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PROFILE
TO BE FILLED BY TEACHER/ ACADEMIC
(Duly authenticated by the Director/ Head of School/ Division/ Unit/Centre / Cell)
1
1. Name of the Teacher/ Academic :
Name & Date of Birth : BANO SAIDULLAH & 29-10-1955
Date of Joining in IGNOU : 04.02.1988
Current Designation : Professor
Pay Scale as on date : 144200-182200
Qualifications : MSC., PhD
2. Honour/Award/Fellowship/membership of Professional body/Statutory body
(internal/ external) received by the Teacher/Academic:
Name of the recipient
Honour/Award/Fellowship name
Agency name /Name of statutory body/ institution/ Apex body
Period
Dr. Bano Saidullah
Gold medal awarded for best research paper: “Onset of diabetes modulates the airway smooth muscle reactivity of guinea pigs: role of epithelial mediators. Authored by Saidullah B, Muralidhar K, Fahim M. and published by J Smooth Muscle Res. 2014; 50: 29-38. PubMed PMID: 24829035.
IGNOU 28th Convocation
Gold medal awarded for best research paper at the 28th Convocation of IGNOU, entitled
“Onset of diabetes modulates the airway smooth muscle reactivity of guinea pigs: role of
epithelial mediators. Authored by Saidullah B, Muralidhar K, Fahim M. and published by J
Smooth Muscle Res. 2014; 50: 29-38. PubMed PMID: 24829035.”
3. Books/Book Chapter:
Co-author/co-editor if any, title, place of publication, publisher, Year, page (no) s, ISBN
S. No.
Name of Author1/ Editor 1, & Co- author (s) / Co-editor (s) (if any)
Title of chapter/book
Place of publication
Publisher Year
Total Pages
PROFILE
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2
4. Research Articles/Publications:
S.No
Author/ Co-author (if any)
Title Name of Journal & place of publications
Volume
Page no.(s)
Year ISSN No
1. Saidullah Bano, Omanwar Swati,
Muralidhar Kambadur, Fahim
Mohammad
Deterioration of epithelium
mediated mechanisms in
diabetic-antigen sensitized airways
of guinea pigs
Journal of Smooth Muscle
Research.
Japan Society of
Smooth Muscle Research
52 93 -104
2016 ISSN- 0916-
8737
2. Bano Saidullah,
Kambadur Muralidhar,
Mohammad Fahim
Onset of diabetes
modulates the airway smooth
muscle reactivity of guinea pigs: role of
epithelial mediators
Journal of
Smooth Muscle Research.
Japan Society of Smooth Muscle
Research
50
(3 & 4)
29-38 2014 ISSN-
0916-8737
3. A Siddiqi, S Nafees, S
Rashid, S Sultana, B Saidullah
Hesperidin ameliorates
trichloroethylene-induced
nephrotoxicity by abrogation of
oxidative stress and apoptosis in
Wistar rats
Molecular and cellular
biochemistry;
Springer
Switzerland
406 (1-2)
9-20 2015
ISSN: 0014-4800
4. Aisha Siddiqi,
Syed Kazim Hasan, Sana
Nafees, Summya Rashid, Bano
Saidullah, Sarwat Sultana
Chemopreventive
efficacy of hesperidin against
chemically induced nephrotoxicity and
renal carcinogenesis via
amelioration of oxidative stress
and modulation of multiple molecular
pathways
Experimental
and molecular pathology
Elsevier,
Amsterdam
99
(3)
641-
653
2015 ISBN No.
ISSN: 0300-8177
(Print) 1573-4919
(Online)
PROFILE
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3
5. S. Omanwar,B.
Saidullah, K. Ravi, and M.
Fahim
Modulation of
Vasodilator Response via the
Nitric Oxide Pathway after
Acute Methyl Mercury Chloride
Exposure in Rats
BioMed
Research International.
Hindawi Publications
2013
904 -
910
2013
ISSN:
2356-6140 (Print)
ISSN: 1537-744X
(Online)
6. S Omanwar, B Saidullah, K Ravi,
M Fahim.
Vasorelaxant effects of mercury
on rat thoracic aorta: The nitric
oxide signaling mechanis
Human & experimental
toxicology
Sage
Publications
33 (9)
35-36 2014 ISSN: 0960-
3271 Online
ISSN: 1477-0903
7. Nongthombam
Premananda, Laishram Kosygin
and Bano Saidullah
Glyptothorax
senapatiensis, a new species of
catfish (Teleostei: Sisoridae) from
Manipur, India
Ichthyological
Exploration of Freshwaters.
