APPLICATION FORMAT

Affix recent
Passport size
photograph

Application for the post of..

Sl.No. of the post.
Category..
1. Name of the candidate (in Block letters)
:
2. Address (in Block letters with Pincode,
Mobile No. & E-mail ID)

3. Nationality

4. Age and Date of Birth (in Christian Era)

5. Gender (Male/Female)

6. Marital Status

7. Whether belongs to SC/ST/OBC/PH/ExServicemen etc. (copy of the Certificate to

be enclosed)

8. Are you a regular employee of Indian

Council of Agricultural Research ?
(YES/NO)
:
9. Name of the Employment Exchange with
Registration No. and date& validity upto

10. Educational/Technical qualifications

:
Sl.No Name of
University/Board
examination

Year of
passing

Grade/Division Subject taken

& Percentage
of marks in
aggregate

11. Experience (particulars of all previous

and present employment) if any
Sl. Name of Employer
No. (indicate
Govt./Autonomous
body/Private)

Designation

Details
of
salary

Period
From

Remarks

To

12. Particulars of fee remitted

DD No.,Date and amount
:
(Please see item No.21 of General Instruction)
13. State whether any near/distant relative is
working at IISR/ICAR
(if yes, write the name, designation & full
official address of the employee and
describe the nature of his/her relationship
with the candidate
:
DECLARATION
I do hereby declare that all the statements made in the application are true, complete and correct to the best of
my knowledge and belief. I understand and agree that in the event of any information being found false or
incorrect/incomplete or ineligibility being detected at any time before or after selection, my candidature is
liable to be rejected and I shall bound by the decision of the employer.

Place:
Date :

SIGNATURE OF THE CANDIDATE

Name: