Index Page No Application form 2-9

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www.educationexpo.tv
N-003, Plumeria Garden Estate, Omicron-III
Greater Noida-201308, (Delhi NCR) UP, India
Tel: 09953142311, 01204129059. [email protected]
Education Expo TV’s
Research Wing for Excellence in Professional Education & Industry
5th Faculty Branding Awards-2017
Nomination Form
NAME OF NOMINEE
Dr ❏
First Name
Prof. ❏
Mr. ❏
Mrs. ❏
Middle Name
Ms. ❏
Last Name
GENDER
❏ Male ❏ Female
___________________________________________________________________________
DESIGNATION
DEPARTMENT
ORGANIZATION NAME
___________________________________________________________________________
CITY
STATE
COUNTRY
___________________________________________________________________________
ADDRESS OF ORGANIZATION
___________________________________________________________________________
___________________________________________________________________________
MOBILE NUM
TELEPHONE NUM
EMAIL ID
WEBSITE
___________________________________________________________________________
ADDRESS FOR CORRESPONDANCE
___________________________________________________________________________
___________________________________________________________________________
2
www.educationexpo.tv
N-003, Plumeria Garden Estate, Omicron-III
Greater Noida-201308, (Delhi NCR) UP, India
Tel: 09953142311, 01204129059. [email protected]
NOMINATION TYPE:
❏INDIVIDUAL
❏INSTITUTIONAL
(Individual Entry: Institution/Company name will not be printed on certificate/citation)
(Institutional Entry: Institution/Company name will be printed on certificate/citation)
Please select the category of institution:
□ B-School
□ Biotech
□ University
□ Engineering
□ Medical
□ Pharmacy
□ Law
□ others ____________________
□ Agriculture
□ HM
Please select the award for which you are applying:
❏Award for Outstanding Faculty of the year
❏Best Scientist Award
❏Young Scientist Awards
❏Award for Best Faculty
❏Award for Young Faculty
❏Award for Best Principal/Directors
❏Award for Excellence in Research
❏Best Researcher Award
❏Award for International Achievement
❏Award for Special Achievement
I ACCEPT RESPONSIBILITY for the accuracy of the information supplied above and I authorize
the Faculty Branding Awards-2017 to reproduce applicant contact information in its
publications exactly as supplied in this entry form. The FBA-16 collects personal information
supplied in the application solely to facilitate management and administration of its
activities and responsibilities as it relate to this personal information against loss, theft and
unauthorized access or disclosure. By supplying this personal information you consent to its
use.
Authorize person Name:
Signature:
___________________
_____________________________
Institution name & Seal: (For institution entry Only)
Date:
__________________________
_____________________________
3
www.educationexpo.tv
N-003, Plumeria Garden Estate, Omicron-III
Greater Noida-201308, (Delhi NCR) UP, India
Tel: 09953142311, 01204129059. [email protected]
Rules and Regulations:
5th Faculty Branding Awards-2017
1. Nominations for the awards may originate from individual and institution. Applicants
can apply for more than one award.
2. Submission Deadlines: 06 July 2017
3. Awards & Eligibility:
❏Award For Outstanding Faculty of the Year
The ‘Outstanding Faculty of the Year’ is designed to honor those faculty members
who exemplify the highest levels of performance and excellence in the pursuit of the
Institutions goals and thereby in the fulfillment of its mission. This award honors
senior faculty who have consistently demonstrated outstanding achievements in the
areas of teaching and mentoring of students and junior faculty, research and/or
creative endeavors, service and a variety of other activities which have brought
distinction to themselves and to the Institution.
Eligibility: Full time faculty with the rank of full professors with no less than TEN
years of teaching experience at UG/PG level may be nominated for this award.
Number of Awards: One at International/ National Level + one each of certificate
of- Honorable Mention, Special Mention, excellence, Appreciation & Official
spotlight will be given.
❏Best Scientist Award
The Best Scientist Award gives recognition to scientists who have made outstanding
contributions to research & development resulting in significant new technology or
innovative use of established technology.
Eligibility: Scientist with no less than TEN years of R&D experience may be
nominated for this award.
Number of Awards: One at State Level + one each of certificate of- Honorable
Mention, Special Mention, excellence, Appreciation & Official spotlight will be given.
❏Young Scientist Awards
The Young Scientist Awards recognize young scientist who are actively engaged in
R&D, and who have shown great potential to be world-class scientist in their fields
4
www.educationexpo.tv
N-003, Plumeria Garden Estate, Omicron-III
Greater Noida-201308, (Delhi NCR) UP, India
Tel: 09953142311, 01204129059. [email protected]
of expertise.
Eligibility: Scientist with less than Ten years of R&D experience may be nominated
