icprlogo.jpg (3263 bytes)               Application No.__________
                                                                          (To be filled by office)

INDIAN COUNCIL OF PHILOSOPHICAL RESEARCH

36, Tughlakabad Institutional area
M.B. Road, (Near Batra Hospital) New Delhi-110062

APPLICATION FORM FOR FELLOWSHIPS (2000-01)

                                   

Affix recent
passport size
photograph

                                  

                                                                        

A.  Name  ____________________________________________________________

B.   Fellowship Applied for    _______________________________________________

C.   Title of Research    __________________________________________________
        Project

D.   Background of the candidate to show his/her
       qualification to undertake the proposed project of research 
                                           
                                        ___________________________________________________
  
                                  ______________________________________________________

E.   The issue which will receive focal attention  ________________________________

     _________________________________________________________________

F.   List of books which are likely to be consulted by the scholar:

G.   Synopsis of the project (including a 10 page note on the first chapter of the proposed
       project) and five copies of the synopsis of the project to be undertaken should be
       enclosed  with the application.
   


BIO - DATA

  1. Name (in block letters)    _________________________________________________

  2. Father's / Husband's name   ___________________________________________

  3. Date of birth   _____________________________

  4. Age as on date   ___________________________

  5. Nationality   ______________________________

  6. Sex (Male / Female)   _______________________

  7. Present Address (in block letters)   _______________________________________
                                                            ___________________________________________
                                                            ___________________________________________
                                                        ______________PIN__________________
                                                        Tel. No. (if any)   ______________________

  8. Permanent Address (in block letters)   _____________________________________
                                                           ___________________________________________
                                                           ___________________________________________
                                                        ______________PIN________________
                                                        Tel. No. (if any)   ____________________

  9. Are you a member of SC / ST ?   _____________________
    If yes, please specify the caste /
    tribe to which you belong and
    attach a copy of the caste / tribe
    certificate from the competent
    authority.

  10. Are you employed ?
    If yes, please fill up the following:
    i.    Post held presently   __________________________________________
    ii.   Whether permanent /
          temporary or on probation    ____________________________________________
    iii.   Name and address of the
           employer                            ____________________________________________
                                                     ____________________________________________
                                                     ____________________________________________
                                                     ____________________________________________

    iv.   Present particulars of pay     ________________________________________
          and allowances

          a.   Grade / Scale of Pay      _________________________________________

          b.   Basic Pay                ____________________________________________

                Dearness Allowance     ________________________________________

                Compensatory city   Allowance   ________________________________

                House Rent Allowance          ____________________________________

                Any other Allowance    ________________________________________

                Total Emoluments        ________________________________________

          c.   Date of next increment    _______________________________________

          d.   Whether you subscribe to CPF ?  _______________________________

  11. (a)   Whether the candidate is receiving / has received any pension or other
            retirement benefits? If so, the amount of pension & pension equivalent of gratuity
            or  other forms of retirement benefits may be indicated :

    ___________________________________________________________________
    ___________________________________________________________________
    ___________________________________________________________________
    ___________________________________________________________________

    (b).     Name and Address of the organisation from which the candidate receives /
               has  received such benefits :

    ___________________________________________________________________
    ___________________________________________________________________
    ___________________________________________________________________

  12. Academic qualifications: (Attested copies of the mark sheets / degrees / certificates are to
    be enclosed)

    Sl. No.
    (1)
    Year
    (2)
    Exami-
    nation
    passed
    (3)
    Subjects
    (4)
    Percen-
    tage of
    Marks
    (5)
    Divi-
    sion /
    Grade
    (6)
    Name
    of the
    school/
    college
    (7)
    Name
    of the
    Univer-
    sity
    (8)
                    
                   
                   
                   
                   
                   
                   

    13. Title of the Ph. D. thesis   _________________________________________
    __________________________________________________________________
    __________________________________________________________________

    14.  Academic Distinction, if any  ______________________________________
    __________________________________________________________________

    15.  Research Project undertaken, if any (Other than that for a Research Degree)

    Title of
    Project
    Subject
    of Research
    Date of
    commen-
    cement
    Date of
    compl-
    etion
    Amount of
    financial
    support
    received
    for the
    project
    Name and
    Address of
    the Insti-
    tution that
    extended
    the fina-
    ncial
    support
               

    16.  Details of other fellowships availed

    Name of the
    Fellowship
    Topic of
    Research

    Period of
    Availing
    Fellowship

    Amount of Grant
    Received
    Name of the
    institution
    that awarded
    the Fellow-
    ship
        From       To
               

    17.   Teaching experience, if any

    Name of the
    Institution
    Designation Whether permanent
    or temporary
    Class taught
    [Mention Whether
    undergraduate
    (Pass/Hons) or
    post graduate or both]
    Length of teaching
    experience
             

