UNIVERSITY GRANTS COMMISSION
EMERITUS FELLOWSHIP
APPLICATION FORM
Registration ID :
Caste Category :
Physically Handicapped? :
Minority? :
Undertaking Form : View Undertaking Form
Name :
Gender :
Date of Birth :
Residential Address :
City/Town :  -
State :
Designation :
Date of superannuation :
Extension of Re-employment :
Research Experience :
Teaching Experience :
Qualification :
Year of Award :
University :
Title of Study :
Book :
National Publication :
International Publication :
Numbers of Papers accepted for publication :
Numbers of Books Published :
Numbers of Books Edited :
Numbers of books under publication :
View Publication/Research Details
Department :
Name of University/College/Institution (where the project will be undertaken) :
Affiliated University :
University/College/Institution Address :
Whether the university/college/institution is approved under Section 2(f) & 12(b) of the UGC Act? :
Subject/Stream :
Title of the Project :
Duration :
Are you aware of any work done on the above project now or in the past, or on a similar project in any other institution in the country? If so, please attach a note indicating the present status of research in the area and the gaps that you now propose to cover. :
Have you received support for the research project from the UGC under major or minor schemes or under university-level book writing schemes, or from any other agency? :
In case the project was completed, whether the report on the project has been published/cyclostyled or if the candidate was working for a doctoral degree. Also, whether the thesis was submitted and accepted by the university for the award of degree :
Have you submitted the present project or a similar project to the UGC under Emeritus Professor scheme or to any other agency? If so, please indicate the name of agencies and of their decision on the proposal. Is there any other information that you may like to give in support of this proposal, which may be helpful in evaluation :
DECLARATION  
l hereby declare that I have read the rules regarding Emeritus Fellowship of the University Grants Commission. In the event of a Fellowship being awarded, I undertake to engage myself full-time for research work on the subject under the direction of the supervisor during the tenure of fellowship and I would not take any job/employment/fellowship during the tenure of fellowship. If employed, I will resign and undertake research on full time basis. I further declare that to the best of my knowledge and belief, the particulars given in the form are correct.
Date :
IpAddress :