Careers & Opportunity

2. Application for the post of:

3. Name of the applicant:

4. Date and place of birth:

5. Age:

6. Nationality:

7. Marital Status:

9. Religion:

11. Permanent address:

12. Address for correspondence with telephone/mobile number and e-mail address:

13. Qualifications (beginning with SSC or equivalent. Attach photocopies of all certificates and mark lists of all semesters/years):

Examination/Degree/Diploma	University/Institute	Subjects	Year of Passing	% of marks & Class/Grade/Distinction	Action

Note: Physical copies of certificates must be attached and brought along.

14. Other qualification (if any):

15. Details of projects done (if any):

16. Details of publications (if any):

17. Are you employed in a Govt./Semi-Govt./Public Sector Undertaking/Autonomous body? (If yes, forward through proper channel)

18. Are you under any contractual obligation to serve the Govt./Semi-Govt./Public Sector Undertaking/Autonomous body? If yes, give details.

Do you have prior work experience? (If No, experience details are optional; if Yes, mandatory)

20. Names and addresses of two referees:

21. Have you at any time been called for interview in the Centre? If so, give details:

I hereby declare that the statements made in this application are true, complete and correct to the best of my knowledge and belief.

Place:

Date:

Submitting...

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