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Application for Full Time Adhoc Post of Assistant Professor in Pharmacology at Bombay College of Pharmacy, Kalina, Santacruz (E), Mumbai-400098 for A.Y 2022-2023.
Please read the questions in the form carefully before answering. Put NA if the concerned questions are not applicable to you. Do not leave any mandatory questions blank.
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Email
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Your email
1. Title
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Dr
Mr.
Mrs.
Ms.
2.Full name (Name-Middle name-Surname)
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Your answer
3. Gender
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Female
Male
Transgender
4. Age in years and months (as on 30th June 2022)
Your answer
5.Email address
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Your answer
6.Contact Number (preferably Whatsapp)
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Your answer
7. Current place of residence (City, State)
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Your answer
8.Address for correspondence
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Your answer
9. Permanent address
Your answer
10a. Do you belong to any reserved category* (Question to be answered by candidates belonging to State of Maharashtra only).
Yes
No
Clear selection
10b. If yes, specify the reserved category. If No, mention as NA.
Your answer
11. Are you GATE/GPAT Qualified?
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Yes
No
11 a. If Yes, mention the year of passing. If No, mention NA.
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Your answer
11b. If Yes, mention the marks scored/total marks and/or percentile marks (if applicable) at GATE/GPAT examination. If No, mention NA.
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Your answer
12. Have you qualified University of Mumbai (UOM) PET examination?
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Yes
No
12 a. If Yes, mention the month and year of passing PET Examination. If not mention NA.
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Your answer
12 b. If Yes, mention the marks obtained out of 100. If score is not mentioned on your score card, write Score not mentioned. If not qualified, mention NA.
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Your answer
13.Year of Passing B.Pharm and University of passing. e.g. B.Pharm 2015, University of Mumbai
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Your answer
13 a. B.Pharm (CGPA or %)
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Your answer
13 b. Class obtained at B.Pharm
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First Class with Distinction
First Class
14. Year of passing M.Pharm , Institution, and the University of passing. e.g., M.Pharm 2015, Bombay College of Pharmacy, University of Mumbai
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Your answer
14 a. M.Pharm specialization
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Your answer
14 b. M.Pharm (CGPA or %)
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Your answer
14 c. Class obtained at M.Pharm
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First Class with Distinction
First Class
15. Are you Doctor of Pharmacy (Pharm.D)?
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Yes
No
15.a. Year of passing Pharm D, institution and the University of Passing. e.g., 2020, ISF College of Pharmacy, Punjab Technical University. If not mention NA.
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Your answer
15.b. If Pharm D, mention (CGPA or %). If not mention NA
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Your answer
15 c. Class obtained at Pharm D
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First Class
First Class with Distinction
Not Applicable
16. Are you Ph.D holder?
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Yes
No
16 a. If Ph.D, mention the year, institution and the University of Passing. If not mention NA.
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Your answer
17. No. of Publications (with Impact factor if any) from M.Pharm/Pharm. D and/or Ph.D research. Mention NA if none. e.g., M.Pharm-01 (I.F 0.9), Ph.D-02 (IF: 2.81, 3.26)
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Your answer
18. Total no. of Publications - National/International. e.g., National-02, International-04. Mention NA if none.
Your answer
19. Total no. of Books/Book chapters published. Mention NA if none
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Your answer
20. Total Impact Factor (IF) of Publications (as per Clarivate Analytics-Journal Citation Reports only)
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Your answer
21. No. of Patents filed/granted if any. Mention the year of filing or grant of patent.
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Your answer
22. Current Designation (If not employed mention as NA)
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Your answer
23. Name of the Organization/Institution/Industry if currently employed. (If not employed mention as NA)
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Your answer
24. Teaching experience after M.Pharm/Pharm.D in years and months (as on 30th June 2022)
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Your answer
25. Research experience after M.Pharm/Pharm.D in years and months (as on 30th June 2022). Specify if the experience is other than your Ph.D research)
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Your answer
26. Industrial experience in years and months (as on 30th June 2022)
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Your answer
27a. For candidates holding Ph.D degree only. Total Work Experience (Teaching/Research +Industry) (as on 30th June 2022)
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0 to 4 years
>4 years upto 8 years
> 8 years to 15 years
>15 years
Not applicable as I have completed only M.Pharm/M.S/pursuing Ph.D
27b. For candidates holding M.Pharm/Pharm D degree only. Total Work Experience (Teaching/Research +Industry) (as on 30th June 2022).
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0 to 5 years
>5 years upto 10 years
>10 years
Already filled information in point no. 27a
27 c. In case you have academic experience, mention only 02 main portfolios/committees you have significantly contributed e.g., 1.Member-NAAC, 2.Coordinator-Extracurricular activities. If not applicable mention NA.
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Your answer
28. Your Current salary per month (if employed)
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Your answer
29. If selected when can you join?
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within 7 days
1 month
1-3 months
More than 3 months
30. Why do you consider yourself as the most suitable candidate for this post. Express yourself in not more than 400 words
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Your answer
31. Date of submission of application
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MM
/
DD
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YYYY
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