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Application Form for Fellowship 2012

Application Form for Fellowship 2012

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Published by Prashanth KJ

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Published by: Prashanth KJ on Apr 19, 2012
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Application form for SAF/JAF in ARCI (2012


(for Office Use only)

Date of Receipt :

Application No :

Advertisement No Post Name : : : : : Day Age as on 31st May 2012 Community : : SC Sex Religion Nationality Marital Status Qualification Year of Passing Name of the University/Board Class Have you qualified GATE/NET. If yes, please give details : : : : : : : : : Aggregate : % Married Subject : Unmarried Male ST OBC Female PH Others Years Month Months Year Days ARCI/HRD/FELLOWSHIPS/1/2012 Senior ARCI Fellow/Junior ARCI Fellow
Paste your current passport size photograph duly signed

Name of the Candidate Father’s/Husband Name Date of Birth

Year of Pass Percentile score Score Valid upto Rank secured

Communication Address


ARCI/HRD/FELLOWSHIPS/1/2012 Page 1 of 4

Do not take marks of extra-curricular activities/courses registered for but not counted for calculation of aggregate %. No Examination Passed Year of Passing Name of School/College Name of Board/University Class & % of Marks Main Subject (s) Semester/Year Wise Marks of Qualifying Examination(s). given to be valid till June/July : : : : E-Mail Educational Qualifications (Matric onwards in chorological order) : Sl.* * contact Nos. Passing Board/University Obtained Marks ARCI/HRD/FELLOWSHIPS/1/2012 Page 2 of 4 .Application form for SAF/JAF in ARCI (2012) City State Phone Nos. Year/ Year of Name of Marks Maximum Examination Passed Main Subject (s) Sem. Compulsorily to be given & attach marks sheets of semester/yearwise/Consolidated .

Plant & Machinery operated/handled In case. if required) * : * if applicable only. Attach the abstract typed on a separate sheet (in applicable cases only) Details of Professional Work Experience acquired during/after the course of study (project study/Internship/summer training etc. if required) * : Technical Papers/Reports Published/presented (Use additional sheet.Tech.) Name of the Institute/Organization Period of Training (dd/mm/yy) From To Title of the Project carried out Equipment. (use additional sheet. otherwise say Not applicable. give the details of research experience. ARCI/HRD/FELLOWSHIPS/1/2012 Page 3 of 4 .Tech. project thesis.Application form for SAF/JAF in ARCI (2012) In case of CGPA/CPI grading./M. please give marks in percentage with conversion formula (in applicable cases only) Please give an abstract of your work carried out as B. if you have worked/working.

details thereof. I also declare that. DECLARATION I declare that I fulfill all the eligibility conditions as per the advertisement and that all the statements made in this application are true. I also undertake to state that my engagement as SAF/JAF is for a fixed and I shall not have any right whatsoever to claim for regular appointment or permanent absorption in ARCI. I have read and understood all of the general terms and conditions listed in the advertisement and that I shall abide by them.Application form for SAF/JAF in ARCI (2012) Prizes/Awards/Honors/ any to you credit if : Please briefly indicate your familiarity with Computers and its application software : Names of the referees and their current address with phone/fax/email (please attach the testimonials given by them on their official letter head) 1) 2) Any other Information : Have you applied for any : position in ARCI or its sponsored projects earlier? If so. I understand that in the event of any information being found false or incorrect at any stage or not satisfying the eligibility conditions according to the requirements mentioned in the advertisement. my candidature/engagement as SAF/JAF is liable to be cancelled/terminated. complete and correct to the best of my knowledge and belief. Place : Signature of the Candidate with date ARCI/HRD/FELLOWSHIPS/1/2012 Page 4 of 4 .

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