National Centre for Radio Astrophysics

TATA INSTITUTE OF FUNDAMENTAL RESEARCH

Pune University Campus, Ganeshkhind,
Pune – 411 008

APPLICATION FORM FOR RECRUITMENT TO THE POST OF

_________________________________

1. Advertisement No :

2. Serial No. of post :

3. Name of the post :

applied for

4. Name of the Applicant in _______________________________________________

block letters & postal
address for communication _______________________________________________
telephone no., email address
_______________________________________________

_______________________________________________

5. Permanent address : _______________________________________________

_______________________________________________

6. Father’s/Husband’s Name _______________________________________________

7. Date of Birth
(as per SSLC/HSLC/HSC/ _______________________________________________
SSC certificate, copy attach)

8. Gender Male / Female

9. Nationality ________________________

10. Religion ________________________

11. Category (SC/ST/OBC) ________________________

(attach certificate incl.
Non-Creamy Layer for OBC)

…. 2 ….
 12. Educational Qualifications (Commencing from SSC & Onwards)

Sr. Details of Name of the Board / University Year of Percentage

No. qualification passing / Grade

3. Experience starting from the present employment :

Name of the Post held Period Emoluments Pay scale &

Employer drawn (Gross) GP
From To

14. Any other relevant information ________________________________________

15. Details of earlier interview in NCRA ________________________________________

I hereby declare that all statements made in this application are true and complete to the best of
my knowledge and belief and that nothing has been concealed/distorted. I am aware that, if at any time,
I am found to have concealed / distorted any material information, my appointment is liable to be
summarily terminated without notice.
Place : ___________________

Date : ___________________ Signature of the candidate