राष्ट्रीय प्रौद्योगिकी संस्थान गसलचर
NATIONAL INSTITUTE OF TECHNOLOGY SILCHAR
गसलचर – 788 010
SILCHAR – 788 010 (ASSAM)
APPLICATION FORM FOR RECRUITMENT OF VARIOUS FACULTY POSTIONS
1. ADVERTISEMENT NO AND DATE
2. TRANSACTION DETAILS
TRANSACTION ID
PASTE PASSPORT
BANK NAME SIZE PHOTO HERE
BRANCH NAME
AMOUNT
3. DEPARTMENT APPLIED FOR
4. POST APPLIED FOR (TICK ONE OPTION ONLY)
Professor Level 14A [PB – IV,AGP INR 10,500.00 (6th CPC scale)]
Associate Professor Level – 13A2 [PB – IV,AGP INR 9,500.00 (6th CPC scale)]
Assistant Professor Grade – I Level – 12 [PB – III,AGP INR 8,000.00 (6th CPC scale)]
Assistant Professor Grade - II Level – 11 [PB – III,AGP INR 7,000.00 (6th CPC scale)]
PART – A (PERSONAL DETAILS, QUALIFICATION AND EXPERIENCE)
5. PERSONAL DETAILS
A. Name of Applicant
B. Mother’s Name
C. Father's Name
D. Full Address with PIN
NIT SILCHAR | APPLICATION FOR RECRUITMENT OF FACULTY POSITION 1 OF 14
Address for
Communication
Permanent Address
with Police Station
and PIN
E. E – Mail Id
F. Mobile No.
G. Gender MALE FEMALE OTHERS
H. Date of Birth DAY MONTH YEAR
(Attach proof)
I. Age as on 01.10.2020 Years Months Days
J. Marital Status MARRIED SINGLE
K. Category SC ST OBC EWS OPEN
L. Whether belong to PWD YES NO
If YES, please specify Category of PWD %-age of disability
NIT SILCHAR | APPLICATION FOR RECRUITMENT OF FACULTY POSITION 2 OF 14
6. EDUCATIONAL QUALIFICATION
Give the details of “Educational Qualification” in the following format:
Degree Name of Branch / Year of Div. / Class %-age of
Board / Specialization Completion Marks /
University CGPA / CPI
X
XII
DIPLOMA
GRADUATION
POST-
GRADUATION
Ph.D.
OTHERS
Title of Ph.D.
Thesis
7. Ph.D. ENROLLMENT PERIOD
Give the details of “Ph.D. Enrollment Period” in the following format:
Date of 1st Date of Name of the Name of the
Registration Institution where Institution where
Thesis Submission Award of PhD Registered as Ph.D. Served as Faculty,
Scholar if any
8. EXPERIENCE
Give the details of “Experience” in the following format:
S. Period (Date) Duration
Organization Designation Pay Scale
No From To Years Month
Years Months
Total Teaching Experience (as Regular or “On Contract”)
Total Teaching Experience (as Temporary or Contractual)
Experience in R&D Lab or Relevant Industry
Post Ph.D. Experience
Date of Last Promotion
NIT SILCHAR | APPLICATION FOR RECRUITMENT OF FACULTY POSITION 3 OF 14
PART – B (CREDIT POINTS)
9. EXTERNAL SPONSORED R & D PROJECTS CREDIT POINTS CLAIMED ____
Give the details of “External Sponsored R & D Projects” in support of claimed credit points in the
following format:
ANNEXURE – B1
DETAILS OF EXTERNAL SPONSORED R & D PROJECTS
Sl. Title of Sponsoring Period Duration Project Status PI No. of Credit
No. Project Agency in Years Sanctioned (Completed / Co-PIs Points
From To Amount in / Ongoing) Co including
INR - PI
PI
10. PATENTS GRANTED CREDIT POINTS CLAIMED ____
Give the details of “Patents Granted” in support of claimed credit points in the following format:
ANNEXURE – B2
DETAILS OF PATENTS GRANTED
Sl. Title Registration Registration Name of No. of Co-Inventors Credit
No. Details Date Inventor / / Co-Coordinators Points
Coordinator
11. CONSULTANCY PROJECTS CREDIT POINTS CLAIMED ____
Give the details of “Consultancy Projects” in support of claimed credit points in the following format:
ANNEXURE – B3
DETAILS OF CONSULTANCY PROJECTS
Sl. Title Name & Nature of Amount No. of Co- Name of Institution Credit
No. Address of Work involved Consultants, if through which the Points
Client in INR any project earned
NIT SILCHAR | APPLICATION FOR RECRUITMENT OF FACULTY POSITION 4 OF 14
12. Ph.D. COMPLETED (INCLUDING THESIS SUBMITTED CREDIT POINTS ____
CASES) CLAIMED
Give the details of “Ph.D. Guided” in support of claimed credit points in the following format:
