National Institute of Food Technology Entrepreneurship and Management

Deemed to be University (De -navo Category) under section 3 of the UGC Act, 1956 and An autonomous Organization under Ministry of Food Processing Industries, Govt. of India

Plot No. 97, Sector-56, HSIIDC Industrial Estate, Kundli 131028, District-Sonipat, Haryana

Application for Academic Posts

Date of Application: _________________________________ Post Applied for: Discipline: _________________________________ _________________________________

Affix a passport size color photograph

1. Name:
First Name Last Name Middle Name

2. Personal Details:
a) Date of Birth (Enclose Proof): ________________ b) Age (Y-M-D): ________________ c) Gender: ________________ government rules for SC/ST/OBC) General SC ST OBC PH d) Marital Status: _________________________ e) Nationality: __________________________

3. Please tick the appropriate box (Please attach a certificate from the authority prescribed under

4. (a) Contact Address: __________________________________ __________________________________ __________________________________ 5. Contact Details (with STD/ISD code):
a. b. c. Phone (Office): ________________________ Phone (Res): ________________________ Mobile: ________________________

(b) Permanent Address: __________________________________ __________________________________ __________________________________

d. e. Fax: ____________________________ E-mail ID: ____________________________

6. Academic record starting with Matric (Please attach self attested photocopies of transcripts/ mark
sheets/ grade card and certificates for all your degrees): Degree Specialization / Discipline College/University/Institute Year of joining Year of leaving Percentage / CGPA

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7. Areas of specialization: ____________________________________________________

________________________________________________________________________ 8. Current Area of research: ___________________________________________________

________________________________________________________________________
9. I hereby declare that I have carefully read and understood the instructions and particulars supplied to me, and that the entries in this form as well as in attached sheets are true to the best of my knowledge and belief. There are ___________ sheets attached along with this form. Date: Place: ______________________________ (Signature of Applicant)

10. Present Employment:

Designation Organization Date of joining (dd/mm/yyyy) Scale of Pay in Rs. Pay in Rs. Total Emoluments (per month) in Rs.

11. Information of three Referees (It is preferable that you include your PhD advisor/Senior Industrial
head under whom working and someone who is familiar with your recent work): Referee 1 Name Designation Organization/ Institute Address Line 1 Address Line 2 Address Line 3 Telephone 1 Telephone 2 Fax E-mail Note: i. Use separate sheet for each sub-heading in the format indicated. ii. All annexure must bear your name Referee 2 Referee 3

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12. Please list the type of undergraduate and postgraduate courses that you will like to develop and/or teach at NIFTEM. 13. Please attach a brief statement (less than 2 pages) on your immediate short-term research plans (2-3 year time frame). 14. Please write briefly why you wish to be considered for a faculty position at NIFTEM and how do your long-term career objectives tie in with a position at NIFTEM? 15. Briefly write about how you propose to contribute to NIFTEM.? 16. State how NIFTEM can help you in your best possible professional growth (in 1 page) ?

PROVIDE THE FOLLOWING INFORMATION WITH THE APPLICATION: 17. Employment History (Starting from the latest)
Sl. No. Position Organization/Institution Date of joining Date of leaving Duration

18. Teaching Experience, New Courses or Laboratories

Sl. No. Title of course taught Postgraduate/ Undergraduate Sole instructor or with others Year

Indicate any special work done towards developing new course or laboratories. (Use separate sheet) 19. Research Experience (including Post Doctoral)
Sl. No. Position Institute Supervisor Topic Date of Joining Date of Leaving Duration

20. Give in details contributions (teaching) to continuing Education Programmes 21. Details of Short-term Course(s)/Workshop(s)/Seminars(s) etc. Organized. (Chronological order) 22. Number of Post Graduate Thesis Supervised.
Sl. No. Name of student/ research scholar Title of Thesis Doctorate/ Masters Year of Completion Co-guide (If any)

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23. Externally funded/Sponsored/Research Projects Undertaken (Give in detail)

Sl. No. Sponsoring Agency Title of Project Amount of grant Period Co-investigator (If any)

24. Consultancy Work Done

Sl. No. Organization Title of Project Amount of grant Period Co-investigator (If any)

25. Industrial Experience Interaction

Sl. No. Organization Nature of Work Period

26. Other Academic And Corporate Activities 27. List Of Publications with proper ISSN/ISBN numbers.
List those PUBLISHED, ACCEPTED, and IN PREPARATION separately a. b. c. d. Papers in refereed journals (Please also include the journal impact factor) Papers in conference proceedings Papers presented in conferences but not published Books

Please enclose reprints of the best papers (FIVE) in your judgment

28. Awards and Recognitions 29. Professional Training Received

Sl. No. Name of Training Organization where training was received Year Duration

30. Membership Of Professional Bodies/Organizations

Sl. No. Name of the Professional Body Membership Status (Life/Annual)

31. Important Conferences/Seminars Attended

Sl. No. Conference/Seminar Title of paper read (if any) Year

32. Any Other Relevant Information You May Like To Furnish

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PLEASE SEND THE APPLICATION TO THE FOLLOWING:

The Registrar, National Institute of Food Technology Entrepreneurship and Management,(Deemed to be University) Plot No-97, Sector-56, HSIIDC Industries Estate, Kundli-131028, Distt. Sonepat, Haryana, India Phone: +91 01302281000 Fax: +91 01302219773

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