for this award.
Number of Awards: One at State Level + one each of certificate of- Honorable
Mention, Special Mention, excellence, Appreciation & Official spotlight will be given.
❏Award For Best Principal/Director
This ‘Best Principal/Director award’ is presented for sustained outstanding
contributions to the Institution & community beyond the academy that may include:
administrative excellence, faculty students and staff empowerment, 360 degree
Institutions growth through teaching, research, alliance, expansion, transparent
services, brand building & social activities by an individual over the major portion of
their career.
Eligibility: Full time academician with the rank of full professors with no less than
TWO years of working experience as Director (Principal) may be nominated for this
award.
Number of Awards: One at State Level
❏Award For Best Faculty
The objective of ‘Award for Best Faculty’ is to recognize evidence of outstanding
teaching performance over an extended period of time. The award will be given on
the basics of ability to stimulate students to learn, Enthusiasm about subject matter
and teaching, Innovative lectures or educational materials, Concern for and
dedication to students, Constructive use of evaluations, Activities in support of
teaching, and Development of new courses or revitalization of existing ones.
Eligibility: Full time faculty with the rank of full professors, associate professors, and
assistant professors with more than FIVE years of teaching experience at UG/PG
level may be nominated for these awards.
Number of Awards: One at State Level + one each of certificate of- Honorable
Mention, Special Mention, excellence, Appreciation & Official spotlight will be given.
❏Young Faculty Award
The ‘Young Faculty Award’ recognizes outstanding contributions made by faculty at
relatively early stages in their careers that may include: contribution &
achievements in teaching, research & other activities.
5
www.educationexpo.tv
N-003, Plumeria Garden Estate, Omicron-III
Greater Noida-201308, (Delhi NCR) UP, India
Tel: 09953142311, 01204129059. [email protected]
Eligibility: Full time faculty with the rank of full professors, associate professors, and
assistant professors with less than Five years of teaching experience at UG/PG level
may be nominated for these awards.
Number of Awards: One at State Level + one each of certificate of- Honorable
Mention, Special Mention, excellence, Appreciation & Official spotlight will be given.
❏Best Researcher Award
This award is presented in the recognition of outstanding contributions in research
leading to the discovery of new knowledge or the pioneering development of
scientific or engineering techniques and methods.
Eligibility: Professional/Academicians with no less than TEN years of experience may
be nominated for this award.
Number of Awards: One at State Level + one each of certificate of- Honorable
Mention, Special Mention, excellence, Appreciation & Official spotlight will be given.
❏Award for Excellence in Research
The ’Award for Excellence in Research’ is presented in recognition of excellent
accomplishment & contribution in research activities that may include: Significant
record that emphasizes publications in national &
international journals,
Recognition among colleagues as a researcher /scholar/ leader in the discipline,
Sustained contribution to the advancement of research, Activity in professional
associations and holding positions that recognize the applicant’s research activity
and grants and contracts.
Eligibility: Professional/Academicians with no less than FIVE years of experience
may be nominated for this award.
Number of Awards: One at State Level + one each of certificate of- Honorable
Mention, Special Mention, excellence, Appreciation & Official spotlight will be given.
❏Special Achievement Award
The ‘Special Achievement Award’ is to recognize the contribution of professionals,
scientist or academicians in science & technology development.
Eligibility: Professionals/Scientist/Academicians with no less than FIVE years of
experience may be nominated for this award.
6
www.educationexpo.tv
N-003, Plumeria Garden Estate, Omicron-III
Greater Noida-201308, (Delhi NCR) UP, India
Tel: 09953142311, 01204129059. [email protected]
Number of Awards: One at State Level + one each of certificate of- Honorable
Mention, Special Mention, excellence, Appreciation & Official spotlight will be given.
❏International Achievement Award
The objective of the Award for International Achievement is to recognize an
individual for sustained interest and involvement in international activities that bring
recognition and contribute to the mission of the institution in the international
arena.
Eligibility: Full time faculty with the rank of full professors, associate professors, and
Assistant professors with no less than TWO years of teaching experience at UG/PG
level may be nominated for these awards.
Number of Awards: One at State Level + one each of certificate of- Honorable
Mention, Special Mention, excellence, Appreciation & Official spotlight will be given
4.
Submission materials:

