Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Upload photograph *Title *DR.MR.MRS.MS.1. Name in full *FirstLast2. DOB *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY20252024202320222021202020192018201720162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925192419231922192119203. Sex *MaleFemaleOthers4. Place of birth *5. Present Designation *6. Present postal address *7. Contact Details / Email *Mobile No. *Whatsapp *8. Educational qualifications *If No Select thisUndergraduatePostgraduateDoctorateDiplomaInstitution *Year *Division *OGPA *Subject *8. Educational qualifications *If No Select thisUndergraduatePostgraduateDoctorateDiplomaInstitution *Year *Division *OGPA *Subject *8. Educational qualifications *If No Select thisUndergraduatePostgraduateDoctorateDiplomaInstitution *Year *Division *OGPA *Subject *8. Educational qualifications *If No Select thisUndergraduatePostgraduateDoctorateDiplomaInstitution *Year *Division *OGPA *Subject *9. Discipline (in which degree awarded) *10. Field of specialization *11. Employment record Position *Organization *From date *DD12345678910111213141516171819202122232425262728293031MM123456789101112YYYY2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920To date *DD12345678910111213141516171819202122232425262728293031MM123456789101112YYYY2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Nature of duties *ResearchTeachingExtensionResearch and TeachingResearch,Teaching ExtensionAdministrationOthersPositionAssistant Professor / ScientistAssociate Professor / Senior ScientistProfessor / Principal ScientistDeanSpecial OfficerNational Fellow / ProfessorDeputy ComissionerManagerRegional ManagerAsia Specific ManagerOthers12. Academic ExcellenceAward receivedBachelor'sMastersDoctoralUniversity or institute awardsDegree with honoursDiploma received in poultry husbandryType your award here for multiple award use semi coulmn between awards *13. Professional Experience (No. of years): *14. Concepts/Processes/ Products/ Technologies/ Patents/ Others *(Please upload certified documentary proof in pdf size limit 2 MB) *15. Scientific/Professional/ Industrial Leadership (Chair/ member of international/ national committee/task force/ chaired technical session; President/ office bearer of national/ international professional societies; Leadership position in research programmes or research / other Academic organizations) *(Please upload certified documentary proof in pdf size limit 2 MB) *16. List of research projects completed (Please attach documentary evidence in pdf size limit 2 MB) *17. Awards & honours/ Recognitions (National and International awards based on scientific/ professional work done in India, Peer Reviewed Recognitions such as Fellowship in major Academies or Societies, Awards for excellence in teaching, etc.) (Please upload certified documentary proof in pdf size limit 2 MB) *18. Publications (Research Articles): Best 20 publications (Please attach List of Publications in pdf size limit 2 MB) *Please attach documentary evidence in pdf size limit 30 MB *19. Other Publications (books, book chapters, monographs, technical articles etc. (Please attach List of Publications in pdf size limit 2 MB ) *(Please attach documentary evidence in pdf size limit 30 MB) *20. Significant contribution of the applicant to poultry science and human resource development (Please attach Details in pdf size limit 2 MB ) *(Please attach documentary evidence in pdf size limit 30 MB) *21. A concise statement (about 300 words) highlighting you and your research achievements that you would like to see in your citation of award, if chosen. *22. Enter Payment Details *I hereby certify that, all the information provided in this application is true and correct to my knowledge and belief. *I accept the terms and conditions of the award. *I have read and understood the eligibility conditions of the award *I understand that the IPSA reserves the right to cancel the application at any stage if found incorrect information and submission. *I also certify that no vigilance/ disciplinary proceedings are pending against me.Submit Click here to download format of certificates ... 16. Format for research projects17. Format list of awards18. Format for research publications19. Format for other publications20.Format for list of contributions