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NATIONAL INSTITUTE OF TECHNOLOGY JAMSHEDPUR

Jamshedpur-831014, Jharkhand, India


(An Institution of National Importance under MHRD, Government of India)

Advt. No. NITJSR/REG/ADVT/2017-18/CD/124 Date:03.10.2017

Application form for Appointment of Assistant Professor (PB-3 with AGP


Rs. 6000/7000/8000)

(i) Post Applied with AGP for:


(ii) Deapartment:
(iii) Specialization:
For Office Use Photograph
(i) Registrarion No:
(ii) Signature of the receiving officer:
(iii) Date of Receipt:

1. Name in Full
(In Block Letters)
2. Fathers/Husband/
Wife Name
3. Date of Birth: Gender: Age: Marital Status: Nationality: Religion:
(dd/mm/year)
Male/Female Married/Unmarried

4. Category
(GEN/OBC/SC/ST/PWD)
(Enclose proof)
5. Present Employment with Salary Details
Institute/Organization Designation Nature of Pay Band Grade Total Salary
Work Pay (Per month) in
Rs.

6. Address for
Correspondence

Pin Code:
Tel.Nos./Fax Nos
Email

1
7. Permanent Address

Pin Code:
8. Educational Qualifications (Please add more rows if needed)
Sl. Degree Obtained Specialization Name of the Year of % of Class/
No. University/Institute Passing Marks/ Division
CGPA
(i) Ph.D.

(ii) M. Tech/MS/MCA/
M.Sc./MBA/MA

(iii) BA/B.Sc./B. Tech.

(iv) XII Class

(v) X Class

(vi) Other if any

9. Ph.D. Degree Details


(i) Ph.D. Thesis Title

(ii) Research area of Ph.D. Thesis


work
(iii)
(iv) Date of Submission of Ph.D.
Thesis
(v) Date of the Award of Ph.D.
Degree
(vi) Name(s) of Supervisor(s) &
Address

10. M.Tech/MS/MCA/M.Sc./MBA/MA Degree Details


(i) M.Tech/MS/MCA/M.Sc./MBA/MA Dissertation Title

(ii) Area of M.Tech/MS/MCA/M.Sc./ MBA/MA


Dissertation work

(iii)Name(s) of Supervisor(s) & Address

2
11. Post Doctoral Fellowship Details
(i) No. of years of Post Doctoral
Fellowship
(ii) Area of Specialization

(iii)Institute/ R&D Lab

12. Industrial Experience Details (Post-Ph.D.) Post-Ph.D. Industrial Experience (in years):
Industry/Organization Start Date End Date Duration Designation Nature Pay Scale
of
work

13. Industrial Experience Details (Pre-Ph.D.) Pre-Ph.D. Industrial Experience (in years):
Industry/Organization Start Date End Date Duration Designatio Nature Pay Scale
n of
work

14. Teaching Experience Details (Post-Ph.D.) Post-Ph.D. Teaching Experience (in years):
Institute/Organization Start Date End Date Duration Designation Nature Pay Scale
of
work

15. Teaching Experience Details (Pre-Ph.D.) Pre-Ph.D. Teaching Experience (in years):
Institute/Organization Start Date End Date Duration Designation Nature Pay Scale
of
work

3
16. R & D Experience Details (Post-Ph.D.) Post-Ph.D. R&D Experience (in years):
Institute/Organization Start Date End Date Duration Designation Nature Pay Scale
of
work

17. R & D Experience Details (Pre-Ph.D.) Pre-Ph.D. R&D Experience (in years):
Institute/Organization Start Date End Date Duration Designatio Nature Pay Scale
n of
work

18. Administrative Experience Details Administrative Experience (in years):


Institute/Organization Start Date End Date Duration Designation Nature Pay Scale
of
work

19. Courses Taught during last 3 years (Add more rows if needed)
(i) Course Title Level (UG/PG) Branch No. of
Times

20. Number of Courses Developed (Add more rows if needed) :


Course Title Level (UG/PG) Branch

4
21. Number of Academic Programmes Developed:
Programme Title Level (UG/PG)

22. Conducting Laboratory Classes During Last 3 years (Add more rows if needed)
Course Title Level (UG/PG) Branch

23. Research Laboratories Developed (Add more rows if needed)


(vi) Name of the Laboratory Level (UG/PG) Remarks
(vii)
(viii)

24. Number of Publications (Please attach a separate sheet with all details and also list the best SCI
Journal papers along with ISBN No.):
Nature Published (SCI) In-Press (SCI)
(i) Refereed Journals National (SCI)
International
(SCI)
(ii) Conference National (SCI)
Proceedings International
(SCI)
25. Number of Books Published:
Title of the Book Name of Name of the ISBN Year of Reprint
Author(s) Publisher No. Publicati No./
on Edition No.

