starting with the current year)
R.1 Research output in the public domain i. Journal papers: List only papers published or accepted, with full details ii. Refereed conference papers: Give publication details (including whether oral or poster) iii. Conference presentations (not included in ii) iv. Research monographs or book chapters published with full details v. Patents issued vi. Patents filed vii. Copyrights registered viii. Products developed: Include any details of commercialization/acceptance by a company etc. ix. Research facilities/laboratories established x. Technology development/technology transfer xi. Details of any commercialization activity xii. Any other research output not covered above

R.2 Research guidance Post doctoral fellows mentored S.No. Name From To Research area

Doctoral research guidance S.No. Name Completed/ongoing Other guides, if any Thesis topic

Masters research guidance (Optional) S.No. Type MTech / MSc etc Name Completed/ ongoing Other guides, if any Thesis topic

R.3 Sponsored research S.N o. Project title From To Sponsoring agency Whether PI/co-PI No. of investigators Outlay Rs. lakhs

Date:

Name and Signature 7

Annexure T Format for recording details of teaching activity for the assessment period (All details to be provided in reverse chronological order, starting with the current year)
Course delivery Academic year & Semester Course (number and name) Credits Coinstructors If any No. of Students Regd. Course evaluation by outside expert Remarks

Development of teaching material: List any courses developed/ textbooks published/Case studies developed/lab manuals or experiments developed Any other information pertaining to teaching (DO NOT include CEP/QIP/Distance education courses here. They should go under Extension Activities)

Date:

Name and Signature 8

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