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NATIONAL INSTITUTE OF FOOD TECHNOLOGY, ENTREPRENEURSHIP

& MANAGEMENT (NIFTEM) - THANJAVUR Affix


(an Institute of National Importance; Formerly Indian Institute of Food Processing Recent
Technology - IIFPT) Tel:04362-228155 Passport
Size
APPLICATION FOR THE POST OF SENIOR RESEARCH FELLOW / PROJECT ASSISTANT Photograph

Email: director@iifpt.edu.in Website: www.niftem-t.ac.in

1. Name in full (in BLOCK letters) :


2 Age and Date of Birth (Closing date of :
Application)
3 Place of Birth and District :
4 Sex : Male / Female / Transgender
5 Name of the Father / Husband :
6 Nationality and Religion :
7 Community : GENERAL / OBC / SC / ST / EWS
8 Communication address

9 Email Address (Compulsory) Alternate Email


10 Mobile Number Alternate
(Compulsory) Mobile
Number
(Compulsory)

12. Educational Qualification (School Level)


Month and Over all
Marks
Examination Board Year of percentage
obtained
Passing

13. Educational Qualification (UG to Ph.D.)


University Month and
Over all
Degree subject /Intuition Year of
percentage/OGPA
Passing

14. M.Tech/ Ph. D Thesis titles


S.No Degree Discipline / Department Thesis Title

15. Whether qualified GATE/NET/SLET


S.No Qualified Test Subject

16. Work Experience


S.NO Name of the Designation Length of
Pay From To
Employer held service
1
2
3

17. Trainings relevant to the post applied


Name of the Area of the Name of the
From To Total No. of Days
training training organizer

18. Publications:
a) Research Papers in Peer-Reviewed or UGC listed Journals
Impact Factor
Name of the Journal / Volume / Issue /
S.No Authors Title Year (as per Thomson
ISSN No Page
Reuters)

b) Book/Book chapters

Name of the Title of the Year of


S.No Author(s) Publisher / ISBN No
Book book chapter Publication

c) Patent (Proof needs to be sent)


S.No Status (Filed/ Published/
Title of the patent Patent No Month & Year
Granted)

d) Popular article / Bulletins / Newsletter / any other


Name of the popular article / bulletins / Month & Year of
S.No Publisher
newsletter / any other Publication

e) Paper presentation in Seminars/ Conference/ full paper in Conference Proceedings


Name of the Event & Invited/ Oral/
S.No Title Duration
organizer Poster

19) Awards (Including Best poster/paper) /Fellowship received


Awarding
International /
S.No Name of the Award/ Fellowship Institute/
National / State
Organization

20) Membership in Professional Bodies/Professional recognitions /Reviews in journals


S.No Activity/Particular

21. Declaration:
I hereby declare that I have carefully read 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

Candidate Signature

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