INDIAN INSTITUTE OF MANAGEMENT INDORE FACULTY DEVELOPMENT PROGRAMME 2013 APRIL 22 JUNE 28, 2013

LAST DATE OF RECIEVEING COMPLETED APPLICATION FORM: MARCH 29, 2013

Indian Institute of Management Indore (IIMI) is pleased to announce the Fifth edition of Faculty Development Programme (FDP) - 2013. FDP aims at professional development of management teachers, researchers, and practitioners. The major focus of FDP is on upgrading the teaching,
training, content participants. development, and research skills of

FDP is designed as a specialized programme for career development of various management faculties. The programme enables the participants to develop competence in general management, understand recent advances in management research, and learn to improve pedagogies, effective presentation techniques, and behavioral skills to be an effective management faculty. The programme is managed by a mix of faculty from IIMI as well as guest faculty from industry and other institutions for an intensive exposure to research, writing, teaching, training, and industry trends.

TARGET AUDIENCE A potential participant would be management teacher, trainer, researcher employed in management schools, university departments, degree colleges, professional institutes, training centers of business enterprises, staff training institutes of central and state governments. The programme is especially helpful for participants, who teach management and allied subjects like commerce, human resource and labor relations, organizational behavior, marketing, statistics, operations, economics, banking, finance, computer applications, strategy, sociology etc. PROGRAMME DESIGN Programme contents spread over a host of fields of management, where main purpose is to provide conceptual clarity, contextual familiarity, and contemporary content update. Particular emphasis is given to philosophy of management, new technologies, use of innovative instructional approaches, design and development of learning resources etc. Institution building, creative leadership, and management wisdom of ancient texts add to the uniqueness of the programme. The course is
typically divided in to six modules:

Module 1: Perspective on Management Education Methodology & Reporting Module 2: Communication and Behavioral Skills Sharing by Faculty
Module 3: Pedagogy and Curriculum Development

Module 4: Research Module 5: Experience

Module 6: ERE Conference and Field Visits

5th Conference on Excellence in Research and Education (EREC) FDP-2013 also offers a unique participation opportunity in the 5th Conference on Excellence in Research and Education 2013, to be held during May 09 -12, 2013. The purpose of the Conference is to sensitize researchers with latest advances in

respective research domains and promote research in academic institutions. It also provides an opportunity to the participants to interact with experts from educational institutions, industry and research organizations to get a direction for their research work.

PROGRAMME FEE The fee for 9-week FDP is Rs.50,000/- (Rupees fifty thousand only) plus Service Tax as applicable. At present the tax rate is 12.36%. The programme fee includes tuition fee, cost of course material, access to library during the programme, meals and residential facilities on IIMI campus. However, travel, medical, personal, and all other expenses have to be borne by the participants. Participants
are advised to make medical insurance arrangements in advance.

Total Fee amount of Rs. 50,000/- plus service tax is to be paid by way of Electronic Fund
Transfer. The Details are: Name of Beneficiary Name of the Bank, Branch Account Number Type of Account IFSC Branch Code Name of the Remitter Purpose of Remittance IIM Indores PAN Service Tax Reg.No. Indian Institute of Management Indore State Bank of India, IIM Campus, Rau 32104076544 Saving Bank Account SBIN0030525 30525 Please mention the name of Participant Programme Fee for Faculty Development Programme AAAJI0057R AAAJI0057RST001

ADMISSION ELIGIBILITY The applicant must have a teaching experience of at least two-years full time at the Graduate or Post- Graduate level in management related subjects. In case of nonteaching applicants, the applicant must have served in a registered firm at a senior managerial position for at least five years. FOR FURTHER DETAILS, PLEASE VISIT: http://www.iimidr.ac.in FOR ENQUIRIES: EMAIL: fdp@iimidr.ac.in
PHONE: +91-731-2439541, 2439758

PLEASE SEND YOUR COMPLETED APPLICATION FORM BY MARCH 29, 2013 TO: Dr. Prashant Salwan

Coordinator - FDP 2013 Indian Institute of Management Indore,

Rau-Pithampur Road, Indore 453556, Madhya Pradesh, India

Please attach your detailed Curriculum Vitae and details of fee remittance like UTR/Ref. number etc with the Admission Form.
Please do NOT attach any other supporting documents with the Admission Form.

PASTE A RECENT PASSPORT SIZE PHOTO HERE. DO NOT STAPLE OR CROSS-SIGN.

INDIAN INSTITUTE OF MANAGEMENT INDORE FACULTY DEVELOPMENT PROGRAMME 2013 APRIL 22 JUNE 28, 2013 shabbir D:20130427114719+03'00'4/27/2013 11:47:19 AM -------------------------------------------- Shabbir

APPLICATION FORM LAST DATE FOR RECEIVING COMPLETED FORM: MARCH 29, 2013
A. PERSONAL INFORMATION FULL NAME FIRST DATE OF BIRTH EMAIL PHONE (WITH STD CODE) DD MM PRIMARY EMAIL OFFICE LANDLINE PRIMARY MOBILE STREET ADDRESS STATE STREET ADDRESS STATE RELATIONSHIP PHON E MIDDLE YYYY SURNAME GENDER F M

SECONDARY EMAIL RESIDENCE LANDLINE SECONDARY MOBILE

PRESENT ADDRESS CIT Y PERMANENT ADDRESS EMERGENCY CONTACT CIT Y NAM E MOBIL E

PIN CODE

PIN CODE COMPLETE ADDRESS WITH PIN CODE % MARKS / CGPA MAJOR SUBJEC TS

B. EDUCATIONAL AND PROFESSIONAL INFORMATION NAME OF THE DEGREE GRADUATION PERIOD FROM INSTITUTION

POST-GRADUATION

M. PHIL. OTHER DOCTORAL DISSERTATION AREA / DEPARTMENT DISSERTATION TITLE (EXPECTED) YEAR OF AWARD INSTITUTION

EMPLOYMENT DETAILS (starting with the most recent, attach separate sheet if needed)

DESIGNATION

ORGANIZATION

RESPONSIBILITIES

PERIOD FROM

TEACHING INTERESTS: RESEARCH INTERESTS:

PROFESSIONAL EXPERIENCE: TOTAL DURATION OF TEACHING EXPERIENCE TOTAL DURATION OF NON-TEACHING EXPERIENCE TOTAL EXPERIENCE C. PAYMENT DETAILS UTR No./Transfer ID: Remitter Bank Name:

YEARS YEARS YEARS

MONTHS MONTHS MONTHS

Transfer Date: Amount:

DETAILS OF SPONSORING INSTITUTION (In case of full or partial sponsorship) NAME AND ADDRESS OF SPONSORING INSTITUTION Nature of Sponsoring Institution Autonomous College Central University Cooperative Training College Any Other (Specify) (Check Appropriate Box) Affiliated College State University Public Sector Training College

Private College Private University Corporate Training College

Please attach your detailed CV and payment remittance slip only. Do NOT attach any other Supporting documents. I, _, hereby declare and certify that:

1. All the information provided above is true to the best of my knowledge and I am liable to produce proof of such information on demand. 2. I have read and understood the program brochure and FAQs on the IIMI website. I agree to abide by the program and institute rules.

3. I am medically fit to take part in the program and do not suffer from any illness or medical
condition.

DATE:

PLACE:

SIGNATURE: