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:
________________

d) Marital Status: _________________________

e) Nationality:
__________________________

3. Please tick the appropriate box (Please attach a certificate from the authority prescribed under
government rules for SC/ST/OBC)
General

SC

ST

OBC

4. (a) Contact Address:

__________________________________
__________________________________
__________________________________

PH

(b) Permanent Address:

__________________________________
__________________________________
__________________________________

5. Contact Details (with STD/ISD code):

a.
b.
c.

Phone (Office): ________________________

Phone (Res): ________________________
Mobile:
________________________

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

Referee 2

Referee 3

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

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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

Date of
joining

Organization/Institution

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 the Patents, if any.
22. Details of Short-term Course(s)/Workshop(s)/Seminars(s) etc. Organized. (Chronological
order)
23. 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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24. Externally funded/Sponsored/Research Projects Undertaken (Give in detail)

Sl. No.

Sponsoring Agency

Title of Project

Amount of
grant

Period

Co-investigator
(If any)

25. Consultancy Work Done

Sl. No.

Organization

Title of Project

Amount of grant

Period

Co-investigator
(If any)

26. Industrial Experience Interaction

Sl. No.

Organization

Nature of Work

Period

27. Other Academic And Corporate Activities

28. 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

29. Awards and Recognitions:

30. Professional Training Received
Sl. No.

Name of Training

Organization where training was

received

Year

Duration

31. Membership Of Professional Bodies/Organizations

Sl. No.

Membership Status
(Life/Annual)

Name of the Professional Body

32. Important Conferences/Seminars Attended

Sl. No.

Conference/Seminar

Title of paper read (if any)

Year

33. Any Other Relevant Information You May Like To Furnish

Page 4 of 5

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

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