26. Number of Chapters Published:


Title of the Chapter Name of Name of the ISBN Year of Reprint
& Book Author(s) Publisher No. Publication No./
Edition
No.

27. Editor of Journals


Name of the Journal Name of the Publisher National
/International

28. Reviewer of Journals


Name of the Journal Name of the Publisher National
/International

5
29. Ph.D. Thesis Supervised Completed: On-going:
Title of the Thesis Research area Year Supervisor/ Complete
Co-Supervisor d/ On-
going

30. Number of Post Graduate Dissertations Supervised:


Title of the Dissertations Specialization Year of Supervisor/
Completion Co-Supervisor

31. Number of Patents:


Name of Patent Awarding Registration No. Date & Year of Submitted if
Organization Award any

32. Sponsored/ Industry Projects Completed: On-going:


Title of the Project Sponsored Year of PI/ Total
Agency Completion Co-investigator Amount in Completed/
Lakhs. Ongoing

33. Consultancy Projects Completed: On-going:


Title of the Project Organization Amount of grant in Period PI/
Lakhs. Co-
investigator

34. Number of Awards/ Honours/Prizes/Medals:


Awarded (Title)
Proposed, if any
35. Number of Short-Term Courses/Workshop/ Symposiums/Seminars Conducted:
Type of the Name of the Sponsoring Period of Coordinator/
Course/Workshop Course/Workshop etc. Agency Course Co-
etc. Coordinator

36. Membership/Fellowship in Professional Bodies if any


Name of the Professional Body Membership status (Life/ Annual)

6
37. Your immediate short-term plans for the development of research at NIT Jamshedpur. Also
include research and Laboratory facilities (equipment, space, funds, manpower) that you will need
for the same
(i) Research
(ii) Laboratory Development
38. List the courses you would like to develop at NIT JSR
Course Title(s) Level (UG/PG)

39. List the courses you would like to teach at NIT JSR
Course Title(s) Level (UG/PG)

40. Number of Countries Visited:


Country Name Period Purpose of visit

41. Mention notice period needed for joining if offered a post


42. Name two referees with complete contact details including address, Tel. Nos., Fax Nos., Email
address
(i)

(ii)

43. Application Fee:


a. Draft No & Date:
b. Amount:
c. Issuing Bank:

44. Any other relevant information

45. List of Enclosures (Academic and Professional Qualifications)


(i)
(ii)
(iii)
(iv)
(v)
(vi)
7
(vii)
(viii)
(ix)
(x)
DECLARATION
I hereby, solemnly declare that the information furnished in this application are true and correct to the
best of my knowledge and belief. If at any time I am found to have concealed/ suppressed any material/
information or given any false details, my appointment shall be liable to be summarily terminated
without notice of compensation.

Place:

Date: Signature of the Applicant

8
NATIONAL INSTITUTE OF TECHNOLOGY JAMSHEDPUR
Jamshedpur-831014, Jharkhand, India
(An Institution of National Importance under MHRD, Government of India)

Advt. No. NITJSR/REG/ADVT/2017-18/CD/124 Date: 03.10.2017

Summary Sheet for Appointment of Assistant Professor (PB 3 with AGP


Rs. 6000/7000/8000)

Post Applied with AGP Deapartment Specialization Reg. No. (for office)
for

1. Name in Full
(In Block Letters)
2. Fathess/Husband/
Wife name
3. Date of Birth: Gender: Age: Marital Status: Nationality: Religion:
(dd/mm/year)
Male/Female Married /
Unmarried
4. Category
(GEN/OBC/SC/ST/PWD)
(Enclose proof)
5. Phone/ Mobile No.

6. Present Address with


Email id

7. Educational Qualifications
Sl. Degree Obtained Specialization Name of the Year of % of Class/
No. University Passing Marks/ Division
/ Institute CGPA
(i) Ph.D.

(ii) M.
Tech/MS/MCA/
M.Sc./MBA/MA
(iii) BA/B.Sc./B.
Tech.
(iv) XII Class

(v) X Class

(vi) Other if any

9
8. Ph.D. Degree Details
(i) Ph.D. Thesis Title

(ii) Research area of Ph.D. Thesis


work

(iii)Date of Submission of Ph.D.