    18.    Details of Seminars, Symposia, Colloquia, Workshops, Special Lectures or Summer  School etc., attended or participated

Particulars of
the programme
attended
Year Place / venue
of the
programme
Whether presented any paper. If so, mention its title
       

         19.  Particulars of books published, if any :

Sl. No. Title of the
book
Year of
publication
Name of
publisher
       

           20.  Particulars of articles / papers published, if any

Sl. No. Title of the
article / paper
published
Journal in
which the
paper / article
published
Year, vol and
issue no. of
the journal
       

             21.  Any other information you would like to furnish : _______________________

            ________________________________________________________________

             22.  Name of the University / Institution to which the candidate proposes to be
                    affiliated.
                    (In case the candidate does not wish to be affiliated to any institution,
                    detailed reason justifying such intention to be provided) :
              _______________________________________ _______________________

             _______________________________________________________________

            23.  Name and Address of the person under whose supervision / guidance the
                   candidate would undertake the project. (Consent of supervisor / guide to be
                   provided).
          
           ________________________________________________________________

           24.  DECLARATION

                   I declare that all statements made in this application and its annexures are to
                   my knowledge and belief and I understand that in case of misrepresentation of
                   facts, the fellowships, if selected, is liable to be terminated.

      

                                                                                                   (Signature of applicant)
                   Date ________________
                   Place ________________ 

           25.  To be filled by the Head of the Department/Register of the Institution/University
                   in which the candidate proposes to be affiliated for the proposed research work.
   
                  
Forward with the remarks that there is no objection in the affiliation of the above
                   candidate with this University / Institution and the candidate will be provided all
                   facilities needed for his / her research.
      
           
                   Place ________________
                   Date _________________ 

                                                                 _________________            ________________
                                                                               Name                                   Signature
                                                                                                           Head of the Department




                                                                                                ________________
                                                    Counter Signed                            Registrar
                                                                                                        (Office Seal)                

           26.  To be filled by the head of the Institution (Application in case of employed
                   candidate)

                  
Forwarded with the remarks that the facts stated in the above application
                   have been verified and found correct and this Institution / Organisation has no
                   objection to the candidature of the applicant being considered for the award
                   fellowship applied for :

                  
                                                                                       __________________
                                                                            Signature of the head of the Institution
                                                                                             (Office Seal)
                  Date _______________                                   Tel. no.:   
                  Place _______________
          

            27.  List of enclosures: (please tick wherever applicable)

              (i)   Copies of academic documents

                   a.   SSC/HSC                                                                                [    ]
                   
                   b.   Degree                                                                                     [    ]

                   c.   Post-graduate                                                                          [    ] 

                   d.   M.Phil                                                                                        [    ] 

                   e.   Doctoral                                                                                    [    ] 

                   f.   Post Doctoral                                                                            [    ]                 

           (ii)   Scheduled Cast / Tribe Certificate
                  (Applicable for SC / ST Candidate)                                            [    ]

          (iii)   Synopsis of the Proposed Research Project
                   (5 Copies are to be provided )                                              [    ] [   ] [   ] [   ] [   ]

          (iv)    Consent Letter of the Supervisor / Guide                                  [    ]

           (v)    One Self-addressed stamped envelope                                    [    ]                 

          (vi)    Any other certificate or document: __________________________________

         (vii)     Total number of enclosures: _______________________________________


       NOTE:   1.   Applications without required enclosures would be considered incomplete
                          and  are liable to be rejected.
                    2.  The award of fellowship is not restricted to the applicant only. The council
                          reserves the right to invite or consider any person for a fellowship even if,
                          he / she may not have applied.
                    3.   Separate application is required for each fellowship applied for. 
 


GUIDELINES FOR FILLING UP THE FORM BY THE CANDIDATE 
   

  1. Application for fellowship is acceptable in the prescribed form only.

  2. All addresses required in the application form should be written in block letters giving full details including pincode / area code etc. and where possible telephone numbers also.

  3. The application form should be completed in all respects. Incomplete application forms are liable to be rejected without any further communication.

  4. Employed candidates should submit their application form through their employers. However, advance copy of application is also acceptable but in such cases the candidature would be considered only after receiving the application through the employer.

  5. Attested copies of the mark sheet / degree, certificates from SSC onwards should be attached to this application. Originals of such documents are to be produced at the time of interview.

  6. If space against any item is found inadequate, the applicants are free to furnish the relevant particulars on separate sheets, indicating therein the item number to which the information relates.

  7. Application should contain a synopsis ( consisting of about 1000 words) inclusive of chapterisation and selected Bibliography ( five copies).

  8. Application received without the required documents is liable to be rejected without further communication.


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