Application Format

This format should NOT be used as a substitute for the online Application Form. Application received in any way other than a submission of the Online form will be summarily rejected. The format below indicates the details required for filling the Application Form.

Please have all the details in hand before proceeding to fill up the online form. Please contact hdsmaward.ops21@gmail.com for any clarification.

OPS- Haramoni & Dinabandhu Sahu Memorial Award (OPS- HDSMA)

Application Format

Salutation (Dr./Mr./Ms./Prof.)

Name

Email

Phone

Date of Birth (dd/mm/yyyy)

Address for Communication

Name of your current institution

To which Board is your Institution affiliated?

Address of your institution

Educational Qualifications (in reverse order)

Degree1

Degree

Name of the institution

Date of Passing

Percentage of Marks

Class

(repeat degree2, degree3….)

Professional Experience

Number of years of teaching experience of UG Course.

The average number of teaching hours per week of UG Course.

The Approximate number of UG students taught per year.

Have you conducted 80% of Laboratory Experiments for UG students? (Yes/No)

More about yourself

Ingenious techniques used for teaching (100 words)

Do you seek feedback from your students on your teaching? (Yes/No)

If yes, what is the average score on a scale of 5? (number only)

Please elaborate on your mentorship roles

What have your UG students achieved under your guidance in science clubs, projects, paper presentations, and publications in the last 5 years?

Student achievement 1

Students Name

Name of the event

Achievement

Year of achievement

(repeat Student achievement 2….)

What are your innovations in the department?

Innovation 1

A brief description of your Innovation (max. 100 words)

(Repeat Innovation 2….)

What other responsibilities have you undertaken in the institution other than teaching in the last 5 years?

Responsibility1 (max. 20 words)

A number of hours per week

(repeat Responsibility 2 (max. 20 words)……)

Have you, in coordination with your department conducted any conferences, workshops, seminars, industrial visits, educational tours in the last 5 years?

Event 1

Name of the event

For whom

Type of event

Funding agency

(repeat Event 2,……..)

List additional relevant qualifications (in the last 5 years)

Number of publications in the magazine, journal, newspaper,….(number only)

Number of poster presentations and seminars

Number of guest lectures

Number of physics books published

List the awards/prizes/recognition received, relevant to your teaching

Award1

Name of the Award

Year of Award

Awarding Institution

Purpose

(repeat Award 2……)

By clicking submit, I certify that all information provided in this Application form is true, accurate, and correct to the best of my knowledge.

I will abide by the decision of the OPS Selection Committee.