Verlag, München,
Germany
Vol.
25, (4)
323 -
329
2015 ISSN
0936-9902
8. Aisha Siddiqi,
Bano Saidullah, Sarwat Sultana
Anti‐carcinogenic
effect of hesperidin against renal cell
carcinoma by targeting
COX‐2/PGE2 pathway in Wistar
rats
Environmental
toxicology.
John Wiley & Sons, Inc; USA.
33
(10)
1069-
1077
2018 Print
ISSN: 1520-
4081; Online:
1522-7278)
9. Nongthombam
Premananda, Laishram
Kosygin, Bano Saidullah
Garra
chindwinensis, a New Species of
Cyprinid Fish (Teleostei:
Cypriniformes) from Manipur,
Northeastern India
Records of the
Zoological Survey of India
Zoology Survey
of India,Kolotta.
117,
(3)
2017 ISSN
(Online) : (Applied
for) ISSN (Print) :
0375-1511
PROFILE
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4
10. Omanwar S,
Saidullah B and Fahim M.
Molecular Basis for
Mercury-Induced Alteration in
Endothelial Function: NO and its
Modulators
Cardiovascular
Pharmacology.
Longdom
Publishing, C/ Sant Gil 3, 2-3,
08001 Barcelona, Spain.
4 (5) 1-6 2015 ISSN:
2329-6607
CPO, an open
access journal
11. SA Bhat, AL Wani, A Ara, B
Saidullah
An epidemiological study on depression
and its comorbidity
Int J Latest Res Science Tech.
MNK Publication, India
3 12-17 2014 ISSN: 2278-
5299
12. Sachin Kumar, Shashi Khare,
Bano Saidullah, Inderjeet
Gandhoke,Hanu Ram, Supriya
Singh, L. S. Chauhan, and
Arvind Rai
Appearance of L90I and N205S
Mutations in Effector Domain of NS1 Gene
of pdm (09) H1N1 Virus from India
during 2009–2013
Advances in Virology.
Hindawi Publishing
Corporation
Vol. 7 (2)
1-13 2014 ISSN: 2356-
6140 (Print)
ISSN: 1537-
744X (Online)
13. Pooja
Bhadoriya, Mukul Jain,
Geeta Kaicker, Bano Saidullah,
Shweta Saran
Deletion of Htt cause
alterations in cAMP signaling and spatial
patterning in Dictyostelium
discoideum
Journal of
cellular physiology
Wiley Periodicals, Inc.
13-16 2019 Online
ISSN:1097-4652
14. Mukul Jain,
Shweta Saran, Bano Saidullah
Autophagy induction
reduces polyQ aggregates toxicity in
D. discoideum as model system
Mechanisms of
Development
Elsevier Science
145 ISSN: 092
5-4773
15. S Kumar, S Khare, B
Saidullah, I Gandhoke, H
Ram, LS Chauhan, A Rai
Molecular Characterization On
The Basis Of Ha, Na And M Gene
Revealed Changes In Critical Amino Acid
Positions Of Influenza A (H3n2) Virus
Circulating In India During 2011-2013
American Journal of
Infectious Diseases 10 (3),
Science Publications
10 (3),
118. -131
2013 ISSN Print: 155
3-6203; ISSN
Online: 1558-6340
PROFILE
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5
16. Neha Dhyani,
Swati Omanwar,
Bano Saidullah and
Mohammad Fahim
Modulation of ECG
Alterations and Cardiac Hypertrophy
by Fenofibrate in Isoproterenol
Induced Heart Failure
EC
Pharmacology And Toxicology
5 (2) 88-95 2017 NLM
Unique ID: 101699542
17. Omanwar
Swati*, Gupta Charu, Dhyani
Neha and Saidullah Bano
NO (Nitric Oxide) to
Type 2 Diabetes Induced Endothelial
Dysfunction: Crosstalk with ET-1
(Endothelin-1)
2 (1) 24-39 2017
18. Mukul Jain ,
Pooja Bhadoriya,
Bano Saidullah & Geeta Kaicker
A Single-Step PCR For
the Amplification of Highly Repetitive
PolyQ Stretches
International
Journal of Pharmacy and
Biological Sciences-
IJPBSTM
9 (1)
: 573-
579
121-
123
2019 ISSN:
2230-7605 (Online);
ISSN: 2321-3272
(Print)
5. Policy Documents Reports/ Mimeos:
S. No. Title Institution/ Agency Year
1. Member of committee for framing IGNOU Comprehensive guidelines relating to MPhil/PhD Programmes
IGNOU
2013
6. Book Review published :
SNo. Author/ Co-author (if any)
Title Name of Journal
Volume Page no. (s)
Year ISSN No
7. Presentation/Invited talk/Chair in National or International Seminar/Conference/ Workshops (Please do not mention if it is only participation without presentation):
S. No
Author/ Co author (if any)
Title of presentation, /Talk/Lecture
Name Organizing institute
Conference City Date and Year
1. Bano Saidullah
Diabetes deteriorates
the epithelium mediated
mechanisms through
Physiological Society in London WC1X 8LZ.
