PROFORMA
(For submissionofapplicationunder theResearchAssociateFellowshipProgramme 2023)
1. Nameoftheapplicant:
2. DateofBirth:
3. Sex:
4. MaritalStatus:
5. Nationality:
6. Father’sName:
AffixPassportsize photographand dulysign.
7. If employed in Gol/State Govt./University/Research Institution, name and address of the currentemployerandsalarydrawn: (A certificate from the employer that the applicant, if selected, would be allowed to take up the Research proposal on full time basis shall be attached).
8. Presentaddressforcommunication:
9. Permanentaddress:
10.MobileNo.&EmailID:
11.Education Qualification: (details from matriculation level onwards may be provided including name of Institutions/Universities, special achievements/distinctions obtained etc;allcopyofthecredentialstobeattached).
Sl. No. Examination Passed/Degree obtained
1. Secondary (10th )
2. Higher Secondary (12th )
3. Graduation
4. Master’s
5. M.Phil.
6. Ph.D.
7. Others(ifany)
12.TitleofthePh.D.:
Board/Council Institution/ University Year of Passing Division/Class with Percentage of marks
Subjects
13.Thrust areas of the proposed work (The candidatemay require to select one ofthe thrust areasofhis/herproposedwork)
a. Revisionary studies and nomenclature of different plants groups (including cryptogamsandphanerogams).
b. Molecularsystematicsandphylogenyofanyplantgroup/family/genus.
c. Floristicsandecologicalstudiesinspecialreferencetoclimatechange.
d. TraditionalknowledgeandEthnobotany.
e. ConservationbiologyandBotanicGarden.
f. Threatassessmentandvulnerabilityofspecies.
14.Details of Scientific/technical papers published in the relevant subject area: (Only list to beprovided.Best20fullpapersneedtobeattachedseparately).
15.Detailsof bookspublished,ifany:(onlylist tobeprovidedwithcopiesoftitlepagesand ISBNnumber).
16.Brief write up of the original, high quality research work carried out in the different thrustareas.(Maximum1000words):
17.Details of any awards/recognition received in the subject area at the national/internationallevel:
18.An extended abstract of the proposed work need to be enclosed mentioning a brief introduction, objective, methodology, time line and deliverable output. (Maximum 2500 words)
19.Please describe self-assessment of your suitability for Research Associate in BSI and how the proposed research project will benefit in documenting and understanding plant resourcesofIndiaandtheirapplicationvalue(Maximum2000words).
20.Durationoftimerequiredtocompletetheproposedwork:
21.Please indicate the proposed Regional Centre, Scientist with whom the project is to be undertaken.(AcertificatefromtheRegionalHeadandMentormaybeattached).
22.Anyotherrelevantinformation:
23.References:Pleaseprovidethree(3)referenceswithcompletecontactdetails.
DECLARATION
I do hereby declare that I have carefully read and understood the instructions and particulars on this application and all information provided in the application is true to the best ofmyknowledgeandbelief.
(Signature)
FullName: Contactdetails:
Place:
Date: Detailsofenclosuresattached.