Government of IndiaEntrepreneurship Development & Management
for Women Scientists & Technologists with the Government Sector
Sponsored by Ministry of Science & Technology, Department of Science & Technology, Govt. of India
Organised by Entrepreneurship Development Institute of India, Ahmedabad
NOMINATION FORM
NAME Prof./Dr./Ms.
DESIGNATION ORGANISATION DATE OF BIRTH
CONTACT NUMBERS /E-MAIL
CATEGORY (GEN/SC/ST/OBC) DATE OF ENTRY IN GOVT. SERVICE (AS GROUP ‘A’)
PRESENT PAY AND GRADE PAY COMPLETE ADDRESS/
EDUCATIONAL /PROFESSIONAL QUALIFICATIONS (GRADUATION ONWARDS)
SL. No.
YEAR
DEGREE
UNIVERSITY/INSTITUTE
RESEARCH EXPERIENCE
SL. No.
YEAR
TOPIC OF RESEARCH
SPONSORING AGENCY
CONTD..2
10 - 21, February 2020
Entrepreneurship Development
Institute of IndiaAhmedabad
Photograph
CURRENT LEVEL/GRADE:
Note: 1. Incomplete applying will be rejected 2. Please attach a copy of salary slip (latest)
thVIII National Training Programme on
EXPERIENCE / POSTINGS FROM LEVEL SCIENTIST ‘B’ ONWARDS (IN GROUP ‘A’)
SL. No.
NAME OF THE ORGANISATION
POST HELD
FROM
TO
TRAINING ATTENDED
SL. NO.
YEAR
NAME OF THE TRAINING PROGRAMME
NAME OF THE INSTITUTE
DURATION
SPECIFIC AREAS IN WHICH SKILL UPGRADATION DESIRED
1.
2.
3.
Signature of the candidateRECOMMENDATION BY THE CONTROLLING OFFICER
DATE: (SIGNATURE OF THE RECOMMENDING OFFICER)Name & Designation with Seal
thVIII National Training Programme on Entrepreneurship Development & Managementfor Women Scientists & Technologists with the Government Sector
Sponsored by : Department of Science & Technology, Govt. of India, New DelhiOrganized by : Entrepreneurship Development Institute of India (EDII), Ahmedabad
10 - 21, February 2020
Sr. No
Significant contribution made by you in the field of Science & Technology duringyour Service career (Max. 200 words).