APPLICATION FORMAT
POSITION APPLIED FOR :
Research Associate / Extended Senior Research Fellow / Senior Research Fellow
(PLEASE STRIKE OUT WHICH IS NOT APPLICABLE)
NAME (IN BLOCK LETTERS) :
FATHER’S NAME : ADDRESS :
SEX : DATE OF BIRTH :
MARITAL STATUS : PHONE NO :
MOBILE :
EMAIL ID :
ACADEMIC QUALIFICATION :
Exam Passed Board / University
Year of Passing Class / Divn. Aggregate % / CGPA
Subjects Studied
WHETHER QUALIFIED AT NET/SET/GATE AND THE
YEAR IN WHICH QUALIFIED :
DATE OF Ph.D. REGISTRATION : UNIVERSITY :
Ph.D. REGISTRATION NO. : TITLE OF THESIS :
Ph.D. DEGREE AWARDED : YEAR :
Self-signed
photo
RESEARCH EXPERIENCE :
PUBLICATIONS : (ATTACH SEPARATE LIST
FOR LIST OF PUBLICATIONS)
PLAN OF WORK:
1 . T I T L E O F R E S E A R C H W O R K : 2 . N A M E O F T H E P. I . :
3 . D E PA R T M E N T :
A B S T R A C T O F T H E P L A N O F R E S E A R C H W O R K ( W I T H I N 5 0 0 W O R D S ) T O B E AT TA C H E D I N A S E PA R AT E S H E E T S I G N E D B Y T H E P. I . A N D C A N D I D AT E .
LANGUAGES KNOWN :
ANY OTHER INFORMATION THAT MAY BE CONSIDERED
RELEVANT :
D E C L A R AT I O N :
I solemnly declare that the statements made by me in this form are correct to the best of my knowledge and belief.
I understand that in the event of any information being found false at any stage, my candidature/appointment is liable to be cancelled / terminated.
Place :
D a t e : Signature of the Candidate
FORWARDED FORWARDED