ANNEXURE – B4
(i) DETAILS OF Ph.D. GUIDED (COMPLETED / THESIS SUBMITTED)
Sl. Name Name of Year of Applicant’s Role No. of Credit
No of the the Award Supervisors Points
Scholar Institute Principal / Co- Joint (including
1st Supervisor Supervisor Principal
Supervisor Supervisor)
1 YES / NO YES / NO YES / NO
2 YES / NO YES / NO YES / NO
13. JOURNAL PAPERS IN SCI / SCOPUS (PAID JOURNALS NOT CREDIT POINTS ____
ALLOWED) CLAIMED
Give the details of “Journal Papers in SCI/Scopus (paid journals not allowed)” in support of claimed
credit points in the following format:
ANNEXURE – B5
DETAILS OF JOURNAL PAPERS IN SCI/SCOPUS
Role of Applicant Credit
Title Name of
Sl. List of Publication details 1st Points
of the the
No. Authors (Vol., Year, pp., DOI) Author/Main Co-Author
Paper Journal
Supervisor
1 YES / NO YES / NO
2 YES / NO YES / NO
Attach First Page of each paper
NIT SILCHAR | APPLICATION FOR RECRUITMENT OF FACULTY POSITION 5 OF 14
14. CONFERENCE PAPERS INDEXED IN SCI / SCOPUS / WEB OF CREDIT ____
SCIENCE CONFERENCE / ANY INTERNATIONALLY POINTS
RENOWNED CONFERENCE (SINCE LAST PROMOION) CLAIMED
Give the details of “Conference Papers Indexed in SCI / Scopus / Web of Science Conference / Any
Internationally Renowned Conference (since last promotion)” in support of claimed credit points in the
following format:
ANNEXURE – B6
DETAILS OF CONFERENCE PAPERS INDEXED IN SCI / SCOPUS / WEB OF SCIENCE
CONFERENCE / ANY INTERNATIONALLY RENOWNED CONFERENCE (SINCE LAST
PROMOION)
Sl. List of Authors Title of Name of Publication Role of Applicant Credit
No the the details (Place, Points
. Paper Conference Year, pp., ISSN) 1st Co-Author
& Organizer Author/Main
Supervisor
1 YES / NO YES / NO
2 YES / NO YES / NO
Attach Proof
15. HOD, Dean, Chief Warden, Professor-In-Charge (Training CREDIT POINTS ____
& Placement), Advisor (Estate), CVO, PI (Exam), TEQIP CLAIMED
Coordinator since last promotion
ANNEXURE – B7(A)
Sl. Responsibility Whether Whether Duration No. of Credit
No. recommended by approved by Semesters Points
Concerned Head / Director From To
Chairman
1 YES / NO YES / NO
2 YES / NO YES / NO
NIT SILCHAR | APPLICATION FOR RECRUITMENT OF FACULTY POSITION 6 OF 14
16. [Warden, Assistant wardens, Associate Dean, Chairman / CREDIT ____
Convener Institute Academic Committees, Faculty-In-Charge POINTS
(Computer Center / IT Services / Library / Admission / Student CLAIMED
Activities) and Other Institutional Activities since last
promotion
ANNEXURE – B7(B)
Sl. Responsibility Whether Whether Duration No. of Credit
No. recommended by approved by Semesters Points
Concerned Head / Director From To
Chairman
1 YES / NO YES / NO
2 YES / NO YES / NO
17. Chairman and Convener of different standing Committee CREDIT POINTS ____
and Special Committee (Ex-Officio status will not be CLAIMED
considered), Faculty-In-Charge (Each for one year
duration) of different Units or Equivalent since last
promotion
ANNEXURE – B7(C)
Sl. Responsibility Whether Whether Duration No. of Credit
No. recommended by approved by Semesters Points
Concerned Head / Director From To
Chairman
1 YES / NO YES / NO
2 YES / NO YES / NO
18. Departmental Activities Identified by HOD like Lab-In- CREDIT ____
Charges, or Departmental Level Committee for a min. POINTS
period of one year since last promotion CLAIMED
ANNEXURE – B8
Sl. Responsibility Whether Whether Duration No. of Credit
No. recommended by approved by Semesters Points
Concerned Head Director From To
1 YES / NO YES / NO
2 YES / NO YES / NO
NIT SILCHAR | APPLICATION FOR RECRUITMENT OF FACULTY POSITION 7 OF 14
19. WORKSHOP / FDP / SHORT TERM COURSES OF MIN. 05 CREDIT ____
WORKING DAYS DURATION OFFERED AS COORDINATOR POINTS
OR CONVENER SINCE LAST PROMOTION CLAIMED
Give the details of “workshop / FDP / short term courses of min. 05 working days duration offered as
