Application form for SIUCEB Project Position (Govt of Kerala funded) @ Department of Computational Biology and Bioinformatics Please submit filled in application to: Director, SIUCEB, Department of Computational Biology and Bioinformatics, University of Kerala, Karyavattom, Thiruvananthapuram, Keralam-695581

Post Applied for:

Bioinformatician

Project Trainee

Identification and Contact details Name as in records:(in BLOCK letters) Age &Date of Birth:

Gender:

Male

Female

Nationality:

Marital Status:

Single

Married

Place of Birth:

Mother’s/Father’s Name& Occupation: Specimen signature Present Address:

Telephone (with STD code):

Mobile:

Permanent Address:

Telephone (with STD code):

Mobile

E mail: Person to be contacted in case of Emergency Name Address

Residence Telephone(with STD code)

Mobile

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Academic Details

1.SSLC/10thYearSchool

State/CBSE/ICSE

Medium of Instruction

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2. Higher Secondary School

State/CBSE/ISE

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Main Subjects Studied

Academic Details Contd

Under Graduate degree

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Full Time

Part Time

Distance

Institution/College Affiliating University Class/Distinction/Rank

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Academic Details Contd

Post Graduate degree(If any)

Mode of study

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Additional Degree/Diploma Additional Degree/Diploma(If any)

Institution/College Affiliating University Mode of study

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Part Time

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Major Subjects Studied

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Distance

Work Experience Details (If more than one, Please mention most important one) Post held/ Designation Organization Duration

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Nature of Duties

. Testimonials Give here, names of two eminent referees (the testimonials issued by them should certify your potential and should be issued specifically in support of this application. It is highly recommended that one of these is from a teacher of the institution from where you took your last Degree). Testimonials to be attached as appendix

Referral1

Name Address

State

District Country

Mobile

Phone Referral2

Name Address

State

District Country

Mobile

Phone

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Statement of Purpose Please write a statement of purpose. Read the job profile in detail and state have you think you will be suitable for this job. This is an important document that will be considered in selection and hence may be prepared with due seriousness.

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Self-Assessment: Rate yourself on the following aspects Area

Excellent

Good

Average

Some what Poor

Poor

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Communication skills: English- Written: Communication skills: Mother tongue Spoken and Written:

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Creativity: Teamwork:

Logical thinking:

Analytical Skills:

Preparedness for Hard work , Punctuality: Differentiating between Fact and Opinion:

Your motto in Life/favorite quotes:

Undertakings I affirm the information given above. I affirm that all relevant information has been disclosed and are true to the best of my knowledge and belief. I also agree that the application shall be rejected if it is incomplete in any way and not filled in seriously in letter and spirit. I hereby undertake to abide by the rules and regulations of the Project and also specific instructions issued from time to time by the academic staff. During the duration of the appointment, I shall not take up any employment, either full-time/part-time or engage in any commitments that will detrimentally affect my work.

I have read the project profile & understand the nature of work

Dated signature of the applicant

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