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Post:*
Name of the Institute:
Demand Draft Number: Demand Draft Date:
Name of the Bank: Amount:
Full Name:* Father/Husband's Name:*
Date of Birth:* Gender:
Do you need age relaxation? (If 'Yes', which ground?):
Marital Status: Category:
Select Identity proof type and fill ID Card Number:*
Communication Address:
Address1:*
(H.No./Q.No./Ward)
Address2:*
(Village/Town/City)
Post Office:* District:*
Pin Code:* State:
Permanent Address:
Address1:*
(H.No./Q.No./Ward)
Address2:*
(Village/Town/City)
Post Office:* District:*
Pin Code:* State:
Country: Phone No.:
Mobile No.:* Email-Id:
Particulars of all examinations passed and degree and technical qualifications obtained (commencing with the Matriculation or equivalent
examination). (Attach attested copies of all certificates.):
Name of the Examination/
Degree/Diploma Obtained
Name of the Education
Board/University
Year of
Passing
Division Detail of Marks Subject(s) Taken
Total Obtained
What language (excluding Indian languages) can you read or speak. State any examination passed in each:
Language Able to Examination passed
Any additional qualification:
(Technical & desirable qualification
may be mentioned here)
Major academic/other
achievements:
Give particulars of Employments held in chronological order:
Name of Employer Period Experience
in Years
Designation Last Salary
Drawn (in Rs.)
Nature of Work
From To
Award & Prizes received:
(Name of Awards/Fellowship, year, awarded by)
Total Research Experience
with details in each area:
(Specify point wise)
Details of Postgraduate
Work & Published Papers:
(Give titles of paper published
and enclosed reprints))
Number of Publications:
National/International
Conferences/Seminars etc. attended:
(List with title of papers presented, if any)
Membership of National and International Bodies:
1. National:
2. International:
Details of enclosers (Self attested):
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Candidate may mention here the details of Annexure, if any. Any other informatin relevant to the application may be mentioned here:
Has the candidate applied earlier for any post in the Council or elsewhere? If so, give details:
References:
(These should be persons resident of India and holders of responsible position. They should be intimately acquainted with the applicant's character and work, but must not be relatives. Where the candidate has been in employment, he would either give his present or most recent employer or immedicate superior as a reference or produce testimonials from him in regard to the candidate's fitness for the post for which he is an applicant).
1. Name:*
Occupation or Position:*
Address:*
2. Name:*
Occupation or Position:*
Address:*
3. Name:*
Occupation or Position:*
Address:*
Extramural Research Funding Received:
1. R & D (Govt. Agencies):
Title of Project Duration
in Years
Funding Agencies Govt. Agencies
R & D projects (ICMR/DST/DBT etc.) and Amount
Level of Participation whether
(PI/Co-PI/Others)
2. Non R & D (Sponsored/Commercial):
Title of Project Duration
in Years
Funding Agencies Level of Participation whether
(PI/Co-PI/Others)
3. Intramural (Translation Research):
Title of Project Duration
in Years
Level of Participation whether
(PI/Co-PI/Others)
4. Intramural (Others):
Title of Project Duration
in Years
Level of Participation whether
(PI/Co-PI/Others)
DECLARATION

  1. I hereby declare that the entries in this form and the additional particulars, if any, furnished herewith are true to the best of my knowledge and belief.
  2. I have informed my Head of Office/Department in writing that I am applying for this post and shall produce "No objection"certificate at the time of the interview.
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