Application for the post of Junior Research Fellow/Project Fellow/Assistant 1. Name in full (in Block Letters): Affix passport 2. Father’s Name: size photograph
3. Age & Date of Birth:
4. Sex: 5. Marital status: 6. Nationality: 7. Religion: 8. Whether belongs to: SC / ST / MBC / BC / PH / General 9. Address for correspondence: Email: Mobile/Phone no.: 10. Permanent address: 11. Educational qualifications Sl. No Exam University / Year of passed Institution Passing S.S.L.C
13. Proficiency in Languages (Please underline your mother tongue):
% of marks & Rank
Language
Read only
Speak only
Read and speak Read, write only and speak
English Hindi 14. Details of research/work experience: Sl. No.
Organization Period
Details of Training
1 2
15. Professional Training:
Name and Period address of of employer service
Designation of post held and scale of pay
Nature of work and level of responsibility -es
16. No. of Research Papers published : 17. No. of Conferences/Seminar attended : 18. Field experience: 19. Any other information you may like to add: Declaration I certify that the above information is correct and complete to the best of my knowledge and belief and nothing has been concealed / distorted. If at any time I am found to have concealed, distorted any material / information, my appointment shall be liable to termination without notice / compensation. Place: Date:
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