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Course in IITKgp

This document is an application form for Ms. Harapriya Pradhan, an Assistant Professor from Sikkim Manipal Institute of Technology, to attend a short course on Green Infrastructure from December 26, 2010 to January 2, 2011 at IIT Kharagpur. It provides her contact details, educational qualifications in environmental engineering, and a request to register for the course.

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Harapriya Pradhan
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53 views

Course in IITKgp

This document is an application form for Ms. Harapriya Pradhan, an Assistant Professor from Sikkim Manipal Institute of Technology, to attend a short course on Green Infrastructure from December 26, 2010 to January 2, 2011 at IIT Kharagpur. It provides her contact details, educational qualifications in environmental engineering, and a request to register for the course.

Uploaded by

Harapriya Pradhan
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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A QIP Sponsored Short Term Course on

Green Infrastructure
26th Dec., 2010 – 2nd Jan., 2011
Application Form

1. Name (in block letters): Ms. HARAPRIYA PRADHAN


2. Designation & monthly pay: ASSISTANT PROFESSOR BASIC PAY: Rs.16920
3. Organization: SIKKIM MANIPAL INSTITUTE OF TECHNOLOGY
4. Address for communication (with PIN Code): CIVIL ENGG. DEPARTMENT
CHAMBER NO: B-113, SMIT, MAZITAR, RANGPO, EAST SIKKIM,
PIN -737132
Contact Land Ph. No.: 03592246220, Ext: 404
Mobile No.: 8101179821 Fax No.: 03592246112
E-mail ID: [email protected], [email protected]
5. Highest Academic Qualification: M.TECH
6. Specialization: ENVIRONMENTAL ENGINEERING
7. Experience (in years):
(a) Teaching: 2.5years
(b) Professional:0.5years
8. Amount of TA required as per the entitlement mentioned in the brochure (only for
AICTE approved college teachers):

Please register me for the course on “Green Infrastructure” to be held at IIT


Kharagpur.

Place: SMIT, MAZITAR


Date: 27.08.10 Signature of the applicant

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