Distinguished Alumni Award Form

B.P. PODDAR INSTITUTE OF MANAGEMENT & TECHNOLOGY, Kolkata has completed its 25th glorious year of academic journey. As we are about to hit this first major milestone, we wish to raise a toast to our hard-earned success and which is a better way to do so than celebrating the achievements of our children, our Alumni members who have kept the flag of the Institute waving high, across the continents. In appreciation of the success stories of our brand ambassadors, we will take the pleasure of felicitating some of those who have left their signature touches in different walks of life.

We request you to fill up the same to facilitate us to do the honours.

Personal Details

Name of Alumni(Required)
Communication Address(Required)

Award Category

Award Category(Required)

Employment Details

Employment Details(Required)
Name of Institute / Organisation
Date of Joining
Date of Leaving
Designation
Roles and Responsibilities
Awards/Recognition/Major Milestone
Impact of work on society
 
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Academic Details

Academic Credentials(Required)
Examination / Degree
Name of Board / Institute / University
Year
% of marks scored
Position of merit / honour or medal (if any)
 
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Research Credentials

Publications
Title of Paper / Book / Book Chapter
Name of Journal / Conference / Book
Year of Publication
Pages, Volume(with DOI)
ISSN/ISBN No.
Impact Factor
Indexing (SCI / Scopus etc)
Best Paper Award (if any)
Citation Details
 
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Research Guidance
Title of Thesis / Dissertation
Degree (ME / M.Tech / MBA / PhD)
Year
Joint Guidance or Individual Guidance
 
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Notable Undergraduate Projects Guided
Title of Project
Year
Recognition / Publication (if any)
 
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R&D / Sponsored Projects Executed
Title of Project
Funding Authority
Fund Allocated
Completed / Ongoing
Role (PI / Co PI)
Brief Description of Impact on Human and Nature
 
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Outreach Activities

Conference / Symposium / FDP / Workshop / Academic Events Organised
Event Name
Dates
Stature (National/International)
Role (Program Chair / Organising Chair / Technical Chair etc)
No. Of Delegates
 
Invited Talks and Keynote Lectures
Event Name
Dates
Stature (National/International)
Title of Lecture
No. Of Delegates
 
Sessions Chaired
Event Name
Dates
Stature (National/International)
Title of Lecture
No. Of Delegates
 
Papers / Books Reviewed
Name of Journal / Book
Year
ISSN / ISBN No.
Title of Paper
 
Editorial Board Membership Details
Name of Journal / Book
Year
ISSN / ISBN No.
 
Membership of Board of studies and Course Curricula designed
Name of Journal / Book
Year
 
Membership of Professional Society and associated activity details
Name of Society
Role
Duration in Years
Recognition / Honour (if any)
 
Consultancy Services
Name of Sponsoring Institute / Organisation
Nature of Services
Fund Disbursed
Duration
Individual Endeavour or Group Effort
 
Membership of Project Assessment Committee
Title of Project
Fund Amount
Funding Authority
Funded Institute / Organisation
Nature of Assessment (Technical or otherwise)
Year
 
Outsourced Projects / Fund / Resources
Title of Project
Outsourced / Funded Institute/Organisation
Resources / Fund Amount
Duration
Completed / Ongoing
Impact of Outcome
 
Awareness Camps / Drives Organised
Subject
Time & Venue
Duration
Target Audience
Number of Participants
Impact
 

Entrepreneurial Initiatives

Entrepreneurial Initiatives
Name of Organisation / Start Up
Registration No. With date
No. of Employees
Approximate Turnover
Location of Operation
Is any alumnus/student of your Alma Mater serving your organisation?
Sector of Society Impacted
Patent if any
Awards / Honours/Nominations
 

Literary / Cultural / Sports Initiatives

Literary / Cultural / Sports Initiatives
Category
Activity / Performance
Outreach Arena (1. District 2. State 3. National 4. International)
Awards / Distinction / Nominations if any
Level of Distinction (1. District 2. State 3. National 4. International)
 
Categories:
I – Literary
II – Art & Culture
III – Sports
(Alumnus/Alumna may attach additional sheets comprising details of any other personal and professional accomplishments along with links for LinkedIn /Google Scholar / ResearchGate and of present affiliation)
Social Media Links
Alumnus/Alumna may add their social media links below. (LinkedIN, Facebook, etc.)

Reference (Desirable)

The referee must be an alumnus/alumna of our Institute.
Reference Details(Required)
Name
Phone
Email
Affiliation