Application for Appointment of Faculty

National Institute of Pharmaceutical Education and Research(NIPER) Ahmedabad

Opp. Airforce Station, Palaj, Gandhinagar -382355
Application for Appointment of Faculty

Please complete the form below to apply for a position with us.

Enter Personal Detail
Full Name*

First NameMiddle NameLast Name
Marital Status *
Gender*
Present Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Permanent Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Fax Number

Area CodePhone Number
Email Address*
Phone Number(O)

Area CodePhone Number
Phone Number(R)

Area CodePhone Number
Mobile Number (With Country Code)*
Birth Date*

MonthDayYear
Upload DOB Certificate(School LC or SSC Certificate,PDF max 70 KB)*

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Nationality

Enter Academic Record
Enter Academic Record starting from graduation*
Upload Academic certificates(PDF file Max Size 500 KB, Multiple files allowed Max 15) *

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Enter Employment Details(Particulars of your past position(s)
Enter Employment record in reverse chronology*
Upload Experience certificates(PDF file Max Size 500 KB, Multiple files allowed Max 15) *

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Name and Address of three References (at least one of them should be familiar with your recent work)
Refernce 1.
Name*

First NameLast Name
Occupation or Position*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Fax

Area CodePhone Number
Phone Number*

Area CodePhone Number
E-mail*
Reference 2
Name*

First NameLast Name
Occupation or Position*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Fax

Area CodePhone Number
E-mail*
Phone Number*

Area CodePhone Number
Reference 3
Name*

First NameLast Name
Occupation or Position*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Fax

Area CodePhone Number
E-mail*
Phone Number*

Area CodePhone Number

Post Graduate thesis supervision
Post Graduate thesis supervision(Indicate any special work done towards developing new courses or laboratories)

List of Publications
Papers in refereed Journals(Published)
Papers in refereed Journals(Accepted)
Papers in Conference Proceedings(Published)
Papers presented in Conference but not Published
Books
Attach first page of reprints of the best papers(about five) in your judgement in a single pdf file(1 MB Size)

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Complete list of publications in a single pdf format (1 MB Size)

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Any other relevant information you may like to furnish
Any other relevant information you may like to furnish
Miscellaneous Upload(Max 500 KB , pdf only, 10 Multiple Files)

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Form Preview and Submission
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National Institute of Pharmaceutical Education and Research(NIPER) Ahmedabad