5 Nomination Form

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Government of India

Department of Space
Indian Space Research Organisation
Indian Institute of Remote Sensing
Dehradun

NOMINATION FORM FOR ISRO-SPONSORED NNRMS FACULTY DEVELOPMENT


PROGRAMME

Certified that Mr./Ms./Dr. ______________________________________________ (please write


full name), presently working as _____________________________ (please write designation) is a
(a) Regular/Permanent employee 
Please tick () either (a) or
OR }
(b) and strikethrough the
}
(b) Temporary/Ad hoc employee other
}
of ____________________________________________________________________________
(please write name of UGC/AICTE approved university or its affiliated college or name of
government organization as applicable). He/She is nominated for attending the “ISRO-sponsored
NNRMS Faculty Development Programme” to be conducted at Indian Institute of Remote Sensing
(IIRS), ISRO, Dehradun from May 13 to July 05, 2024.

(Signature & Seal of the Competent Authority*)


Date: _____________________
Place: ____________________
Name: _________________________________
Designation: ____________________________
Email: _________________________________
Telephone No.: __________________________

*The Nomination Form should be signed by the Vice Chancellor/Principal/Registrar/Dean in case of


University/ College, and by any authorized officer in case of Central/State Govt. Organisation.
Note: Scanned copy of duly filled and signed Nomination Form (pdf/jpg/jpeg/png file) should be
submitted/uploaded along with online application. Original needs to be submitted at the time of
admission.

------------------------------------------------------------------------------------------------------------------------
Indian Institute of Remote Sensing (IIRS), ISRO, Department of Space, Government of India,
4-Kalidas Road, Post Box No. 135, Dehradun-248 001, Uttarakhand, (India).
Tel: +91-135-2524122, 2524273; Fax: +91-135-2741987, 2748041
E-mail: academics@iirs.gov.in
Website: www.iirs.gov.in

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