coordinator or convener since last promotion” in support of claimed credit points in the following
format:
ANNEXURE – B9
Sl. Title of the Venue Applicant’s Duration Credit
No. Workshop / FDP / Role Points
Short Term Courses (Coordinator / From To No. of
Convener) Days
20. CONDUCTED NATIONAL PROGRAMS LIKE GIAN ETC. AS CREDIT POINTS ____
COURSE COORDINATOR SINCE LAST PROMOTION CLAIMED
Give the details of “Conducted National Programs Like GIAN Etc. as Course Coordinator since last
promotion” in support of claimed credit points in the following format:
ANNEXURE – B10
DETAILS OF CONDUCTED NATIONAL PROGRAMS LIKE GIAN ETC. AS COURSE
COORDINATOR SINCE LAST PROMOTION
Sl. Name of National Title of Name & Duration Credit
No. Programs like GIAN the Address of Points
etc. Course Expert From To No. of
Weeks
NIT SILCHAR | APPLICATION FOR RECRUITMENT OF FACULTY POSITION 8 OF 14
NATIONAL / INTERNATIONAL CONFERENCE ORGANIZED
21. CREDIT POINTS ____
AS CHAIRMAN / SECRETARY SINCE LAST PROMOTION
CLAIMED
SINCE LAST PROMOTION
Give the details of “National / International Conference Organized as Chairman / Secretary since last
promotion” in support of claimed credit points in the following format:
ANNEXURE – B11
DETAILS OF NATIONAL / INTERNATIONAL CONFERENCE ORGANIZED AS CHAIRMAN /
SECRETARY SINCE LAST PROMOTION
Sl. Name of National / Venue Duration Applicant’s Credit
No. Conference International Role Points
From To
22. LENGTH OF SERVICE OVER AND ABOVE THE RELEVANT CREDIT POINTS ____
MINIMUM TEACHING EXPERIENCE REQUIRED FOR THE CLAIMED
APPLIED CADRE
Give the details of “length of service over and above the relevant minimum teaching experience
required for the applied cadre” in support of claimed credit points in the following format:
ANNEXURE – B12
DETAILS OF LENGTH OF SERVICE OVER AND ABOVE THE RELEVANT MINIMUM
TEACHING EXPERIENCE REQUIRED FOR THE APPLIED CADRE
Sl. Cadre Applied Relevant Teaching Experience in Present Cadre Credit Points
No. for
Name of the Period Total Over and
Cadre in Above the
From To Years Minimum in
Years
NIT SILCHAR | APPLICATION FOR RECRUITMENT OF FACULTY POSITION 9 OF 14
23. ESTABLISHMENT OF NEW LABORATORIES SINCE CREDIT POINTS ____
LAST PROMOTION CLAIMED
Give the details of “establishment of new laboratories since last promotion” in support of claimed
credit points in the following format:
ANNEXURE – B13
DETAILS OF ESTABLISHMENT OF NEW LABORATORIES SINCE LAST PROMOTION
Sl. Name of Laboratories Level – UG / Department Started from Credit Points
No. PG (Year)
1.
24. THEORY TEACHING OF OVER AND ABOVE 6 CREDIT HRS. CREDIT POINTS ____
COURSE SINCE LAST PROMOTION CLAIMED
Give the details of “Theory Teaching of over and above 6 Credit Hrs. since last promotion” in support
of claimed credit points in the following format:
ANNEXURE – B14
DETAILS OF THEORY TEACHING OF OVER AND ABOVE 6 CREDIT HRS. SINCE LAST
PROMOTION
Sl. Year Theory Teaching – Credit Hrs. Theory Teaching – Over and Above 6 Credit
No. Credit Hrs. Points
1.
NIT SILCHAR | APPLICATION FOR RECRUITMENT OF FACULTY POSITION 10 OF 14
25. PG DISSERTATION GUIDED SINCE LAST PROMOTION CREDIT POINTS ____
CLAIMED
Give the details of “PG Dissertation Guided since last promotion” in support of claimed credit points
in the following format:
ANNEXURE – B15
DETAILS OF PG DISSERTATION GUIDED SINCE LAST PROMOTION
Sl. Name of the Student Title of the Dissertation Year of Award Credit Points
No.
1.
26. UG PROJECTS GUIDED SINCE LAST PROMOTION CREDIT POINTS ____
CLAIMED
Give the details of “UG Projects Guided since last promotion” in support of claimed credit points in the
following format:
ANNEXURE – B16
DETAILS OF UG PROJECTS GUIDED SINCE LAST PROMOTION
Sl. No. Title of the Dissertation Year of Award Credit Points
1.
