AppIication format for SpeciaIists for Research

EmpIoyment Notice No. 291

(Application to be submitted in A4 size paper)
1.
Post appIied for Post code
:

2. Name (in BIock Letters) :

3. Gender (PIease put a ' ' ) Male

Female


4. Date of birth (dd/mm/yy) & Age : ____ Years, ____ Months

5. Father's Name :

6. Category (PIease put a ' ' ) : General

OBC (Non creamy layer)

Scheduled Caste

Scheduled Tribe
Affix your recent
photo
(Passport size)

7. ReIigion :

8. NationaIity :

9. Are you an Ex-serviceman? Yes No

10. Are you a person with disabiIity?
If yes, pIease specify nature and
% of disabiIity
Yes No

Nature of Disability : % of disability :

11. Whether seeking age reIaxation
as domiciIed in J&K?
Yes No

12. MaiIing address :

(You are required to fill your
Address, Telephone No, Mobile
Number and Email D mandatorily) Pincode:


TeIephone No. with STD code
:
MobiIe No. :
E-maiI ID :

13. Academic & professionaI quaIifications :

Duration (Month &
Year)
Examination
passed
Name of
College/n
stitution
Specialisation Main Courses undertaken
From To
Month &
Yr. of
Passing
% of
Marks
or
CGPA
Graduation
Engineering





Post-
graduation
Engineering





Doctorate



POST
CODE

14. Brief on the research work done in Post graduation and DoctoraI studies: (Use additionaI sheets)

Qualification
Research Work





15. Post QuaIification Work Experience : (start with most recent)
Duration
(Month & Year)
Name of Organisation and
place of posting
Position held
From To
Gross emoluments
if working
Nature of experience
Specialisation, if any








16. List of pubIications in NationaI/InternationaI Conferences or JournaIs if any : (Use additionaI sheets)

No Title Journal Name and date






17. Academic achievements and activities
Details of Scholarships / Awards / Honours /
University Rank:



Details of extracurricular activities:




18. DetaiIs of Demand Draft / IOI
Demand Draft /O
No
Name of Branch Date


hereby certify that the information provided above is true and complete to the best of my knowledge and belief.
f at any time the Company finds that any part of the information given by me in this application form is false,
agree that my appointment shall be liable to summary termination without notice or compensation.

Place:
Date: (Signature of candidate)