Physiology, 2015
Cardiff, UK
6-8 July, 2015
PROFILE
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6
frailty of COX pathways
in diabetic-antigen
sensitized airways of
guinea pigs
2. Bano Saidullah
“Role of Epithelium on the responsiveness of diabetic guinea pig to β- adrenoceptor agonist Isoproterenol”
VPCI, University of Delhi
Internationa
l Conference
on Cardio-
Pulmonary
Regulation
in Health
and disease
: Molecular
and
Systemic
Integration
Delhi 22nd -24th Feb., 2007
8. Study Tour Organised/ Participated/ Attachment Organized/Internship:
S. No. Details of the tour Name of coordinating body Duration
9. Consultancy assignment (if any):
SNo. Organization/ agency Cost, title of consultancy Duration
10. Details of Institution/ Government/ Industry / own Institution Sponsored Research
Projects (including Programme Evaluation) and Amount (Both completed and ongoing):
S. No. Agency Title of the Project Amount Duration with dates
Status i.e. ongoing/ completed
1. Indian Council of Medical Research
Principal Investigator
Free Radical Mediated Mechanisms of Cardiovascular Dysfunction in Chronic Heart Failure: Molecular and Systemic Mechanisms
30 lakhs Awarded
2010 but
funding
started from
2014
for 3 years
PROFILE
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7
2. Department of Science and Technology (DST
Mentor to Dr. Swati Omanwar
Role of adiponectin and uncoupling protein in diabetic heart in rats: Molecular and Systemic Mechanisms
June, 2015 to
April , 2017
1 year and 11
months
11. Details of PhD Scholars (including those awarded degree):
S No. Name and enrolment no: Year of registration
Year of completion/ award
1. Mr. Aman Ullhah Khan (Enrl. No: 112247387)
2011 2011 (awarded)
2. Mr. S. Kavitha (Enrl. No: 1100165542)
2011 2016 (awarded)
3. Mr. Sachin Kumar
(Enrl. No: 122877862)
2012 2018 (awarded)
4. Mr. Nongthombam Premananda Singh (Enrl. No: 122877910)
2012 2018 (awarded)
5. Ms. Pushpa Reddy (Enrl. No: 122877816)
2012 Thesis writing
6. Ms. Aisha Siddiqi
(Enrl. No: 131636917)
2018 (awarded)
7. Mr. Abhishek Jha
(Enrl. No: 131636956)
2013 2018 (Submitted)
8. Mr. Mukul Jain
(Enrl. No: 131637467)
2013 2019 (Submitted)
9. Ms. Charu Gupta (Enrl. No: 131637481)
2013 Thesis writing on
10. Ms. Neha Dhyani (Enrl. No: 131636900)
2013 Thesis writing on
11. Ms. Rashmi Kumari (Enrl. No: 173101926)
2017 Research ongoing
12. Ms. Priyanka Rajput (Enrl. No: 188500711
2018 Research ongoing
PROFILE
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8
12. Details of Programmes/ Courses coordinated/ written/ edited/ translated:
SNo Programme
Course Unit (print)/ Audio/ Video/ eSLM
Coordinated/Written/ Edited (content / language/ format) / Translated
Period
1. BDP
AHE-01
Human Environment
Programme Coordinator of AHE-01.
