INDIAN COUNCIL OF SOCIAL SCIENCE RESEARCH
Application for Post-Doctoral Fellowship
1.
Name of the Applicant
2.
Present Position and Institutional
Address of the Applicant, if any
Telephone of the Applicant:
Mobile of the Applicant:
Email of the Applicant:
Mailing Address of the Applicant
3
Date of Birth
4
Indicate the categories to which
the applicant belongs
(Tick one or more boxes, as
applicable. Enclose relevant
certificates, if any, as Annexure IX)
Social: General
Gender:
SC
Male
ST
OBC
Female
Religious Minority:
(As defined by the National Minority Commission)
Differently Abled:
5
Indicate whether the applicant is North East States
from
(Tick one or more box, as applicable.
For Educationally Backward Districts,
see the list on ICSSR website)
6
Educationally backward districts
Yes
If yes, mention district
No
Yes
s
University/Institutes/Organisation
where the grant is to be
administered
(Please give complete address. In case it is
a private institution, please furnish
information as given in Annexure V.)
Phone no.
Fax:
Email:
Website
1
7
Type of Institution where the
grant is to be administered
Central University
State University
ICSSR Research Institute
Other public funded research institute
Public Deemed University
Private Deemed University
State Private University
Government College
Aided Private College
Unaided Private College
NGO/ Registered Society
Other (please specify)
8
9
Educational Qualification and
academic attainments of the
applicant (Please enclose brief
academic CV as Annexure II)
Indicate if the applicant has
received any ICSSR grant
previously
Research Projects
(Please tick)
Fellowships
Ongoing
Completed
Seminar Grant
International Travel
Publication Grant
10
If completed, specify
Date of Completion
Report submitted
Yes
No
2
11
Title of the Proposal of Research
(Please enclose a copy of the
proposal/synopsis, along with an
abstract, as per the format given in the
Guidelines)
Declaration
I hereby declare that the entries above and in the enclosed annexures are factually correct and no facts
have been hidden by me.
If any of the above information supplied by me is proved to be incorrect, my application may be
cancelled at any stage of the award.
Place:
Date:
Signature of the Candidate
Annexure/Checklists
1. Abstract of the Proposal as per Annexure I with this form
2. Brief academic CV of the applicant as Annexure II
3. Two copies of Summary of the Research Proposal in about 750 words, as Annexure
III
4. Two copies of detailed Research Proposal in about 3000 words, as Annexure IV
5. Institutional Profile as per Annexure V with this form (Only for proposals from nonpublic institutions)
6. Salary certificate and no-objection from the employer, if applying under salary
protection scheme as Annexure VI
7. Forwarding letter from the Head of the Institution where the Fellowship will be
located as Annexure VII
8. Consent letter from the supervisor and his/her brief bio-data as Annexure VIII
9. Duly attested SC/ST certificate, if applicable, as Annexure IX.
3
Forwarding Letter
(By Head of the Institution/Registrar in University)
The Director,
Research Fellowship (Senior) Division
Indian Council of Social Science Research (ICSSR)
JNU Institutional Area
Aruna Asaf Ali Marg,
New Delhi - 110067
The____________________________________________________ (Name of the
organization) forwards application of _______________________________ (Name of the
applicant) to be considered for the award of a Post-Doctoral Fellowship by the ICSSR.
With an undertaking that this organization agrees to provide basic required infrastructure
facilities, make available all its research facilities such as library, laboratory and other
equipment and provide the material and managerial assistance for the Fellowship against the
earmarked institutional overhead of 7.5 % of the Senior Fellowship budget.
If the scholar receiving the Fellowship leaves our institution to join some other institution
after part of the sanctioned grant has been received, we would have no objection to the
transfer of the project to a new institution, if the Fellow/ICSSR, so desires. The institution,
however, shall continue to be responsible for submitting the audited statement of accounts
and utilization certificate for the grant received by it, for this purpose.
Signature of the Supervisor
Name:____________________
Signature of the Registrar/
Head of the Institution
(Seal)
Designation:_______________
Name:_______________________
Place:
Date:
Designation:__________________
4
ANNEXURE I
ABSTRACT OF POST-DOCTORAL RESEARCH FELLOWSHIP PROPOSAL
1
Title of the Fellowship
Proposal
2
Broadly, the discipline of
Social Sciences (and subthemes) in which the
applicant’s Ph.D. could be
located (Please refer to the
Guidelines for a list)
3
Nature of the study
(Please tick)
Field work intensive
Secondary source intensive
Limited fieldwork based
Theoretical study
4
In case of fieldwork
intensive, specify the scope Less than district level
(Please tick)
Comparative district level study
State level study
Comparative state level study
National level/more than two states
Involves international travel
5
5
Duration of the study
(In months)
Review of literature/data sources
Field work, if any
Data/theoretical analysis
Report writing
Total duration
6
Applying under
(Please enclose salary
certificate from employer as
Annexure VI, if applying
under salary protection
scheme)
Salary Protection Scheme
Regular Fellowship Scheme
(Signature of the applicant)
Name__________________
6
Annexure V
INFORMATION REQUIRED FOR PROPOSALS FORWARDED BY NON-PUBLIC1
INSTITUTIONS/ ORGANISATIONS/ UNIVERSITIES
1
2
Name and Address of
the institution
(Please enclose
attested copy of
registration certificate
or statutory
notification)
.
Major thrust area of
activity
Teaching Institution
(Please tick)
Social Science Research institution
NGO carrying out Social Science Research
Any other (Please specify)
3
Organisational
Capacity
Research Staff (Number)
Administrative Staff (Number)
Total Annual budget last year (Rs. Lakhs)
Total Salary budget last year (Rs. Lakhs)
4
Infrastructure
facilities
Own Building
(Please tick)
Own library
Rented building
Number of desktops
Number of laptops
Access to e-journals, if any (give numbers)
1
Any institution/organization/university which does not receive a regular grant-in-aid from government funds
for meeting salary and/or maintenance purposes shall be deemed to be ‘non-public’.
7
5
Details of activities in
last five years
Projects completed
(Please give numbers)
Projects ongoing (current year only)
National Seminar/Conference organized
International Seminars/Conference organized
Trainings programmes organized
Publications
(Books, reports, monographs, articles published, training
manuals etc.)
6
Details of the current
governing body and
research advisory
committee
(Please give name and
address of members)
8
Declaration
I hereby certify that the information provided by me in the application and enclosed annexures are
correct and true. I have not hidden/ misrepresented any facts.
If any of the above information supplied by me is proved to be incorrect, my application shall liable to
be terminated at any stage of the award.
Place:
Date:
Signature
Seal
Name
Designation
Enclosure/Check list:
Enclose the following documents with Annexure V
1.
2.
3.
4.
5.
Attested copy of registration certificate or statutory notification
Memorandum of Association, if registered as a society
Photocopy of Income tax exemption certificate, if any, issued to your organisation
Annual Reports of the last five years
Audited statements of accounts of the last five years
9