HOMI BHABHA CENTRE FOR SCIENCE EDUCATION, TIFR

V. N. Purav Marg, Mankhurd, Mumbai – 400 088, India

Building Educators for Science, Technology and Mathematics (BESTM)

Teacher Fellowships at HBCSE, TIFR
APPLICATION FORM FOR 2019-2020

1. Name:________________________________________________________________

2. Date of Birth: _________________________

3. Gender: ______________________________

4. Correspondence Address:
__________________________________________________________________________

__________________________________________________________________________

_________________________________________________________________________

5. Currently working in school/college/institution:

Yes / No.
If yes, working as ___________________________________________________________

6. Name and Address of school/college/institution currently working in/last worked in:

__________________________________________________________________________

__________________________________________________________________________

7. Phone number(s): ___________________________________________________________

8. E-mail ID: _________________________________________________________________

9. Educational record:

Year of Percentage
Examination Board Remarks
passing of marks
Class X
Class XII
Graduation
Post-graduation
B. Ed
M.Ed
 10. Teaching Experience:

11. Your preference for the fellowship project group.

1st preference: _____________________________________________________________

2nd preference: _____________________________________________________________

3rd preference: _____________________________________________________________

12. Describe one or two projects / innovations / activities / publications done by you in the past
(not more than 250 words on a separate page).

13. Describe your proposal for project work (not more than 250 words on a separate page).

14. Describe how the fellowship programme will help you professionally (not more than 250
words on a separate page).

Last date of receipt of completed applications at HBCSE, Mumbai is 5 th April, 2019

Application forms can be

• filled online (https://secure.hbcse.tifr.res.in/cesme/bestm-application.php) OR

• downloaded, filled and sent by email (bestm@hbcse.tifr.res.in) as scanned copies along with attachments
(Add Application Form for 2019-2020 as the subject of the email) OR

• downloaded, filled and sent by post along with attachments to:

Dr. Paresh K. Joshi
Coordinator, BESTM Fellowship programme,
HOMI BHABHA CENTRE FOR SCIENCE EDUCATION, TIFR
V. N. Purav Marg, Mankhurd
Mumbai - 400088, INDIA

List of selected candidates will be put on the website. Selected candidates will also be informed by email.