Thesis
(iv) Date of the Award of Ph.D.
Degree
9. M.Tech/MS/MCA/M.Sc./MBA/MA Degree Details
(i) M.Tech/MS/MCA/M.Sc./MBA/MA
Dissertation Title

(ii)Area of
M.Tech/MS/MCA/M.Sc./MBA/MA
Dissertation work
10. Post Doctoral Fellowship Details
(i) No. of years of Post Doctoral
Fellowship
(ii) Areas of Specialization

(iii)Institute/ R&D Lab

11. Present Employment with Salary Details


Institute/ Designation Nature of Pay Band Grade Total Salary (Per
Organization work Pay month) in Rs.

12. No. of Years of Experience (Post-Ph.D.)


Nature in India in Abroad Total
(i) Teaching

(ii) Research

(iii)Industry

(iv) Administrative

13 Number of Years of Experience (Pre-Ph.D.)


Nature in India in Abroad Total
(i) Teaching
(ii) Research
(iii)Industry
(iv) Administrative
10
14 No. of Publications
Nature Published (SCI) In-Press Total
(SCI)
(i) Refereed Journals National (SCI)
International
(SCI)
(ii) Conference National (SCI)
Proceedings International
(SCI)
15 No. of Books Published

16 No. of Chapters Published

17 Editor of Journals (Nos.)

18 Reviewer of Journals (Nos.)

19 No. of Ph.D. Thesis/P.G. Course Supervisor/ Awarded Submitted Ongoing


Dissertations Supervised Co-Supervisor/
Ph.D.
P.G.
20 No. of Patents Awarded Submitted

21 No. of Sponsored Projects Completed Ongoing Total Amount in


Lakhs

22 No. of Consultancy Works Completed Ongoing Total Amount in


Lakhs

23 No. of Awards/ Awarded Proposed, if any Remarks, if any


Honours/Prizes/Medals
24 No. of Short Term Courses/Workshop/
Symposiums/Seminars Conducted
25 List the Courses you would like to develop at NIT JSR
Course Title(s) Level (UG/PG)

26 List the Courses you would like to teach at NIT JSR


Course Title(s) Level (UG/PG)

27 Membership/Fellowship in Professional Bodies if


any
28 No. of Countries Visited
29 Mention notice period needed for joining if offered a
post

Place:
Date:
Signature of the Applicant
11
jk"Vh; izkS|ksfxdh laLFkku Tkeksniqj
National Institute of Technology Jamshedpur-831014
Jharkhand (India)
(An Institution of National Importance under MHRD, Govt. of India)

Advt. No. NITJSR/REG/ADVT/2017-18/CD/124 Date:03.10.2017

CREDIT POINT CALCULATION SHEET

Candidate Name : ___________________________________________________


Post Applied : ___________________________________________________
Department : ___________________________________________________

