Application form for Technical/Non technical categories

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14. Professional /Teaching / Research Employment details: (Give particulars in descending chronological orderstarting with the present post).Sl.No.Employer Post held Pay ScalePlace / StateofEmploymentPeriod of Employment(Month/Year)From ToNB: If Self Employed, please indicate average monthly income.15. Area of specialization (to be filled in on the basis of Academic Qualification and experience relevant to the postapplied):Main Field Specialization Super-Specialization
16. Current Membership of Professional Bodies and Awards / Prize won / Scholarships received(if any) :a) National Level International Level1. ________________________ ____________________________2. ________________________ ____________________________b) National Awards International Awards(Indicate Year)1. _______________________ ____________________________2. ________________________ ____________________________17. Outline few project proposals that you would like to submit to various funding agency on joining CIPET.(Annexure – I) (A brief write up may be given).Specialized area you would like to strengthen on joining CIPET. (Annexure – II) (A brief write up maybe given).Why you should be considered <strong>for</strong> the positions applied. (Annexure – III) (A brief write up may begiven).18. ReferenceResponsible persons, not related to the applicant but closely acquainted with applicants academic andprofessional work.Name and DesignationAddressPhone:Fax:Email:Phone:Fax:Email:
Page 1 and 2: Central Institute of Plastics Engin
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Application form for Technical/Non technical categories

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