application form

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NATIONALINSTITUTEOFFOODTECHNOLOGY,ENTREPRENEURSHIP &MANAGEMENT(NIFTEM)-THANJAVUR

(anInstituteofNationalImportance;FormerlyIndianInstituteofFoodProcessing Technology-IIFPT) Tel:04362-228155

APPLICATIONFORTHEPOSTOFRESEARCHASSOCIATE/SENIORRESEARCH

FELLOW/PROJECTASSOCIATE-I

Email:director@iifpt.edu.in Website:iifpt.edu.in

Nameinfull (in BLOCK letters) : 2 AgeandDateofBirth(Closingdateof Application) : 3 PlaceofBirthandDistrict : 4 Sex : Male/Female/Transgender 5 NameoftheFather /Husband : 6 NationalityandReligion : 7 Community : GENERAL/OBC/SC/ST/EWS 8 Communicationaddress 9 EmailAddress(Compulsory) AlternateEmail 10 MobileNumber (Compulsory) Alternate Mobile Number (Compulsory)
Examination Board Monthand Yearof Passing Marks obtained Overall percentage
Degree subject University /Intuition Monthand Yearof Passing Overall percentage/OGPA
Degree Discipline/Department ThesisTitle
1.
12.EducationalQualification(SchoolLevel)
13.EducationalQualification(UGtoPh.D.)
14.M.Tech/Ph.DThesistitles S.No
Affix Recent Passport Size Photograph

17.Trainingsrelevanttothepostapplied Nameofthe

18.Publications:

a)ResearchPapersinPeer-ReviewedorUGClistedJournals

S.No Authors Title NameoftheJournal/ ISSNNo Volume/Issue/ Page Year ImpactFactor (asperThomson Reuters)

b)Book/Bookchapters

S.No Nameofthe Book Titleofthe bookchapter Author(s) Publisher/ISBNNo Yearof Publication

c)Patent(Proofneedstobesent)

S.No Titleofthepatent PatentNo Month&Year Status(Filed/Published/ Granted)

d)Populararticle/Bulletins/Newsletter/anyother

S.No Nameofthepopulararticle/bulletins/ newsletter/anyother Publisher Month&Yearof Publication

e)PaperpresentationinSeminars/Conference/fullpaperinConferenceProceedings

S.No Title NameoftheEvent& organizer Duration Invited/Oral/ Poster

S.No QualifiedTest Subject 16.WorkExperience S.NO Nameofthe Employer Designation held Pay From To Lengthof service 1 2 3
15.WhetherqualifiedGATE/NET/SLET
training Areaofthe training
From To TotalNo.ofDays
Nameofthe organizer

19)Awards(IncludingBestposter/paper)/Fellowshipreceived

S.No NameoftheAward/Fellowship

Awarding Institute/ Organization

International/National /State

20)MembershipinProfessionalBodies/Professionalrecognitions/Reviewsinjournals

S.No Activity/Particular

21.Declaration:

I herebydeclare that I have carefullyread and understood the instructions and particulars supplied to me, and that all entries in this form, as well as, in attached sheets are true to the best of my knowledge and belief. At any stage if any of the information furnished by me is found to be false or incorrect, suitable action may be taken against me. If selected, I promise to abide by the rules and regulations of the NIFTEM-T

CandidateSignature

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