CONFIDENTIAL: GGI/HRD/Application for teaching staff

APPLICATION FORM

SECTION A: PERSONAL PARTICULARS

your recent
Post Applied For: Assistant Professor passport size
Department: Electronics and communication
Engineering color photograph.

Name of the Applicant(IN CAPITAL LETTERS) (Must)

:CHANDRA MOHAN TRIPATHY

Gender : Male
Fathers Name: Late. Aditya kumar Tripathy Mother’s Name: Kabita Mishra
Permanent Address : At- Pratap sagar para, Present Address : At- Pratap sagar para,PO/DIST-
PO/DIST- Balangir,State- Odisha,Pin-767001. Balangir,State- Odisha,Pin-767001

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Email Address Contact Number(s) : 7750989477

:chandramohantripathy1998@gmail.com
Category : (Please Tick) Gen.[ * ] ST.[ ] SC. [ ] OBC. [ ] OTHERS. [ ]
Marital Status : Single Nationality : Indian Religion : Hindu
Date of Marriage: Date of Birth : 27/12/1998 Age as on date of application: 25years

Do you have any chronic disease like Diabetes, No

Blood Pressure etc
SECTION B: EDUCATION LEVEL ATTAINED (10th Onwards)
Sl.No Exam (s) Discipline Name of the Institutions Name of the Year of Percentage
Passed and address Board / Passing Secured
University
01 Matriculation SSVM,Kadampara,Balangir B.S.E,ODISHA 2014 79.3
(Class X)
02 Senior Science YJC,BALANGIR C.H.S.E,Odisha 2016 54.3
Secondary
(Class XII)
03 Graduation ECE GIET,Gunupur B.P.U.T,Rourkela 2020 73

04 Post- ETC VSSUT,Burla VSSUT,Burla 2024 77

Graduation
05 Ph.D. / D.Sc. /
D.Litt.
06 Professional
Qualification
 07 Other (s) if any

08 Area of
Specialization

SECTION C: EMPLOYMENT HISTORY

Duration Last
Name of the From To Total Monthly
Sl. Reason for
Organization / Location Post Held year(s) of Salary
No leaving
College / Industry Experience Drawn
in INR
01 ICICI Bank Of India Odisha Senior 30/06/2022 10/08/2022 2months 18000 Higher study
Officer
02

03

04

05

06

N.B.: You may add more columns if needed.

SECTION D: RESEARCH AND PUBLICATIONS, BOOK PUBLICATIONS, SEMINAR ATTENDED, ETC.

01 No of Ph.D. scholars : (i) Guided & Awarded :
(ii) Guiding :
02 Number of Patents : (i) Filed :
(ii) Published :
(iii) Granted
03 Number National / International : 1.
Publications (Indexed with
details) NUMBER
JOURNAL TYPE
A UGC Referred

B IEEE 1. D.O.I10.1109/ViTECoN.2019.8899632

C SCI

D Scopus Indexed

E Springer
F Elsevier

G Taylor & Francie’s

H Thomson Router

I Any Other ( Please

mention)
I.
II.
III.
IV.

05 Number of Book Published :

06 Number of Seminar / :
Symposium / Conference
attended and presented papers
during last three years. (Indexed
Only)
07 Experience in Consultancy: :
(Details to be Annexed)
08 Scopus ID :

09 Publon ID :

10 Vidwan ID :

11 Research Gate ID :

N.B.: You may add more columns if needed.

SECTION E: COURSES TAUGHT

Sl.No. Branch Semester Name of the Theory Subject Name of the Laboratory
Subjects handled
01 ECE 3rd Digital Electronic Digital Electronic

02

03

04

05

SECTION F: Give exhaustive details on your ability to train the B.Tech students to be industry
ready.
 SECTION G: ASSOCIATE INVOLVEMENTS
SL. Involvement Name of the Responsibilities From To
NO Colleges
1 Extracurricular activity

2 Co-Curricular activity

3 Distinctions / Awards record

4 Were you HOD at any time?

5 Any Other

SECTION H: DETAILS OF PROJECTS THAT YOU BROUGHT FROM DIFFERENT AGENCIES

Sl. Name of the Principal Other Amount Sanctioning Date of Date of

No. Project Investigator Investigator Sanctioned Authority Commencement Completion
of Project of Project
01

02

03

04

05

06

SECTION I: FAMILY DETAILS

1 Spouse

2 Children

3 Dependents

SECTION J: OTHER DETAILS

How many hours you can 8 to 10
1. work without getting
exhausted
2. Hobbies you have Drawing , Travelling

One of my greatest strengths is my adaptability. Throughout my

3. Your strength career, I have consistently demonstrated the ability to quickly
learn new skills and adjust to changing environments.
One of my weaknesses is that I tend to be a perfectionist. While
this means I produce high-quality work, it can sometimes lead to
spending more time on tasks than necessary. I have recognized
this tendency and have been working on balancing attention to
4. Your Weakness
detail with efficiency. To address this, I have implemented time
management techniques, such as setting strict deadlines for
myself and prioritizing tasks, which has helped me maintain high
standards without compromising productivity.
I am committed to lifelong learning and dream of becoming a
recognized expert in my field. This involves not only gaining
5. Your Dreams
advanced knowledge and skills but also sharing this expertise with
others through mentoring, teaching, or publishing research.
I am fascinated by technology and innovation. Exploring new
technologies, tools, and methodologies excites me, and I enjoy
experimenting with how they can be applied to improve processes
6. Your Likes
and outcomes. This interest drives me to stay informed about the
latest tech trends and continually seek ways to integrate them
into my work.
I dislike working in environments with poor communication.
Effective communication is critical for team cohesion, project
success, and overall workplace satisfaction. I prefer open and
7. Your Dislikes
transparent communication channels where team members can
freely share ideas, provide feedback, and stay informed about
important developments.
Which work you enjoy the Teaching
8.
most?
Your achievement which I have participated in an course and activity programme
9.
you would like to show case conducted by ISRO

10. Awards and certificates got NISM CERTIFICATIONS, ISRO CERTIFICATION

11. Which work will give you Teaching

 maximum growth?

Language Speak Read Write

English yes yes yes
Languages Known
12. Hindi yes yes yes
(Please Tick)
Odia yes yes yes
Any Other
(pl. mention)

How many days of notice With in a day

13. you require to attend
interview.
If selected how many days With in a week
14.
you need to join.

SECTION K: MONTHLY SALARY & BENEFITS EXPECTED (Write in clear terms)

Rs. 25000

DECLARATION
I certify that information contained in this application is true and complete. I understand that false
information may be grounds for not appointing or for immediate termination of employment at any point
in the future if I am appointed. I authorize the verification of any or all information listed above.

Date: 24/06/2024 _________ Signature: CHANDRA MOHAN TRIPATHY

VERIFYING OFFICER