Programme Coordinator of AHE-01
1991 till now
2. Bachelor in Science (B.Sc.)
LSE-02 (Ecology)
Unit 1- Ecology And Ecosystem 1991 till date
3. Unit 8- Types of Ecosystems : Aquatic Ecosystems
4. LSE-04 (L) Experiment 27: Study of Animal and Plant Relationships
5. LSE-06 (Part -2) (Developmental Biology)
Unit 18- Metamorphosis Launched
in 1994
6. Unit 19- Regeneration
7. LSE-07 (Taxonomy and Evolution)
Unit 8- Modern Trends In
Animal Taxonomy
1993 to till Now
8. LSE-8 (L) Unit - 19 Observations on the Microcirculation In the Web of Frog
9. Unit 25- Study of Prepared Slides of the Developmental Stages of Frog
10. Unit 26- Staining and Mounting of Blastoderm of chick embryo
11. LSE-09 (Animal Diversity -I)
Unit-1 Five Kingdom Classification
2001 - till now
12. Unit-7 Skeleton and Polymorphism
13. Unit-16 Harmful Non-chordates
PROFILE
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9
14. LSE-10 (Animal Diversity -II)
Unit-3 Reptiles and Birds 2000 - till now
15. Unit 9: Urinogenital System
16. Unit-16 Adaptive Behavior
17. LSE-11 (L)
(Practical
Manual
Exercise -7 Pheretima posthuma: External
Features, Dissections and Temporary Mounts
18. Exercise-10 Platyhelminthes: Observation and Classisification of Specimens and Microscopic Study of their Sections
19. Exercise -11 Platyhelminthes: Larval Stages of Fasciola hepatica and Taenia solium
20. Exercise -12 Nematoda: Observation and Classification of Specimens and Microscopic Study of Sections of Ascaris
21. Exercise -21 Echinodermata: Observation and Classification of Specimens and Study of One Representative Larva
22. Exercise -22 Hemichordata: Observation and Classification of Specimen of Balanoglossus and its Tornaria Larva
23. Exercise -23 Protochordata (Acrania): Observation and Classification of Specimens
24. Exercise -24 Cyclostomata: Observation and Classification of Specimens and the Study of Ammocoete Larva
25. Exercise -25 Chondrichthyes: Cartilaginous Fishes-Observation and Classification of Specimens
PROFILE
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10
26. Exercise -29 Reptilia 1:Obsersvation and Classification of Selected Specimens
27. Exercise -30 Reptilia 2. Snakes-Observation and Classification of Specimens
28. PGCPDT MESE-003 Unit 5: Natural Resources Launched in 1996
29. ACE Unit 1-Why environment is important
Launched
in 2006
30. NEV Unit 1-Why environment is
important
31. DAQ
BAQ- 001
Unit- 14 Different Levels of Aquaculture
2005 - Till Now
32. Unit-15 Conventional Methods of Aquaculture
33. Unit-16 Non-Conventional
Methods of Aquaculture
34. Unit-17 Aquaranching
35. Unit-18 Industrial Aquaculture
36. CPLT LT-101
Unit-2 Organization and design of Room Laboratories: Preparation
2008 Till 2016
37. Unit 4: Day-to-Day Management of Laboratories
38. Exercise-2 Study of Design and Infrastructure of a Preparation Room of a Laboratory
39. Exercise-4 Study of the
Regular Duties of Laboratory
Staff
40. CPLT LT-102
Unit-8 Fixation and Staining
Techniques
41. Exercise-2: Preparation of
Reagents and Stains
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11
42. Exercise-2: Study of Design and Infrastructure of Preparation room of a Laboratory
43. Exercise-4: Study of Regular duty of Laboratory Staff
44. LT-2
Unit-7: Fixation and Staining Techniques
2003 to Till 2016
45. CPLT
CLT-101
Unit-2: Important Components a Science laboratory
2017 till present
46. Unit- 3: Organization of Science labs: Preparation Rooms and Store
47. UNIT 4 Day-to-Day Management of the Laboratories
48. CLT-101(L)
Exercise-2: Infrastructure of a Preparation Room of Laboratory.
