The Institution of Engineers (India) – Institute of Electrical and Electronics Engineers (IEEE) Award for Engineering Excellence-2016 The Institution of Engineers (India), (IEI) and the Institute of Electrical and Electronics Engineers, (IEEE, India) have come together to institute a prestigious award for engineering excellence in various fields of engineering and technology. This National Level Award will recognize engineering excellence with benefit to society in the Electrical Engineering Fields and related Technical Areas. The Award would recognize the outstanding individual contribution either in the Government, Industry, Academia, or Research and Development organisations. Work done in India will only be considered for the Award. The contribution can be in the form of innovative products and services, education, research or any other form of serving the community at large by his/her work. This Award will comprise of an exclusive medal and a certificate. The Awardee will be shortlisted by eminent Jury comprising of experts from both IEI and IEEE, India. The annual award will be presented jointly by The IEI and IEEE, India at a joint event that would be identified by the Leadership of the two professional societies later this year in December 2016. Dr. G Satheesh Reddy, Scientific Adviser to Raksha Mantri, Government of India was the first recipient of the Award that was instituted in 2015 to give global recognition to local engineering contribution par excellence. This Award would be presented at the Golden Jubilee Celebrations of the Asia-Pacific Region (R10) of IEEE on 24 August 2016 at Bengaluru. Nominations will be accepted till 15 September 2016, and the Nomination Form will be available on the websites of IEEE Bangalore Section and The Institution of Engineers (India), Karnataka State Centre. For more details on the Award, contact: The IEI-IEEE (India) Award for Engineering Excellence Secretariat The Institution of Engineers (India), Karnataka State Centre #3, Dr. B R Ambedkar Veedhi Bengaluru, 560001 Tel: +91 80 22264698 Fax: +91 80 22256191 E - Mail: ieiksc@dataone.in www.ieiksc.org; www.ieeebangalore.org; www.ieindia.org Additional information can be obtained through Sudeendra.Koushik@ieee.org or srinivas.durvasula6@gmail.com IEI – IEEE Joint Award for Engineering Excellence – 2016 NOMINATION FORM 1. Name of the nominee: 2. Title: 3. IEEE Membership number: (If any) 4. IEI Membership number: (If any) 5. Age & Place of birth: 6. Professional Affiliation: (If any) 7. Business address: (If applicable) 8. Home address: 9. Email: 10. Phone numbers: 11. Education: 12. Employment History: 13. Publications / Patents: 14. Achievements: (List at least any three most significant contributions of your professional work) 15. Economic, Technical, Professional, or Societal impact of contributions 16. Honours, Awards & Recognitions 17. Endorser-1 (Name,Address,Email): (Enclose endorsement letter) 18. Endorser-2 (Name,Address,Email): (Enclose endorsement letter) 19. Endorser-3 (Name,Address,Email): (Enclose endorsement letter) 20. Nominators Name/Address/Email/Phone: (Not required for self-nomination) 21. Nominator’s Signature with date: 22. Any other relevant additional information can be attached separately Nominations may be sent via email to ieiksc@dataone.in on or before 15 September 2016