Application Form for the post of Scientific Assistant(Mathematics And Computer Science) Advt. No. Registration No.

:SDSC SHAR/RMT/02/2012 :1110299 Space for affixing recent Passport size colour photograph

Post Number Post applied for Full Name E-mail Address Father's Name Nationality Date of Birth Gender Category Are you a person with Disability Are you an Ex-serviceman Are you employed in Govt./Semi Govt./Public Sector Undertakings/Autonomous Organisation Address for Correspondence /Communication Contact Number Nearest Railway Station Educational Qualifications: B.Sc. in Month & Year Of Pass Division University State Details Of Marks Obtained in B.Sc. : Details Year I/Sem I Year II/Sem II Year III/Sem III Sem IV Sem V Sem VI Total % of marks obtained in B.Sc.

:11 :Scientific Assistant(Mathematics And Computer Science) :Mr Abhinav sharma :abhinav.bhanu@gmail.com :Sh Bodh raj sharma :Indian :14/Mar/1989 :Male :General :None :None :No Ward no. 16 upper shiva nagar kathua : pin 184101 ,j&k Jammu and Kashmir,Pincode-184101 :7298148780 :kathua :computer science :September , 2010 :First :punjab technical university :Punjab

Maximum Marks or CGPA/CPA 650 750 900 900 1000 1000 5200

Secured Marks or CGPA/CPA 411 463 512 557 649 740 3332 :64.07

Are you possessing knowledge of Software Development using C++/VB/JAVA & Database

:Yes

Other Details: Examination passed SSC/SSLC Intermediate/ HSC Board/ Institution jkbose jkbose Maximum Marks 500 600 Marks Secured 409 387 % of Marks 81.8 64.5

Experience :

6 months experience of teaching (c.s.e) b.tech students of L.L.R institute of engg. and technology solan (H.P)

Addtional information: (if any)

DECLARATION
I affirm that the information given in this application form is true and correct. I also fully understand that if at any stage it is discovered that any attempt has been made by me to willfully conceal or misrepresent the facts, my candidature may be summarily rejected and my employment terminated.

Date

[Signature of the candidate]