1 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. 9 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]
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