Nomination Form for Institute Research Fellowship for Outstanding

Young Faculty
1. Name :

2. Designation :

3. Department :

4. Date of Birth :

5. Education :
Degree Subject Year Institute/ University
<Graduate>
<Post Graduate>
<Ph. D.>
6. Employment :
Employer Designation From To Pay ( with Pay scale)

7. Research Guidance :
(i) Doctoral Thesis :
<Name of Student>, <Title>,<Year>,<Co-supervisor (if any)>
1

(ii) Masters’ Thesis :

<Name of Student>, <Title>, <Year>,<Co-supervisor (if any)>
1

2
 3

8. Sponsored Projects :
(a) As PI
<Title>, <Sponsoring Agency>, <Amount>, <Duration>,< (completed)/(ongoing)>, <Co-PI (if any) >
1

(b) As co-PI
<Title>, <Sponsoring Agency>, <Amount>, <Duration>,< (completed)/(ongoing)>, <PI >,<Co-PI (if any other) >
1

9. Consultancy Projects :
(a) As PI
<Title>, <Sponsoring Agency>, <Amount>, <Duration>,< (completed)/(ongoing)>, <Co-PI (if any) >
1

(b) AS co-PI
 <Title>, <Sponsoring Agency>, <Amount>, <Duration>,< (completed)/(ongoing)>, <PI >,<Co-PI (if any other) >
1

10 Patents Filed/Awarded :
.
<Author(s), “Name,” Patent No., Date, Filed/awarded>
1

11 List of Publications :
.
(i) Journals :
<co-authors>, <Title>, <Journal>, <Vol>,< page Nos)>, <Year>
1

(ii) Conferences :
<co-authors>, <Title>, <name of Conference>,< page Nos)>, <Date & Year>, <Conference venue>
 1

12 Awards & Recognitions :

.

13 Any Other Relevant Information :

.

14 Brief Statement of :
. research contributions
< 500 words>
15 Name, Affiliation and Contact :
. Details of 03 experts in the Area
of the Nominee
1

Date:
Name, Affiliation and Contact Details of Nominator: