NATIONAL INSTITUTE OF TECHNOLOGY JAMSHEDPURJamshedpur-831014, Jharkhand, India

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

Advt. No. NITJSR/REG//CD/2017-18/2670 Date: 20.11.2017

Application form for Appointment of Associate Professor (Rs. 37,400-67,000/- with AGPRs. 9500/-, PB-4), Professor (Rs. 37,400-67,000/- with AGP Rs.10,500/-, PB-4) and

Professor [HAG Scale – Rs. 67,000 – 79,000/-]

(i) Post Applied for:

Photograph

(ii) Deapartment:(iii) Specialization:

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

1. Name in Full(In Block Letters)

2. Father’s/Husband/Wife Name

3. Date of Birth: (dd/mm/year)(As per certificate)

Gender:

Male/Female

Age a on 26.12.2017

Marital Status:

Married/Unmarried

Nationality Religion

4. Category (GEN/OBC/SC/ST/PWD)(Enclose proof)

5. Present Employment with Salary DetailsInstitute/Organization Designation Nature of

WorkPay Band Grade

PayTotal Salary

(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. No.

Degree Obtained Specialization/ Subject

Name of the University/Institute

Year of Passing

% of Marks/ CGPA

Class/ Division

(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) Date of the Award of Ph.D. Degree

(iv) 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

of work

Pay Scale

13. Industrial Experience Details (Pre-Ph.D.) Pre-Ph.D. Industrial Experience (in years):Industry/Organization Start Date End Date Duration Designatio

nNature

of work

Pay Scale

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

of work

Pay Scale

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

of work

Pay Scale

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

of work

Pay Scale

17. R & D Experience Details (Pre-Ph.D.) Pre-Ph.D. R&D Experience (in years): Institute/Organization Start Date End Date Duration Designatio

nNature

of work

Pay Scale

18. Administrative Experience Details Administrative Experience (in years):Institute/Organization Start Date End Date Duration Designation Nature

of work

Pay Scale

19. Courses Taught during last 3 years (Add more rows if needed)(i) Course Title Level (UG/PG) Branch

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

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 & Scopus) In-Press (SCI& Scopus)

Refereed Journals National(SCI & Scopus)International (SCI & Scopus)

25 Conference Proceedings

National International

26. Number of Books Published: Title of the Book Name of

Author(s)Name of the

Publisher ISBN No.

Year of Publicati

on

Reprint No./

Edition No.

27. Number of Chapters Published:Title of the Chapter

& BookName of Author(s)

Name of the Publisher

ISBN No.

Year of Publication

Reprint No./

Edition No.

28. Editor of JournalsName of the Journal Name of the Publisher National

/International

29. Reviewer of JournalsName of the Journal Name of the Publisher National

/International

5

30. Ph.D. Thesis Supervised Completed: On-going: Title of the Thesis Research area Year Supervisor/

Co-SupervisorComplete

d/ On-going

31. Number of Post Graduate Dissertations Supervised:Title of the Dissertations Specialization Year of

CompletionSupervisor/

Co-Supervisor

32. Number of Patents: Name of Patent Awarding

OrganizationRegistration No. Date & Year of

Award Submitted if

any

33. Sponsored/ Industry Projects Completed: On-going:Title of the Project Sponsored

AgencyYear of

CompletionPI/

Co-investigatorTotal

Amount in Lakhs.

Completed/ Ongoing

34. Consultancy Projects Completed: On-going:Title of the Project Organization Amount of grant in

Lakhs.Period PI/

Co-investigator

35. Number of Awards/ Honours/Prizes/Medals: Awarded (Title)Proposed, if any

36. Number of Short-Term Courses/Workshop/ Symposiums/Seminars Conducted:Type of the

Course/Workshop etc.

Name of the Course/Workshop etc.

Sponsoring Agency

Period of Course

Coordinator/ Co-

Coordinator

37 Number of Seminar Conducted:6

Conference Name National/ International Duration Number of participants

38. Membership/Fellowship in Professional Bodies if anyName of the Professional Body Membership status (Life/ Annual)

39. 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

40. List the courses you would like to develop at NIT JSRCourse Title(s) Level (UG/PG)

41. List the courses you would like to teach at NIT JSRCourse Title(s) Level (UG/PG)

42. Number of Countries Visited:Country Name Period Purpose of visit

43. Mention notice period needed for joining if offered a post44. Name two referees with complete contact details including address, Tel. Nos., Fax Nos., Email

address(i)

(ii)

45. Application Fee: a. Draft No & Date:

b. Amount:

c. Issuing Bank:

7

46. Any other relevant information

47. List of Enclosures (Academic and Professional Qualifications)(i)(ii)(iii)(iv)(v)(vi)(vii)(viii)(ix)(x)

DECLARATIONI 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

jk"Vªh; izkS|ksfxdh laLFkku Tke’ksniqj

National Institute of Technology Jamshedpur-831014Jharkhand (India)

(An Institution of National Importance under MHRD, Govt. of India)

Advt. No. NITJSR/REG//CD/2017-18/2670 Date: 20.11.2017

CREDIT POINT CALCULATION SHEET

Candidate Name : ___________________________________________________

Post Applied : ___________________________________________________

Department : ___________________________________________________

Sl. No.

Activity Nos. Credit Points

Total

1 a) Externally Sponsored R&D Projects (i) As PI(ii) As Co-PI

(b) Patent(s) Granted2 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

9

(ii) As co-authors / Co-supervisor6 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 like lab in charge, or department level committee for a min period of 1 yr. [Max 3 Credit Points since last Promotion]

No of Sem/Yr

Activity(i) (ii) (iii) (iv)

10 Workshop/FDP/Short term courses of min 05 working days duration offered as coordinator or convener [Max 8 Credit Points since last

_________Nos

10

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 International publishers (Max 18 Credit Points since last promotion)

_____Nos.

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)

_____Nos.

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 ______________________________________________________

To claim credit points in different categories, enclose relevant documents with self-11

attestation.

There are ………….……………………………….number of enclosures with

……………………………pages attached along with this form.

DeclarationI 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: ………………….

12

jk"Vªh; izkS|ksfxdh laLFkku Tke’ksniqj

National Institute of Technology Jamshedpur-831014Jharkhand (India)

(An Institution of National Importance under MHRD, Govt. of India)

Advt. No. NITJSR/REG//CD/2017-18/2670 Date: 20.11.2017

CREDIT POINT DETAILED SHEET

Candidate Name : ___________________________________________________

Post Applied : ___________________________________________________

Department : ___________________________________________________

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

No.Title of Project Period Sponsoring

OrganisationAmount

[in lakhs]

Co-Investigator[s],

if any

Role

[b] Patent[s] grantedSl

No.Name of Patent Registration

No.Date of Award/

Application

Awarding

Country

Co-Awardee[s],if any

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

No.Details Period Organisation Amount

[in Lakhs]Co-

Investigator[s], if any

Role

3. Details of Ph.D. Thesis supervised (awarded) / thesis submitted) as Sole Supervisor / 1 st

Supervisor / Co-supervisorSl No.

Title of Ph.D. Thesis

Role Institute Name of student[s]

Co-Supervisor[s

Year Status [Awarded/

13

],

if anySubmitted

4. Journal Papers since last promotion [paid journal not allowed][a] Papers published/accepted in SCI Journals

Sl No.

Author (s)

Role (First author /

Main Supervisor

/ Co-author)

Title of the paper

Name of Journal

Vol. No.

ISBN/ISSN No.

Page No. From to

Year

[b] Paper published /accepted in Scopus Indexed JournalsSl No.

Author (s)

Role (First author /

Main Supervisor

/ Co-author)

Title of the

paper

Name of Journal

Vol. No.

ISBN/ISSN No.

Page No.

From to

Year

5. Papers published/accepted in Conference Proceedings Indexed in SCI/Scopus/Web of Science/or any internationally renowned conference [Max. 10 Credit points]

Sl No.

Author (s)

Title of the paper

Role (First

author / Main Supervisor / Co-

author)

Name of Conferen

ce and date

Vol. No. of the

Proceedings

ISBN/ISSN No.

Indexed in

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 No.

Position held No. of Semesters

PeriodFrom To

14

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 No.

Position held No. of Semesters

PeriodFrom 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 No.

Position held No. of Semesters

PeriodFrom 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 No.

Activity No. of Years

PeriodFrom To

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 No.

In the Capacity of

Title Period Organised at

Sponsored by

Amount [in

lakhs]From To

15

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 No.

In the Capacity of

Name of Program

Period Organised at Sponsored byFrom To

[b] Programs of 1 weeks duration Sl No.

In the Capacity of

Name of Program

Period Organised at Sponsored byFrom To

12. National/International Conferences organized as Chairman/Secretary [Max 6 Credit Points since last promotion]

Sl No.

In the Capacity of

Title Period Organised at

Sponsored by

National /

International

From To

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 No.

Current cadre Experience in Current Cadre Over and above teaching experience

14. Establishment of new Lab(s) [4 Credit Points since last promotion]Sl No.

Name of Lab Year of Establishment Department/Institute

15. Theory Teaching of over and above 6 credit hrs course [Max 6 Credit Points since last promotion]

Sl No.

Name of the Course

Total teaching hours per week Year and Semester

16

16. PG Dissertation Guided [Max 10 Credit Points since last promotion]Sl No.

Title of Dissertation/Project

Department/Institute Name of students[s]

Co-Supervisor[s

], if any

Year

17. UG Dissertation Guided [Max 4 Credit Points since last promotion]Sl No.

Title of Dissertation/Project

Department/Institute Name of students[s]

Co-Supervisor[s

], if any

Year

18. Text/Reference Books Published on relevant subjects from reputed international publishers [Max 18 Credit Points since last promotion]

Sl No.

Author(s) Year of publication

Book Title ISBN/ISSN No.

Publisher

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 No.

Author(s) Year of publicati

on

Book Title

Title of Chapte

r, if any

Page No. (if reqd)

ISBN/ISSN No.

National /

International

Publisher

From

To

20. Significant Outreach Institute Activities [Max 4 Credit Points since last promotion]Sl No.

Name of Activity

Activity Title Department / Institute

Period Sponsoring Agency (if

any)From To

21 Fellow IEEE, FNA, FNAE, FNASc [Max 10 Credit Points]Sl No.

Academic / Professional Body Membership ID PeriodFrom To

17

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 No.

In the Capacity of Institute Year PeriodFrom 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.

DeclarationI 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: ………………….

18