49. Exercise-4: Regular Duties of Laboratory Staff
50. CLT-102
Unit 1: Biology Laboratory and its Ancillaries
2017 till present
51. CLT-102(L)
Experiment 1 : Laboratory Organization
52. Experiment 6 : Preparation of Reagents
53. Experiment 8 : Techniques for Microbial culture and Gram staining
54. PGDPSM
Unit-1 Cellular Studies of
Human Tissues & Organ
Systems
2009 to
date
55. Unit-2 Anatomy & Physiology
of Various Body Systems-I
56. Unit-3 Anatomy & Physiology
of Various Body Systems-II
57. Unit-4 Diseases and Disorders
of Various Body Systems-I
PROFILE
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12
58. Unit-5 Diseases and Disorders
of Various Body Systems-II
59. Unit-6 Diseases and Disorders
of Various Body Systems-III
60. B.Sc General
BZYCT-01 Class Reptilia
61. Class Aves
62. Class Mammalia-I
63. Class Mammalia-II
64. BZYCL-02 Exercise 13 Reptilia:
Observation and Classification
of Specimens
65. Exercise 14 Aves: Observations
and Classification of
Specimens
66. Exercise 15 Mammals:
Observation and Classification
of Specimens
67. BZYCT-03 Unit 4: Respiratory System
68. Unit 6: Urinogenital System
Courses/ Units translated and period
Audio programmes (title, Course, period)
Video programmes(title and Course, period)
13. Details of Seminars/Conferences/Workshops etc participated
S. No. Agency / Institution which organized the Programme and venue
Theme(s)
Duration/ Dates
Level of Participation (*)
1. I.G.N.O.U
Brainstorming Session on Student Support Services.
16th –17th Jan 1999
Participant and Rapporteur of a session
PROFILE
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13
2. UNESCO-IGNOU
Training Science Teachers from Sherbuste College, Bhutan
5th –15th Jan., 1999
Resource person along with other discipline members
3. IGNOU Brain Storming Session on Science Education- Science Education: Future Directions for IGNOU.
3rd July, 2007 Member of Brain
Storming Session
4. VPCI, University of Delhi
International Conference on Cardio-Pulmonary Regulation in Health and disease : Molecular and Systemic Integration
22nd-24th Feb., 2007
Presented paper-on Role of Epithelium on the Responsiveness of Diabetic Guinea pig to Beta- adrenoceptor Agonist Isoproterenol
14. Training programmes designed and conducted, duration and dates
S. No. Programme Dates Place
Number of Participants
1. CME Cum Workshop on modern recording techniques in physiology and pharmacology
25th Feb., 2007
VPCI, University of Delhi
2. Orientation programme BSc Life Science
20th -21st February, 2014
IGNOU Study
Centre-2708
Varanasi)
3. Orientation programme BSc Life
Science
13th -14th August, 2014
IGNOU Study
Centre-2708
Varanasi)
4. Orientation programme BSc Life
Science
27th–28th Nov, 98 IGNOU- Karnal (RC)
5. Orientation programme BSc Life Science
20th –21ist Dec’98 IGNOU- Delhi (RC-I)
6. Orientation programme BSc Life Science
20th –21th, Jan’99
IGNOU- Delhi (RC-I)
PROFILE
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14
15. Details of Counselling sessions conducted:
SNo. Programme Course/Title of counselling
Place Dates Duration Mode (Specify- Face to Face Radio counselling Teleconferencing Web conferencing Any Other)
1. ACE
Genetically modified organisms
Delhi 4-4-2013 1 hr Radio Counselling
2. B.Sc LSE-09
Non-chordates Delhi 9-9-2011 Radio Counselling
3. B.Sc LSE-01
DNA Replication Delhi 8-03-2013 1 hr EDUSAT
4. Cell Cycle and Cell Division
Delhi 8-03-2013 1 hr EDUSAT
5. B.Sc LSE-05
(Part-I)
Circulatory
System-I
Delhi 17-8-2012
1 hr EDUSAT
6. Circulatory
System-II
1 hr EDUSAT
7. PGDPSM MEV-001
The Circulatory
System of
Humans
Delhi 25 5-2012
1 hr EDUSAT
8. B.Sc LSE-05 (Part-1)
Protein
Synthesis.