Academic / Professional Qualifications (state year received)

Work Experience: Name of Organization/Department & Position Held
Period of Service

List major Awards & Honours

Mention
Chairmanship
of
Conferences/Symposia,
Editorship
of
Journals/Books, and Invitations to give Talks during conferences/Symposia &

conferences attended.
A summary of major accomplishments in relation to the relevant award,
including appropriate evidences of achievements and other honors related
to the award.

List of research grants secured over the past three years

List of Publications [Please give a list of (journal and conference) key or
representative publications and submit as attachment a maximum of three
papers that best reflect your expertise, creativity and achievements.
Please include publication summary in following format:-
Number of papers
Number of Conference
in Journals
Papers/Books/Chapters/Monographs
7
www.educationexpo.tv
N-003, Plumeria Garden Estate, Omicron-III
Greater Noida-201308, (Delhi NCR) UP, India
Tel: 09953142311, 01204129059. [email protected]

International:
Conference Papers:
National:
Books:
Regional:
Chapters/Monographs:
Details of technology transfers / spin-off companies, if any, arising from
research

PROFESSIONAL/SCIENTIFIC INFORMATION (Specially for Scientist Awards)
Field of Work (Describe in about 30 words)
Scientific Activities (Research & others) currently pursuing (Describe
in about 60 words):
Patents arising from your Research
Filed:
______ Awarded:
Licensed / Commercialized:
______
_______
(Please provide, on a separate sheet, detailed information of all
patents filed and awarded. Information required includes titles of
inventions, names of inventors, citizenship of inventors, dates of
applications/awards
and
registration
numbers
of
applications/awards)

Narrative statement (about 250 words)
(The Review Committee & Judges will evaluate the potential and track
record of each candidate, vision, dynamism, and inspiration shown, as
well as impact of each piece of work. Please give a summary of your
academics & research activities. Also describe why the applicant meets
the award criteria and deserves for the award).
8
www.educationexpo.tv
N-003, Plumeria Garden Estate, Omicron-III
Greater Noida-201308, (Delhi NCR) UP, India
Tel: 09953142311, 01204129059. [email protected]
5. Application Fee/Award Nomination: (INR Rs.): No submission will be considered
until the non-refundable entry fee has been paid.
For
❏Award for Outstanding Faculty of the year
❏Award for Best Faculty
❏Award for Young Faculty
❏Best Scientist Award
❏Young Scientist Awards
❏Award for Excellence in Research
❏Best Researcher Award
❏Award for Special Achievement
❏Award for International Achievement
Fee: Rs.1800 / award + Rs.270 (15% govt. service tax) = Rs.2070/.
Or USD $50 / award +USD $7.5 (15% govt. service tax) = USD $ 57.5 /
FOR ❏Best Principal/Director:
Fee: Rs.2500 + Rs.375 (15% govt. service tax) = Rs. 2875/.
Or USD $ 70 + USD $10.5 (15% govt. Service tax) = USD $80.5/
The check/DD shall be issued in the favor of “Education Expo TV” payable at Noida.
Or Entry Fee can be paid electronically in the following account:
Account Name: Education Expo TV
IFSC Code: IOBA0001631
Bank: Indian Overseas Bank.
A/c No.: 163102000000519
Swift Code: IOBAINBB001
Branch: Sec 45 Sadarpur Noida, UP, India
International participants can pay the fee via PayPal at id [email protected] .
6. Result of the awards will be declared on 10 July 2017 and award ceremony will take
place in Kolkata on 23 July 2017. The result of award will be displayed on the
www.educationexpo.tv & same shall be communicated to the participants via email.
7. The certificate of Honorable Mention, Special Mention, excellence, Appreciation &
Official spotlight will be given to deserving participants while all participants will
receive certificate of participation. The winners shall be honored with award
certificate & trophies.
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www.educationexpo.tv
N-003, Plumeria Garden Estate, Omicron-III
Greater Noida-201308, (Delhi NCR) UP, India
Tel: 09953142311, 01204129059. [email protected]
8. Faculty Branding Awards-17 does not take any type financial commitment for the
expense incurred on the correspondence by the participant. All Travel, Lodging &
Boarding (TLB) and other miscellaneous expenses will have to be borne by the
participant himself for attending ceremony. No request for the same will be
entertained by any means. Nominal hospitality charges are applicable for attending
the award ceremony at Kolkata.
9. The evaluation of the entries is undertaken by RwePie, EET CRS & FBA-17 jointly. The
decision of RwePie, EET CRS & FBA-17 will be final and can’t be challenged.
10. Once the entry submitted can’t be withdrawn in any circumstances, however FBA-17
director reserve the rights to disqualify any entry on certain grounds.
The application along with all supporting documents can be submitted online via email at
id [email protected].
Or Submit your entry form through post at the following address:
Jyoti Singh
Education Expo TV (FBA-17)
N-003, Plumeria Garden Estate, Omicron-III
Greater Noida-201308, (Delhi NCR) UP, India
Tel: 09953142311, 01204129059
(Preferred Post/Courier Services:
Indian Post/ Professional Courier/
DTDC-PLUS/First Flight/Trackon/ Blu
Dart/DHL/ Fed Ex/ etc. Don’t send
through Overnight express, ondot
/Maruti courier or any other courier)
10
www.educationexpo.tv
N-003, Plumeria Garden Estate, Omicron-III
Greater Noida-201308, (Delhi NCR) UP, India
Tel: 09953142311, 01204129059. [email protected]