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    Veereshkumar37
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    This document contains an application format for the post of SRIRU/12/19 at the Department of Computer Science & Engineering at the Indian Institute of Technology Patna. The format requests information such as the applicant's name, father's name, date of birth, category, marital status, nationality, email, addresses, educational qualifications, professional exams, work experience, awards, and references. It also includes a declaration stating that the candidate is responsible for the accuracy of the information provided and must inform authorities of any changes.

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    This document contains an application format for the post of SRIRU/12/19 at the Department of Computer Science & Engineering at the Indian Institute of Technology Patna. The format requests information such as the applicant's name, father's name, date of birth, category, marital status, nationality, email, addresses, educational qualifications, professional exams, work experience, awards, and references. It also includes a declaration stating that the candidate is responsible for the accuracy of the information provided and must inform authorities of any changes.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
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    1 views2 pages

    Application

    Uploaded by

    Veereshkumar37
    This document contains an application format for the post of SRIRU/12/19 at the Department of Computer Science & Engineering at the Indian Institute of Technology Patna. The format requests information such as the applicant's name, father's name, date of birth, category, marital status, nationality, email, addresses, educational qualifications, professional exams, work experience, awards, and references. It also includes a declaration stating that the candidate is responsible for the accuracy of the information provided and must inform authorities of any changes.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
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    of 2

    DEPARTMENT OF COMPUTER SCIENCE & ENGINEERING INDIAN INSTITUTE OF TECHNOLOGY PATNA

    FORMAT OF APPLICATION Advertisement No. Name of the Post apply for : : SRIRU/12/19 .. . . .. Gender:- Religion:- Mobile No:Correspondent Address:Paste your Recent Photographs & Dually signed by Candidate.

    Applicant Name (In Capital Letters) : Fathers/Spouse Name Date of Birth Category (GEN/SC/ST/OBC/PH) Marital Status Nationality Email ID:Permanent Address:: : : : :

    Educational Qualification Details:Exam Passed

    Board/University

    School/College

    Subject/Stream

    % of Marks/CPI

    Year of Passing

    10th 12th

    Professional Exam. (GATE/CSIR-NET, etc) & Validity

    Work Experience Details if Any:Organization Designation Work Profile Period

    Any Award/Achievements:-

    Name & Address of Reference 1

    Name & Address of Reference 2

    Mobile No. Email ID:-

    Mobile No. Email ID:-

    DECLARATION:The content provided in this form is the sole responsibility of the candidate. Incorrect/Partial information may lead to rejection of candidature. The candidate must inform the authorities about any discrepancy or change of information at any stage of the selection process.

    Date:Place: -

    Signature of Candidate

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