TEXT/REFERENCE BOOKS PUBLISHED ON RELEVANT CREDIT POINTS ____
27.
SUBJECTS FROM REPUTED INTERNATIONAL PUBLISHERS CLAIMED
SINCE LAST PROMOTION
Give the details of “text/reference books published on relevant subjects from reputed international
publishers since last promotion” in support of claimed credit points in the following format:
ANNEXURE – B17
DETAILS OF TEXT/REFERENCE BOOKS PUBLISHED ON RELEVANT SUBJECTS FROM
REPUTED INTERNATIONAL PUBLISHERS SINCE LAST PROMOTION
Sl. Title of the Name of the Publication Name of Co-Authors Credit Points
No. Book Publisher details
NIT SILCHAR | APPLICATION FOR RECRUITMENT OF FACULTY POSITION 11 OF 14
28. TEXT/REFERENCE BOOKS PUBLISHED ON RELEVANT CREDIT POINTS ____
SUBJECTS FROM REPUTED NATIONAL PUBLISHERS OR CLAIMED
BOOK CHAPTERS IN THE BOOKS PUBLISHED BY
REPUTED INTERNATIONAL PUBLISHERS SINCE LAST
PROMOTION
Give the details of “text/reference books published on relevant subjects from reputed national
publishers or book chapters in the books published by reputed international publishers since last
promotion” in support of claimed credit points in the following format:
ANNEXURE – B18
DETAILS OF TEXT/REFERENCE BOOKS PUBLISHED ON RELEVANT SUBJECTS FROM
REPUTED NATIONAL PUBLISHERS OR BOOK CHAPTERS IN THE BOOKS PUBLISHED BY
REPUTED INTERNATIONAL PUBLISHERS SINCE LAST PROMOTION
Sl. Title of the Title of the Name of the Publication Name of Co- Credit Points
No. Book Book Publisher details Authors
Chapter
29. SIGNIFICANT OUTREACH INSTITUTE OUT ACTIVITIES CREDIT POINTS ____
SINCE LAST PROMOTION CLAIMED
Give the details of “significant outreach institute out activities since last promotion” in support of
claimed credit points in the following format:
ANNEXURE – B19
DETAILS OF SIGNIFICANT OUTREACH INSTITUTE OUT ACTIVITIES SINCE LAST
PROMOTION
Sl. Outreach Institute / Nature of Period Credit Points
No. Activities Organization Activity
NIT SILCHAR | APPLICATION FOR RECRUITMENT OF FACULTY POSITION 12 OF 14
30. FELLOW IEEE, FNA, FNAE, FNASc CREDIT POINTS ____
CLAIMED
Give the details of “Fellow IEEE, FNA, FNAE, FNASc” in support of claimed credit points in the following
format:
ANNEXURE – B20
DETAILS OF FELLOW IEEE, FNA, FNAE, FNASc
Sl. Fellowship Name Awarding Institute / Organization Credit Points
No.
31. PLACEMENT PERCENTAGE (ONLY FOR THE CREDIT POINTS ____
PLACEMENT CELL OFFICERS / FACULTY-IN-CHARGE OF CLAIMED
PLACEMENT) SINCE LAST PROMOTION
Give the details of “placement percentage (only for the placement cell officers / faculty-in-charge of
placement) since last promotion” in support of claimed credit points in the following format:
ANNEXURE – B21
DETAILS OF PLACEMENT PERCENTAGE (ONLY FOR THE PLACEMENT CELL OFFICERS /
FACULTY-IN-CHARGE OF PLACEMENT) SINCE LAST PROMOTION
Sl. Year Placement Percentage Credit Points
No.
TOTAL CREDIT POINTS CLAIMED
(Summation of Claimed Credit Points at Sl. Nos. 8 to 31) _______
32. LIST OF COPIES OF CERTIFICATE ENCLOSED
Sl. No. Details
1
2
3
4
5
NIT SILCHAR | APPLICATION FOR RECRUITMENT OF FACULTY POSITION 13 OF 14
33. LIST OF COPIES OF ANNEXURES ENCLOSED
Sl. No. Annexure No. Details
1
2
3
4
5
I hereby declare that all the information given above is correct to the best of my knowledge and belief.
Also I have carefully checked that the position for which I am applying has been advertised by NIT Silchar. I fully
understand that if it is found that any information given in the application is incorrect/false or if I do not satisfy
the eligibility criteria at a later date, my candidature/appointment is liable to be cancelled.
Date: Signature of Applicant
Recommendation / Comments of the present employer with office seal:
(For employed person of Govt. / Semi Govt. organizations only)
Seal with Date: Signature of Employer
NIT SILCHAR | APPLICATION FOR RECRUITMENT OF FACULTY POSITION 14 OF 14
