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UNIVERSITY OF MYSORE

Crawford Hall, Mysuru-570 005, Karnataka State.

APPLICATION FOR TEACHING POST


(SUBMITTED IN TEN SETS)

Please type or write in BLOCK LETTERS


BACKLOG POST

CURRENT VACANCY

(Mark to be made

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ET8/82/2013-14
No
Post Applied
Professor
for
Associate Professor
(Tickmark to be
made)

Affix your
recent
Passport
size photo

Assistant Professor (PG)


Assistant Professor (UG)

Subject
Area of
Specialization

Molecular Biology
Cancer Therapeutics/Drug Discovery

DETAILS OF APPLICATION FEES PAID


DD No.

DD Date

Bank Name

Amount

Rs. _______

1 FULL NAME
(in block letters)
Gender

SHASHANKA. K. PRASAD
Male

Female

(Tick mark to be made)

Marital Status

Married

Un Married

(Tick mark to be made)

Name of the Mother

Dr. T. C. POORNIMA

Name of the Father

Dr. K. S. PRASADA

Name of the Spouse

-NA1

CATEGORY (Tick mark to be made)


SC

ST

CAT I

Cat. IIA

Cat. IIB

Cat. IIIA

Cat. IIIB

GM

HORIZONTAL RESERVATION (Tick mark to be made)


Woman

Rural

Physically
Handicapped

Ex-Service
Man

Kannada
Medium

Project
Displaced

Enclose certificate issued by the competent authority. Application without required certificate will
be consider under GM category

HYDERABAD-KARNATAKA (Tick mark to be made)


SC

ST

CAT I

Cat. IIA

-NA-

Cat. IIB

Cat. IIIA

Cat. IIIB

GM

HORIZONTAL RESERVATION (Tick mark to be made)


Woman

Rural

Physically
Handicapped

Ex-Service
Man

Kannada
Medium

Project
Displaced

Enclose certificate issued by the competent authority. Application without required certificate will
be consider under GM category

4 ADDRESS FOR CORRESPONDENCE :


PRASHASTHA, YH KOPPAL ROAD,
KYATHANAHALLI VILLAGE, PANDAVAPURA TALUK,
MANDYA DISTRICT, KARNATAKA - 571427

PERMANENT ADDRESS : PRASHASTHA, YH KOPPAL ROAD,


KYATHANAHALLI VILLAGE, PANDAVAPURA TALUK,
MANDYA DISTRICT, KARNATAKA - 571427
Mobile No. :

+91-99581-80855/+91-88841-44808
2

Telephone
Office

-NASTD CODE :

-NA-

Residence

STD CODE :

E-mail

shashankaprasad@gmail.com

-NA-

Writing

5 KNOWLEDGE OF KANNADA

Reading

DATE OF
BIRTH

Day
Month
Age as on last date of application
Nationality

Place of
Birth

MYSORE

Year

26 YEARS
Mother
Tongue

INDIAN

KANNADA

PRESENT EMPLOYMENT DETAILS :


Desigantion

RESEARCH ASSOCIATE

Name of the
Organization
Scale of Pay with
AGP/GP
Current Basic Pay
Total
Emoluments
(per month)

INDIAN INSTITUTE OF FOREIGN TRADE, NEW DELHI


23,000 + 30% HRA (CONSOLIDATED)
-NA-

29,900/- (CONSOLIDATED)

ACADEMIC RECORD STARTING WITH SSLC : (Attach photocopies)


Certificate
/Degree

SSLC

PUC

Branch/Specialization Board/College/Institute/
University

Year of
Completion/
Passing

Percentage/
CGPA

--

CBSE

2005

82.4%

PHYSICS
CHEMISTRY
MATHEMATICS
BIOLOGY

KARNATAKA STATE
PRE-UNIVERSITY BOARD

2007

61.33%
3

UG Course

PG Course
FIVE YEARS
INTEGRATED MSc

MOLECULAR
BIOLOGY

YUVARAJA COLLEGE
UNIVERSITY OF MYSORE,
MYSORE

2012

68.24%

LIFE SCIENCES

JSS UNIVERSITY,
MYSORE

PURSUING

LIFE SCIENCES

UGC - UNIVERSITY
OF MYSORE

2014

PG Diploma

( Ph.D)

