Green HillS Engineering College Application for Promotion under Career Advancement Scheme Post presently held :- Department :- Date of joining this post on regular basis . Senior scale granted wef. Post to which promotion is sought Date of eligibility for promotion 1. Name in Full: 2. Address Present Permanent Phone Fax No. E-mail 3. Date of Birth 4. Nationality 5. Sex Indian 6. Whether SC YES/NO Attach a certificate NOT APPLICABLE ST YES/NO from the authority OBC YES/NO prescribed under government rules 7. Academic Qualifications: (Please attach brief synopsis of the Master's / Doctoral thesis) Degree Institution Year Marks & Standing Remarks (Subjects) Division 9. Current Areas of Research: 8. Areas of Specialization:- I hereby declare that all entries in this form as well as in the attached sheets are true to the best of my knowledge and belief. There are ......enclosures with a total of ........ pages attached along with this form Date: Signature Place: For items 10 through 20, use separate sheets for each sub-heading in the format indicated. All annexures should be consecutively arranged and must bear your name and signature. A separate list of enclosures item-wise with page numbers should precede the enclosures. 10. Experience (in reverse chronological order) A Research Experience (excluding research done for M. Tech/ Ph.D. Degrees) Duration Organization Area(s) B1 Teaching Experience Duration Organization Area(s) B2 Courses Taught Course No. & Title Level (UG/PG) Number of Times Developed by you? Thesis (M. Tech/ Ph.D.) Supervision (at all the organizations that you have worked with) S.No. Name Year of Completion Title of Thesis Co-guides (if any) D Sponsored Projects Period Sponsoring Organization Title of Project Amount of Grant Co-Investigators (if any) E Consultancy Period Organization Nature of Work Co-Investigators (if any) F Industrial Experience Not applicable Period Organization Nature of Work G Administrative Experience Period Organization Nature of Responsibility Designation 11. Publications (Enclose three sets of reprints of the three best papers in your judgement) A. Papers in Referred Journals (List those published and accepted separately) Papers in Referred Journals Nil S.No. Author(s) Year Title Complete Reference of Journal/ Conference A. Conference Proceedings S.No. Author(s) Year Title Complete Reference of Journal/ Conference B. Papers published in Conference Proceedings S.No. Author(s) Year Title Name and Place of Conference S. Papers Presented in Conferences but Not Published S.No. Author(s) Year Title Conference D. Books (List those published and in press separately. Please include three sets of photocopies of the title page, table of contents and preface for each of them) S.No. Name Year of Completion Title Co-author (if any) 12. Seminars/Symposia/Conferences/Workshops etc. attended S.No. Seminar/Symposium/Conference/Workshop Period 1 2 3 13. Summer Schools/ Winter Schools/ Short Term Courses attended (of duration 1 week or more only) S.No. Summer School/ Winter School/Short Term Course Dates Duration 1 2 3 4 5 6 7 14. Duties performed in GHEC apart from teaching A. College level duties S.No. Duty Period 1 2 3 4 5 6 7 B. Department level duties S.No. Duty Period 15. Field outreach activities S.No. Description 16. Development of Course Material/ Monographs (Please attach 3 sets of photocopies) S.No. Description 17. Participation in Continuing Education Programmes 18. Awards and Recognitions : 19. Any Other Relevant Information : 20. Self Appraisal Report:
