THAPAR UNIVERSITY, PATIALA
(Declared under section 3 of UGC Act, 1956 vide notification # F.9-12/84-U.3 of GOI)
PATIALA-147004, PUNJAB http:// www.thapar.edu
APPLICATION FORM FOR FACULTY POSITIONS
(For use of candidates)
Name of the Post: __________________________________________
Department/School/Centre: __________________________________
Affix
Passport
size Attested
Photograph
Area of Specialization: ______________________________________
01 Name in Full (Block Letters)
.
02 Postal Address in full (any change of
.
address should be communicated at
once to the Registrar of the
University)
03 (a) Telephone No., if any
Office (____)__________ Resi (_____)_______
.
(b) E-mail Address
(c) Mobile No.
04 Date and Place of Birth
.
05 Fathers Name
.
Mothers Name
06 (a) Name of the State to which you
.
belong and your permanent
residence with Tehsil & District
(b) State whether you belong to
Scheduled Caste/Tribe/Backward
Class
07 Are you willing to accept the
.
minimum initial pay offered, if not,
state what is the lowest initial pay
that you would accept
08 Present Post held with Designation &
.
name of the Organization where
employed
09 Present salary with pay scale
.
D.A.
H.R.A.
Any Other
Total Rs.
Pay Scale
Basic Pay
Allowances
10.
Were you at any time declared
medically unfit, asked to submit
your resignation, discharged or
dismissed from Government or
private service?
11. ACADEMIC QUALIFICATIONS (Please attach attested copies of certificates including
date of Birth). Give details in chronological order starting with the highest degree)
Divn.
Degree
Year
%
of
Marks /CGPA Remarks
College/University
12. Teaching & Professional Experience
Position Held
Name of Organization
Period
From
Pay
Nature of
W
o
r
k
To
13. Course Taught (Give details in chronological order starting with the latest)
Name of the
Course
Level (UG/PG)
Year in which taught
Class Strength
14. Research Experience
(a) Post-doctoral Fellowship (Should have been availed at an institution other than the Ph.D. degree awarding Institution)
Organization, Country
Period from
To
Duration
(b) Sponsored Research Projects (Including in-house industrial projects)
Year of
Funding
Sponsoring
Organization
Title of Project
(c) Student Research Doctoral Degrees
S.No.
Name of Student
Year of Completion
(d) Student Research Masters Degrees
S.No
Name of Student
Year of Completion
.
Amount of
Grant (In Lacs)
Title of
Thesis
Title of Thesis
Co-Investigators
(if any)
Co-Supervisors
(if any)
Co-Supervisors
(if any)
15. Publications
(a) Papers in SCI Journals (At the time of application, journal should be in latest Thomson
Reuters SCI/SCIE/SSCI list)
S.No
.
Author(s)
Year
of
Publication
Title of Paper
Name of the
Journal, volume/
page numbers,
Name of
the
Publisher
Year
of
Publication
Title of Paper
Name of the
Journal, Volume/
page numbers,
Name of
the
Publisher
Impact
Factor
Accepted
S.No.
Author(s)
(b) Papers in Non-SCI/SCIE/SSCI Journals
Published
S.No Author(s)
Year
of Title of Paper
.
Publication
Accepted
S.No Author(s)
.
Year
of
Publication
Title of Paper
Impact
Factor
Name of the
Journal, Volume/
page numbers,
Name of the
Publisher
Name
of
the
Journal, Volume/
page numbers,
Name of the
Publisher
(c) Papers in International Conferences (those held outside India)
S.No.
Author(s)
Year of
Publication
Title of Paper
Name and Place of
Conference
(d) Papers in Indian Conferences
S.No
.
Author(s)
Year of
Publication
(e) Books
Published
S.No
Name of Book
.
In Press
S.No
Name of Book
.
Title of Paper
Name and Place of
Conference
Year of Publication
Name of
Publisher
Co-authors
(if any)
Expected Year of
Publication
Name of
Publisher
Co-authors
(if any)
Patent Number
International/
Indian
16. Patents
S.No
.
Author(s)
17. Consulting Experience
Year
Award
of
Title
Patent
of
Period
Organization
Nature of Projects
Co-Consultants
(if any)
18. Industrial Experience
Period
Organization
Description of Work and Responsibilities
19. Administrative Experience
Period
Organization
Designation
Nature of Responsibility
Place, Country
Duration
20. Details of Foreign Visits, if any
S.No.
Purpose
21. Membership of Professional Bodies/Societies (Please specify National/International)
22. Awards, Honours and Recognitions
23. Research Plan for the next 5 years:
24. Teaching Plan for the next 3 years:
25. H-Factor:
Scopus H-Factor
Scopus Citations (excluding self citations)
Google H-Factor
Google Citations
Accurate supporting
printouts to be
attached
26. Any Other Relevant Information supporting this application for a faculty position
27. References: (At least three names of referees with their clear and complete addresses.
Referees should be persons with or under whom the candidate has worked
and one of the referees should from the last Organisation/Institute served).
1. _______________________________________________________
_______________________________________________________
_______________________________________________________
2. _______________________________________________________
_______________________________________________________
_______________________________________________________
3. _______________________________________________________
_______________________________________________________
_______________________________________________________
27.
Check List (item-wise) documents attached.
(a) ________________________________________________________________________
(b) ________________________________________________________________________
(c) ________________________________________________________________________
(d) ________________________________________________________________________
(e) ________________________________________________________________________
(f) ________________________________________________________________________
(g) ________________________________________________________________________
(h) ________________________________________________________________________
(i) ________________________________________________________________________
(j) ________________________________________________________________________
(k) ________________________________________________________________________
(l) ________________________________________________________________________
(m) ________________________________________________________________________
(n) ________________________________________________________________________
(o) ________________________________________________________________________
(p) ________________________________________________________________________
(q) ________________________________________________________________________
I declare that
(a) All information provided with this application is true to the best of my knowledge and belief,
(b) There are __enclosures attached with this application, consisting of _ pages; a complete list of
enclosures is attached.
Date
Place :
Signature of Applicant
Information Sheet (to be filled by the applicant)
1
.
3
.
4
.
5
.
Name
Post applied for
Department/ School
Specialization
Broad Area
At Ph.D./M.Tech. level
6
.
7
.
Academic Qualification
Total
Experience
Teaching/Professional
RESEARCH EXPERIENCE/ACHIEVEMENTS
Attributes
Number
Publications
Total number of Papers in SCI/SCIE/SSCI Journals
Total number of Papers in SCI/SCIE/SSCI Journals
(having Impact Factor 0.5 and more)
Total number of Papers in Other Journals
(Non-SCI/SCIE/SSCI Journals
Ph.D. Theses Supervised (Completed)
Patents (Awarded) - International
-National
Sponsored
Research
Industrial Projects
Books
Projects/in-house
- International Publisher
-National Publisher
Masters Theses Supervised (Completed)
Conferences: International Conferences (Held outside
India)
Held in India
H-FACTOR:
Google Citations
Google H-Factor
Scopus H-Factor
Scopus Citations (excluding self citations)
Total Impact
Factors (TIF)
of
Publications
Name & Signature of the Applicant
Date
Verification by the Screening Committee