NET/SLET/SET
K-SET
(REG. NO. 18280341)

09 EMPLOYMENT
(particulars of your employment in chronological order starting with recent Employment) Enclose
Supporting Documents
Name of the
Employer

Post held

Date of
Joining

Date of
Leaving

Gross Salary

Pay Scale

Permanent /
Temporary

TILL DATE

29,900/-

CONSOLIDATED

TEMPORARY

INDIAN INSTITUTE OF
FOREIGN TRADE,
NEW DELHI

RESEARCH
ASSOCIATE

23-03-2016

INDIAN INSTITUTE OF
FOREIGN TRADE,
NEW DELHI

RESEARCH
ASSISTANT

25-01-2016

22-03-2016

22,000/-

CONSOLIDATED

TEMPORARY

JSS MEDICAL COLLEGE,


JSS UNIVERSITY,
MYSORE

RESEARCH
ASSISTANT

28-12-2012

15-06-2015

14,000/-

CONSOLIDATED

TEMPORARY

VISVESWARAPURA COLLEGE
OF SCIENCE, BANGALORE
UNIVERSITY, BANGALORE

TECHNICAL
ASSISTANT

01-09-2012

27-12-2012

TEMPORARY

NATIONAL INSTITUTE OF
MENTAL HEALTH AND
NEUROSCIENCES (NIMHANS)

PROJECT
TRAINEE

16-01-2012

29-05-2012

TEMPORARY

10 EXPERIENCE (in no. of years) (enclose supporting documents)


PG
UG

2 YEARS 6 MONTHS
2 YEARS 6 MONTHS

Experience certificate should be enclosed. Otherwise it will not be considered.


4

11 RESEARCH EXPERIENCE :
Designation

Institution of Affiliation

Area of Research

RESEARCH ASSOCIATE

INDIAN INSTITUTE OF FOREIGN


TRADE, NEW DELHI

POLICY ASSISTANCE/
NATIONAL R&D EVALUATION/
STATISTICS

5 MONTHS

RESEARCH ASSISTANT

INDIAN INSTITUTE OF FOREIGN


TRADE, NEW DELHI

POLICY ASSISTANCE/
NATIONAL R&D EVALUATION/
STATISTICS

2 MONTHS

JSS MEDICAL COLLEGE,


JSS UNIVERSITY, MYSORE

RESEARCH ASSISTANT

TECHNICAL ASSISTANT

Period

CANCER THERAPEUTICS/
DRUG DISCOVERY/
PHYTOCHEMISTRY

2 YEARS 6 MONTHS

VISVESWARAPURA COLLEGE OF
SCIENCE, BANGALORE UNIVERSITY,
BANGALORE

DIABETES THERAPEUTICS/
PHYTOCHEMISTRY/ GENOMICS/
HERBAL FORMULATIONS

NATIONAL INSTITUTE OF MENTAL


HEALTH AND NEUROSCIENCES
(NIMHANS), BANGALORE

NEUROVIROLOGY/
IMMUNOLOGY/
MOLECULAR DIAGNOSTICS

PROJECT TRAINEE

4 MONTHS

4 MONTHS 15 DAYS

The period spent for acquiring M.Phil and/or Ph.D Degree will not be considered as research experience

12 RESEARCH GUIDANCE : -NACompleted (Ph.D)

Ongoing (Ph.D)

Completed (M.Phil)

Ongoing (M.Phil)

13 PUBLICATIONS :
Research Papers :

Published
National
International

Accepted/ In Pres
National
International

01

01

MANUSCRIPTS UNDER PREPARATION: 02

Books :
01

CHAPTERS: 01

14 PATENTS

-NA-

Granted :

Filed :

15 CONFERENCES/SEMINARS/WORKSHOPS/SYMPOSIA/TRAINING
PROGRAMMES ATTENDED : (ATTACH PHOTOCOPIES OF THE CERTIFICATES)
Year

Conference/Seminars/Worshops
Symposia/Trainings attended

Title of paper presented/ Delivered Lecture/


Chaired Sessions

2015

MOLECULAR PATHWAYS TO THERAPEUTICS:


