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Application for

AIMA Kewal Nohria Award for


Academic Leadership in Management Education 2016
PROFILE OF THE APPLICANT
Please fill the form in BLOCK LETTERS leaving one space between words.
Name (MR/ MRS/MISS/DR/PROF):...

A.ACADEMICACHIEVEMENTS

Qualification

Degree/
Awards

Graduation

PostGraduation

Ph.D

PostDoctoral

B. CONTRIBUTION TO RESEARCH

University

Year

Division

Elective

RESEARCHPROJECTS(PleasespecifyiftheJournalisrefereed.)
National

International

RESEARCHPAPERS
Title

NameofAuthor(s)

NameofJounal/Conference

National
International

PUBLICATIONS/BOOKSAUTHORED
S.No

Titles

PublicationHouse

C.
NEW INSTITUTION ESTABLISHED

D.

Year

Vol.

Pages

DETAILSOFTEACHINGMATERAIL/MANAGEMENTCASESDEVELOPED

E.
MDP CONDUCTED

DETAILS OF MEMBERSHIP OF ANY BOARD OF STUDIES / ACADEMIC ADVISORY COUNCIL


OF ANY MANAGEMENT INSTITUTION / PROFESSIONAL BODIES

F.

G.
MERIT SCHOLARSHIP/ FELLOWSHIP/ AWARDS RECEIVED

H. CONSULTANCY, TRAINING & DEVELOPMENT

Category
TEACHING

RESEARCH

TRAINING

CONSULTANCY

MANAGERIAL

OVERSEAS
ASSIGNMENTS

Organization

Designation

Durationof
Employment
Year
From

Year
To

Natureof
Responsibilities

ProfessionalReference:(FromtheareaofManagementProfession.)
1

Name:_____________________________________
Designation:_______________________________
Organization___________________________________
Add:_____________________________________
Tel:______(STD)_____________Mobile:_____________
_____________________________________Fax::______(STD)_____________
Email:________________

Name:_____________________________________
Designation:_______________________________
Organization___________________________________
Add:_____________________________________
Tel:______(STD)_____________Mobile:_____________
_____________________________________Fax::______(STD)_____________
Email:_____________

Age(Yrs).DateofBirth
Designation...
Organization.
Address:
City:StatePinCode...
Phone(O):STDCode()...Fax..Mobile..
Email.
ResidenceAddress:

City..StatePinCode..
Phone(RSTDCode()...

Declaration:
Iherebycertifythatthedetailsgivenabovearetrueandcorrecttothebestofmyknowledge.

Signature_______________________________________________Date_________________________
Pleasemailto:
Gaurav Sonkusre
All India Management Association
Management House, 14 Institutional Area
Lodi Road, New Delhi-110003

Phone: 011-43128100, 24645100, (Ext.: 546) Fax: 011-24626689


Email: gsonkusre@aima.in

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