Sl. Activity Nos. Credit Total


No. Points
1 a) Externally Sponsored R&D Projects
(i) As PI
(ii) As Co-PI
(b) Patent(s) Granted
2 Consultancy Projects [Max 10 Credit
Points]
(i) As PI
(ii) As Co-PI
3 Ph.D. Completed (including submitted
cases)
(i) As Sole Supervisor
(ii) As 1st Supervisor
(iii) As Co-Supervisor(s)
4 Journal Papers in SCI/Scopus (Paid Journal
not allowed) [since last promotion]
(i) As first author / Main supervisor
(ii) As co-author
5 Conference Papers indexed in
SCI/Scopus/Web of Science Conference /
any internally renowned conference
[Max 10 Credit Points]
(i) As first author / Main supervisor
12
(ii) As co-authors / Co-supervisor
6 HOD, Dean, Chief Warden, Prof In-Charge
(T&P), Advisor (Estate), CVO, PI (Exam),
TEQIP (Coordinator)
[Max 16 Credit Points since last
promotion]
Position No of Sem
(i)
(ii)
(iii)
(iv)
7 Warden, Asst Warden, Associate Dean,
Chairman/Convener institute academic
committee, faculty in Charge Computer
Center/IT Services / Library / Admission /
Student activities and other institution
activities
[Max 8 Credit Points since last
promotion]
Position No of Sem
(i)
(ii)
(iii)
(iv)
8 Chairman and Convener of different
standing committee and special committee
(ex officio status will not be considered).
Faculty in charges (each for one yr duration)
of different units or equivalent
[Max 3 Credit Points since last
promotion]
Position No of Sem
(i)
(ii)
(iii)
(iv)
9 Departmental activities identified by HODs No of Sem/Yr
like lab in charge, or department level
committee for a min period of 1 yr.
[Max 3 Credit Points since last
Promotion]
Activity
(i)
(ii)
(iii)
(iv)
10 Workshop/FDP/Short term courses of min
05 working days duration offered as
coordinator or convener _________Nos
[Max 8 Credit Points since last
13
promotion]
11 For conducting national programs like
GIAN etc. as course coordinator [Max 4
Credit Points (of 2 weeks duration)/ Max
2 Credit Points (for 1 week duration)
since last promotion]
(i) Program of 2 Weeks duration _________Nos
(ii) Program of 1 Week duration _________Nos
12 National/International Conference
organized as Chairman/Secretary (Max
6 Credit Points since last promotion)
13 Length of service over and above the
relevant minimum teaching experience
required for a given cadre (Max 10
credit Points since last promotion)
14 Establishment of New Lab(s) (4 Credit
points since last promotion)
15 Theory Teaching of over and above 6
credit hrs. course (Max 6 Credit Points
since last promotion)
16 PG Dissertation Guided (Max 10
Credit Points since last promotion)
17 UG Dissertation Guided (Max 4 Credit
Points since last promotion)
18 Text/Reference Books Published on
relevant subjects from reputed _____Nos.
International publishers (Max 18 Credit
Points since last promotion)
19 Text/Reference Books Published on
relevant subjects from reputed national
publishers or book chapters in the book
published by reputed international _____Nos.
publishers (Max 6 Credit Points since
last promotion)
20 Significant Outreach Institute Activities
(Max 4 Credit Points since last
promotion)
21 Fellow IEEE, FNA, FNAE, FNASc
[Max 10 Credit Points]]
22 Placement % (Only for the placement
cell officers/Faculty in-charge of
Placement) (since last promotion)
[Placement % above 85%, max 20
points, Placement % from 75-84%,
max 10 points,
Total Credit Points

*Date of last promotion


14
______________________________________________________________

To claim credit points in different categories, enclose relevant documents with self-
attestation.

There are ..number of enclosures with


pages attached along with this form.

Declaration
I hereby declare that the information furnished above is true to the best of my knowledge and
belief. If at any time it is found that I have concealed any information or have given any
incorrect data, my candidature/ appointment may be cancelled/terminated, without any notice
or compensation

Date: .. [Signature of applicant with date]


Place: .

15
jk"Vh; izkS|ksfxdh laLFkku Tkeksniqj
National Institute of Technology Jamshedpur-831014
Jharkhand (India)
(An Institution of National Importance under MHRD, Govt. of India)

Advt. No. NITJSR/REG/ADVT/2017-18/CD/124 Date:03.10.2017

CREDIT POINT DETAILED SHEET

Candidate Name : ___________________________________________________


Post Applied : ___________________________________________________
Department : ___________________________________________________

1. [a] Externally Sponsored R&D Project[S] as PI/Co-PI


Sl Title of Project Period Sponsoring Amount Co- Role
No. Organisation [in Investigator[s],
lakhs] if any

[b] Patent[s] granted


Sl Name of Patent Registration Date of Awardin Co-Awardee[s],
No. No. Award/ g if any
Application Country

2. Consultancy Project(s) as PI/Co-PI


Sl Details Period Organisation Amount Co- Role
No. [in Lakhs] Investigator[s],
if any

16
3. Details of Ph.D. Thesis supervised (awarded) / thesis submitted) as Sole Supervisor / 1 st
Supervisor / Co-supervisor
Sl Title of Ph.D. Role Institute Name of Co- Year Status
No. Thesis student[s] Supervisor[s] [Awarded/
, Submitted
if any

4. Journal Papers since last promotion [paid journal not allowed]


[a] Papers published/accepted in SCI Journals
Sl Author (s) Role (First Title Name of Vol. ISBN/ Page No. Year
No. author / of the Journal No. ISSN From to
Main paper No.
Supervisor
/ Co-
author)

[b] Paper published /accepted in Scopus Indexed Journals


Sl Author (s) Role (First Title of Name of Vol. ISBN/IS Page Year
No. author / the Journal No. SN No. No.
Main paper From to
Supervisor
/ Co-
author)

5. Papers published/accepted in Conference Proceedings Indexed in SCI/Scopus/Web of


Science/or any internationally renowned conference [Max. 10 Credit points]
Sl Author (s) Title of Role Name of Vol. No. ISBN/ISS Indexed in
No. the paper (First Conferen of the N No.
author ce and Proceed
/ Main date ings
Superv
isor /
Co-
author)

17
6. HOD, Dean, Chief Warden, Prof In-Charge (T&P), Advisor (Estate), CVO, PI (Exam),
TEQIP Coordinator
[Max 16 Credit Points since last promotion]
Sl Position held No. of Period
No. Semesters From To

7. Warden, Asst Warden, Associate Dean, Chairman/Convener Institute Academic


Committee, Faculty In-Charge Computer Center/IT Services/Library/Admission/Student
activities and other institution activities
[Max 8 Credit Points since last promotion]
Sl Position held No. of Period
No. Semesters From To

8. Chairman and Convener of different standing committees and special committees (ex
officio status will not be considered). Faculty in charges (each for one yr duration) of
different units or equivalent
[Max 3 Credit Points since last promotion]
Sl Position held No. of Period
No. Semesters From To

9. Departmental activities identified by HODs like lab in charge, or department level


committee for a min period of 1 Yr.
[Max 3 Credit Points since last promotion]
Sl Activity No. of Period
No. Years From To

18
10. Workshop/FDP/Short term courses of min 05 working days duration offered as
coordinator or convener
[Max 8 Credit Points since last promotion]
Sl In the Title Period Organise Sponsor Amount
No. Capacity of From To d at ed by [in
lakhs]

11. For conducting National Programs like GIAN etc. as course coordinator [Max 4 Credit
Points (of 2 weeks duration / Max 2 Credit Points (for 1 week duration) since last
promotion]
[a] Programs of 2 weeks duration
Sl In the Name of Period Organised at Sponsored by
No. Capacity of Program From To

[b] Programs of 1 weeks duration


Sl In the Name of Period Organised at Sponsored by
No. Capacity of Program From To

12. National/International Conferences organized as Chairman/Secretary [Max 6 Credit


Points since last promotion]
Sl In the Title Period Organise Sponsore National
No. Capacity of From To d at d by /
Internat
ional

13. Length of service over and above the relevant minimum teaching experience required for
a given cadre [Max 10 Credit Points since last promotion]
Sl Current cadre Experience in Current Cadre Over and above teaching
No. experience

19
14. Establishment of new Lab(s) [4 Credit Points since last promotion]
Sl Name of Lab Year of Establishment Department/Institute
No.

15. Theory Teaching of over and above 6 credit hrs course [Max 6 Credit Points since last
promotion]
Sl Name of the Total teaching hours per week Year and Semester
No. Course

16. PG Dissertation Guided [Max 10 Credit Points since last promotion]


Sl Title of Department/Institute Name of Co- Year
No. Dissertation/Project students[s] Supervisor[s
], if any

17. UG Dissertation Guided [Max 4 Credit Points since last promotion]


Sl Title of Department/Institute Name of Co- Year
No. Dissertation/Project students[s] Supervisor[s
], if any

18. Text/Reference Books Published on relevant subjects from reputed international


publishers
[Max 18 Credit Points since last promotion]
Sl Author(s) Year of Book Title ISBN/ISSN Publisher
No. publication No.

19. Text/Reference Books Published on relevant subjects from reputed national publishers or
book chapters in the book published by reputed International publishers [Max 6 Credit
Points since last promotion]
Sl Author(s) Year of Book Title of Page No. ISBN/I National Publish
No. publicati Title Chapte (if reqd) SSN / er
on r, if Fro To No. Internat
any m ional

20
20. Significant Outreach Institute Activities [Max 4 Credit Points since last promotion]

Sl Name of Activity Title Department / Period Sponsoring


No. Activity Institute From To Agency (if
any)

21 Fellow IEEE, FNA, FNAE, FNASc [Max 10 Credit Points]


Sl Academic / Professional Body Membership ID Period
No. From To

22 Placement % (Only for the placement cell Officers/Faculty in-charge of Placement)


(since last promotion) [Placement % above 85%, max 20 points; Placement % from
75-84%, max 10 points] [
Sl In the Capacity of Institute Year Period
No. From To

23. Any other relevant information:........

To claim credit points in different categories, enclose relevant documents with self-
attestation.

24. There are .number of enclosures with pages attached along with this form.

Declaration
I hereby declare that the information furnished above is true to the best of my knowledge and
belief. If at any time it is found that I have concealed any information or have given any
incorrect data, my candidature/ appointment, may be cancelled/terminated, without any
notice or compensation

Date: .. [Signature of applicant with date]


Place: .

21

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