PARADIGMS AND CHALLENGES IN ONCOLOGY
(CARCINOGENESIS 2015)

COMPARATIVE ASSESSMENT OF THE TUMORICIDAL


PROPERTIES OF ANNONA SQUAMOSA AND
ANNONA MURICATA FRUITS IN-VITRO

2014

INTERNATIONAL CONFERENCE ON
STEM CELLS AND CANCER
(ICSCC 2014)

EVALUATION OF TUMORICIDAL PROPERTIES OF


ANNONA MURICATA FRUIT

2014

INTERNATIONAL CONFERENCE ON
CHEMICAL BIOLOGY
(ICCB 2014)

PRELIMINARY CHARACTERIZATION AND IN VITRO


RBC MEMBRANE STABILIZATION POTENTIAL OF
ANNONA MURICATA AND MOMORDICA DIOICA PHENOLICS

2013

INTERNATIONAL FOOD CONVENTION 2013


(IFCON 2013)

STRUCTURAL REQUIREMENTS OF
DIETARY PHENOLICS FOR EXHIBITING
ANTI-INFLAMMATORY AND ANTI-CANCER ACTIVITIES

16

RESEARCH PROJECTS : -NA-

Name of the
Research
Project

PI/Other(s)

Date of
Commencement

Date of
Completion

Funding
Agency

Amount
Sanctioned

17 AWARDS /FELLOWSHIP/ MEMBERSHIP IN ACADEMIC BODIES/ SOCIETIES


AND EDITORSHIP OF REPUTED JOURNALS :
-NAName of the Body/Society

Name of Award/Fellowship/Nature of
Membership/Editorship

18 EXPERIENCE IN ADMINISTRATIVE POSITIONS : -NA-

19 Consolidated API score from category II/III of table I/II in appendix III of
UGC Regulations 2010 and its amendments 2016 (details shall be furnished
as per Annexure -1)

20 ANY OTHER RELEVANT INFORMATION :


Please give details of any other credential, significant contributions, awards received etc., not
mentioned
Sl.
No.

Details (mention Year, Value etc., whereever relevant)

01.

QUALIFIED GRADUATE RECORD EXAMINATION (GRE), IN 2014, WITH A


CUMULATIVE SCORE OF 297 OUT OF 340. (REG. NO. 6033781)

02.

QUALIFIED TEST OF ENGLISH AS A FOREIGN LANGUAGE (TOEFL), IN 2014,


WITH A CUMULATIVE SCORE OF 95 OUT OF 120. (REG. NO. 21217940)

03. QUALIFIED INTERNATIONAL ENGLISH LANGUAGE TESTING SYSTEM (IELTS),


7

IN 2014, WITH A CUMULATIVE SCORE OF 7.0 OUT OF 9.0.

DECLARATION
I hereby declare that all information given in this application are true, complete and
correct to the best of my knowledge and belief. I understand that in the event of any
information being found false, incomplete or incorrect, my candidature is liable to be
cancelled/ my application is liable to be terminated. I hereby agree to and abide by the
rules and regulations of the University.
Place : NEW DELHI
Date : 16/07/2016

Signature of the Candidate

CERTIFICATE TO BE FURNISHED BY THE CANDIDATES WHO ARE PRESENTLY WORKING :


Certified that Sri/Smt ______________________________________________ hold a
permanent/temporary post of ______________________________________ (Designation)
in

the

Department/

University/

______________________________________

from

Organization

_______________

having

of
been

appointed therein under the rules of recruitment. He/She is permitted to apply for the said
post.

Place :
Date :

Signature of the appointing authority


department/with name and seal
8

LIST OF ENCLOSURES:
1.

CURRICULUM VITAE

2.

SERVICE CERTIFICATES

3.

TESTIMONIALS

4.

K-SET CERTIFICATE

5.

DEGREE CERTIFICATE

6.

2ND PUC MARKS CARD

7.

10TH STANDARD MARKS CARD

8.

COPY OF PUBLISHED/ACCEPTED ARTICLE

9.

CERTIFICATES OF PRESENTATIONS

10. PARTICIPATION CERTIFICATES FOR WORKSHOPS/CONFERENCES


11. GRE, TOEFL, IELTS SCORE CARDS
12.

Signature of the Candidate