candidates bio-data (please type or print)
project code: 05-ev-ge-wsp-09-a project title: forum on global
opportunities in environmental sustainability (goes) duration &
timing : 7-9 november 2005 (3 days) venue : singapore a. personal
dataname
dr./ : mr./mrs./ms other (
)
sinha anjan kumar(please type your name as indicated in your
passport. underline surname / family name. include chinese
character, if any)
p a s s p o r t
number:
z 016427
date and place of issue:
30 - 05 -2000 calcuttaexpiry date: 29-05 -2020
nationality
indian
date of birth yr: 1957
m: 01
d: 02 sex: male /female since when date joined 2002 1981
present position name of company/ organization address of the
company/ organization
director ii
national productivity councilurl: http:// npcindia.org address:
9, syed amir ali avenue, 2nd floor,
kolkata 700 017, west bengal, india tel: 91 33 2287 6069 / 2280
3116/2280-0269 2280 3919 email: [email protected] fax: 91 33 total no.
of employees locally owned joint venture govt/ state/ local govt
owned enterprise ngo/ association foreign owned 500 approx.
type of business type of organization
techno-managerial consultancy & training govt ministry/
agency university/ institutions in case of private company:
home address of the candidate
contact person in case of emergency
address: sayak, block o 16, patuli, garia kolkata- 700 094 west
bengal, india tel: - 91-33-2436-9400 name: smt. sagarika sinha
address: sayak, block o 16, patuli, garia kolkata- 700 094 west
bengal, india tel: 91 33-2436-9400 email: if any, please specify:
no beef, no pork
fax: -
hand phone: 98308 92627 email: relationship: wife
fax: -
dietary restriction
(kindly be informed that this bio-data form must be submitted
and processed through national productivity organization (npo) of
the respective member country. forms, sent directly to the apo
secretariat would be neither processed nor acknowledged. a soft
copy of the form could be downloaded from the apo website at
www.apo-tokyo.org.)
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b. university/institution(bachelor and post graduate only) 1.
regional engineering college, durgapur, west bengal. ahmedkar
institute of productiity (formerly tipie)
academic qualification cert. /diploma/degreebachelor of
engineering degree post graduate diploma
major field of studymechanical engineering
year1978
2. 3.
energy conservation & management
1981
c. university/ institute/ org. nic isnt
training/ seminar (last 5 years only) major field of
training/seminar workshop on e governance ir thermography
year2004 2004
D. participation in other apo projects (last 5 years only)
yes
no
if yes, please specify below
project
dates
year
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e. present job duties/activitiesstate your present job duties
and other activities in consultancy, training, research and
publication relevant to the project. please attach organization
chart, and highlight your position. providing techno-managerial
consultancy services, training, research and associated activities
for improvement of productivity in the region both at macro and
micro level. this is done through intervention at the existing
level of entrepreneurs as well as through innovative knowledge
based training of budding entrepreneurs.
f. previous employment / job experience (last five years)for
each previous employment / job experience, please give designation,
organization worked for, period of employment, and job duties.
designation shift engineer maintenance organisation worked for :
m/s. india paper & pulp paper company limited, naihati, west
bengal. period of employment : 1978-79. job duties : preventive
& breakdown maintenance of plants & equipments.
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g.
objective for participation
kindly refer to project notification, and state relevancy of
project to your work, and indicate your expectation (s) from the
project. 1) the present work as director and chief consultant ,
energy management group i am expected to deliver the following :
(a) increase productivity & competitiveness with existing
client population. sectors - * in present focussed areas * in newer
emerging areas towards sustainable development . (b) increase
productivity & competitiveness by building new clients
population * in existing focussed areas * newer emerging areas
towards sustainable development . . 2) with challenging task given
to developing nations towards meeting the environmental standards
in various protocols, the programme will give an opportunity to
share and enrich in the environmental management leading to
sustainable development.
3) it is expected that the study meeting will discuss and
explore some of the above challenging areas / best practices in
geos to enable me as a participant to gain knowledge in the fast
changing competitive world economic scenario and enable me to
disseminate the same
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h. declaration by candidate i hereby declare that i have read
and understood the apo project notification for this project. i
further declare that the information as provided by me in this
document is true and accurate. i understand and accept that any
false declaration of information on my part will disqualify me from
the project, even when it is in progress. i hereby also undertake
to abide by the regulations prescribed by the apo, the host
country(ies), and the implementing organization(s) during the
entire period of this project, and to participate fully in it.
signature: ___________________________ date: october 28 , 2005
name: anjan kukar inha i. confirmation of candidates english
language proficiency (to be filled by apo director/alternate
director/liaison officer) the candidates english language
proficiency has been evaluated as follows: as fluent as the
candidates native language. competent to participate in discussion
and express himself. proficient enough to follow
lectures/discussions, but will have difficulties in expressing
ideas and giving comments. i further certify that the candidate
belongs to: profit-making organization non-profit making
organization
signature: nam : designation: 5
date:
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asian productivity organization
apo medical and insurance declaration form only for applicant
without any of the health conditions listed on the reverse side 1.
name (last name, first name, middle name) 2. sinha anjan kumar date
of birth 02-01-1957 3. nationality indian 4. sex ( ( ) male )
female
project title: forum on global opportunities in environmental
sustainability (goes) duration & timing : 7-9 november 2005 (3
days) venue : singapore i hereby declare that : a. i have read
carefully the project notification of the above apo project and
declare that i have the physical and mental fitness to attend the
apo project; b. i have had no health conditions listed on the
reverse side during the last 5 years and am free from any ailment
likely to impair the health of others or affect my participation in
the apo project; c. i shall secure the required comprehensive
travel insurance as specified in the project notification of the
above apo project; d. i understand that neither apo nor the
implementing organization shall be liable for any medical or other
costs incurred during the project, except for those specifically
stated in the project notification; and e. i shall bring with me
the necessary medicines for minor illness as prescribed by my
physician since they may not be readily available at the venue of
the above apo project. i affirm this declaration on medical and
insurance requirements of the apo project as specified in the
project notification.
date: october 28 , 2005
applicants signature
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apo medical and insurance certification form only for applicant
having any of the health conditions stated under item. 6 below 1.
name (last name, first name, middle name) not applicable 2. date of
birth 5. 3. nationality 4. sex ( ) male ( ) female
apo project code and name (venue)
6. please indicate yes or no if you had ever had any of the
following during the yes no last 5 years : a. tuberculosis, asthma,
emphysema, or other lung illnesses b. high blood pressure, heart
by-pass, heart attack or other heart diseases c. stomach ulcer,
liver (hepatitis), gall bladder disease d. kidney problem, stone or
blood in urine e. diabetes, sugar or glucose in blood or urine f.
depression, attempted suicide, or other psychological symptoms g.
tumor, abnormal growth, cyst or cancer h. bleeding disorder, blood
disease (sickle cell anemia) i. malaria, cholera, small pox or
epidemic disease j. allergy k. other serious illnesses (please
specify) i certify that the above information is true and correct
to the best of my knowledge. i understand that neither apo nor the
implementing organization shall be liable for any physical or
mental problem that i may develop during my participation in the
apo project and that i shall be responsible for bringing with me
necessary medicines as prescribed by my physician since they may
not be available at the venue of the project. further, i understand
that i shall have to secure the required comprehensive travel
insurance as specified in the project notification of the above apo
project.
date: october 28 , 2005
applicants signature
to be completed by a medical doctor based on above given
information, i have examined the above applicant and certify that
he/she is free from any ailment likely to impair the health of
others and fit to participate in the apo project referred to in
this form. hospital/clinics name examiners name & title
examiners signature remarks, if any : : : : date :
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national productivity council rong, kolkata inter office memo
from : rpmg, kolkata to : dg, npc, new delhi. kind attn : shri
k.v.r. raju, director (mkt. plng.) project title: forum on global
opportunities in environmental sustainability (goes) duration &
timing : 7-9 november 2005 (3 days) venue : singapore this has
reference to your iom no.m 31517/05 dated 24th oct. 2005, received
by us on 27/10/05 on the above subject. as desired, enclosed please
find the duly filled in following documents in triplicate for your
doing the needful. 1. apo bio-data form duly filled in (3 copies)
2. latest passport size photographs (3 copies) kindly acknowledge
its receipt. enclo: as stated no. 121/aks/ oct. 28, 2005
(a.k. sinha ) chief consultant for head rpmg
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