Annexure III
 

Format for Preparing Bio - Data by Scholars to Apply for a Research Project

  

(Affix Attested Photograph)
(I)  Name in Full :
(II)  a. Address (Permanent) : 
 b. Address (Correspondence) : 
(III)  Phone   (Office): 
 (Res.):
(IV)  E-mail (It is Mandatory) :
(V)

 Fax :

(VI)

 Date of Birth : 
(VII)  Sex :
(VIII)  Nationality : 
(IX)  Whether*: SC , ST  or  OBC     

 *  Please Attach photocopy of the category certificate             
(X)  Whether Belongs To Northeast Region(NER)
(XI)

 Academic Qualifications (Please give in chronological order beginning from high school):  
.No Course/Degree Subject(s) Class/Grade University/Board Year of Passing
           
           
           
           
           
           
             
           
 
(XII)  Employed: Yes/No (If 'Yes', please furnish information in chronological order in the    afollowing format):
Position Held  Institution From To  Salary Drawn
         
         
         
         
         
         
         
         
 
(XIII) Publications in the last five years (Please indicate title, publisher and year of publication):
 
 

 a.

  Books
   
 (i) Authored
 
 (ii) Co-authored
 
 (iii) Edited
 
 

b.

 Research Papers in peer-reviewed journals only (Give title, journal, year)
 


(XIV)

Details of the Projects:
   
 

a.

 Completed: Yes/No (If 'Yes', please provide details in the format below):
  

   

 
S.No Title of the Project Duration Sponsored/ Funded by the Institute Year of Completion Budget Sanctioned Report Submitted/Year 
             
             
             
             
             
             
 
 

b.

Currently being Conducted: Yes/No (If yes, please furnish the details in the following format):
 
S. No  Title of the Project  Sponsored/Funded by Budget Sanctioned  Likely Date of Completion
         
         
         
         
         
         
 
 

c.

Whether any proposal submitted for a Project to other agencies for consideration: Yes/No (If 'Yes', please indicate the details in the following format):
 
S. No Title of the Project Duration  Budget Submitted to the Agency with Date Present Status
           
           
           
           
           
 

(XV

  Please indicate the name and address of the institution where the scholar wants to affiliate this project and the reasons thereof:

(XVI)

  Any other relevant information in support of the proposal:
 
 
 
Date :

Signature of the Applicant
 

(N.B. Please fill-in all columns with clear responses to facilitate quick processing of the proposal.)

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