Delhi 18-11-2011 1 hr EDUSAT
9. Basics of
Cardiology
1 hr EDUSAT
10. PGDSM Programme MVE-001
Course
Counselling
Delhi
25-03-2011
1 hr EDUSAT
11. Human
Reproduction
System
Delhi
09-07-2010 1 hr EDUSAT
12. B.Sc
LSE-05 (Part-I)
Endocrine System
and Hormone
interaction
Delhi
09-07-2010
1 hr EDUSAT
PROFILE
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15
13. B.Sc LSE-05 (Part-I)
Temperature
Relations In
Animals
Delhi
12- 09-2008
1 hr EDUSAT
14. B.Sc LSE-05
(Part-I)
Respiration Delhi
12-09-2008 1 hr EDUSAT
15. ACE Global Warming Delhi 19-03-2008 1 hr EDUSAT
16. B.Sc
LSE-05
(Part-I)
Circulatory
System I
Delhi 14-09-2007
1 hr EDUSAT
17. B.Sc
LSE-05
(Part-I)
Circulatory
System II
Delhi 14-09-2007
1 hr EDUSAT
18. ACE
ACE Induction
Programme
Delhi
07-07-2007
1 hr
19. B.Sc
LSE-05
(Part-I)
Nerve Impulse I Delhi
11-05-2007
1 hr EDUSAT
20. B.Sc
LSE-05 (Part-I)
Nerve Impulse II Delhi
11-5- 2007
1 hr EDUSAT
M.Sc Courses taught face to face
S.No Name of Course Semester Credits Total hours
taught
Batch
1. MLSC-005 Life Science
Practical-I
I 6 90 hrs 2010-2012
6 90 hrs 2011-2013
2. MLSC-013 Animal Diversity
(Animal Life: Form &
Function)
III 3 04 hrs 2010-2012
3 04 hrs 2011-2013
3. MLSCL-018 Lab Course Animal
Sciences-1 (Life Sciences
Practical IV)
3Cr. (90 Hrs)
III
3 90 hrs 2010-2012
3 90 hrs 2011-2013
PROFILE
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16
4. MLSCE-020( Project) IV 8 120hrs 2010-2012
120 hrs 2011-2013
5. MLSCE-021( Seminar) IV 1 09hrs 2010-2012
09hrs 2011-2013
Ph.D Course work taught face to face
S.No Name of Course Credits Total hours
taught
Batch
1. RLS-001
(Research Methodology)
4 15 hrs 2013-2014
2. RLS-002
(Biological Techniques)
6 20hrs 2013-2014
3. RLSE-022
(Introduction to Nematology)
8 72hrs 2013-2014
16. Details of Patents granted (if any): 17. Contribution to IGNOU’s corporate life:
S. No.
Chairperson/ Member of Committee
Name of the Committee Date/ period
1. Member Research Council Standing Committee
From Nov 2013 for 1 year
2. Membe and Ph.D Life Sciences Programme Coordinator
Doctoral Committee.
From 2010 till date
3. Member School Board of Sciences, IGNOU From 2.5.2002 to 2.5.2004 and from August, 2012 to date.
4. Member School Board of School of Extension and Development Studies (SOEDS), IGNOU
From 2014 for three years.
5. Member Nematological Society of India (Life member)
6. Member SCDS, IGNOU 1997-1999
PROFILE
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17
Activities performed at School level like Discipline Coordinatorship, School Council Convenorship etc.
Administrative position/s held in the University (even as in charge)
S. No. Designation Period
1. Member and Ph.D Life Sciences Programme Coordinator
Doctoral Committee. From 2010 till date
2. Convenor, School Council and member
14th July, 2011 to 4th July, 2013
3. Member Subcommittee for Monitoring of Assignments and Counselling (Sept., 1999-Sept., 2000).
4. Member Academic Affairs Committee Dec., 2002-Dec, 2003
5. Member and Convener CPLT Coordination Committee-16th November, 2006 - September, 2007.
6. Member IT Committee (January, 1997-December, 1998
7. Member Budget Committee (6th Sept., 99 - 5th Sept., 2000)
8. DGC 1st July, 2009 - 30th June, 2010 & 1st July, 2014 to June, 2015, 1st July 2019 to date.
9. Member IT Committee, SOS, (August, 2007 – August, 2008).
10. Member IT facilities and Web Page Committee, SOS (From September, 2010) for 1 year.
11. Life Science Lab In charge 1st Jan 2007- Sept 2007 and independently from 2007 till Date.
18. Any other contribution/information
Signature of Teacher /Academic
Signature of Director/ Head