Centre for Development of Advanced Computing

Gulmohar Cross Road No.9 Juhu, Mumbai 400049 Tel No. 022- 26232194, 26201606 26201488 Fax No. 022 -26210139, 26232195 Website: http://www.cdacmumbai.in

Application Form
Each question should be answered. C-DAC may not consider this application, unless all questions have been answered.

Application for the Post of: Linguist (Position Code : 01/LG/11) Project Engineer (Position Code : 02/PE/11) Project Engineer (Position Code : 03/PEL/11) Multimedia Programmer (Position Code : 04/MP/11) Trainer (Position Code : 05/CT/11) 1. Name:
(Surname First in Block letters)

2. Date of Birth

3. Sex M

4. Nationality F

5. Marital Status

6. Whether Belonging to Scheduled Caste/Tribe/OBC? If so, give details: 7. Address for Correspondence with pincode:

Phone No. ( with STD Codes) ( O) ( R) Mobile No Fax No E mail 8. Academic Qualifications (Beginning with Graduation) Examination University / Main Subject / Year of Institute Specialisation Passing

Percent / Grade/Class/

Rank/ Distinction, if any

9. * Work Experience ( Latest First) Name of the Post/ Organization Designation

Period

Monthly Salary/ Pay-scale & Basic Pay (if employed in Govt/ PSU etc.) To

Total Emoluments

From

* Nature of work/ details of work :

10. Applicable to Position Code 03/PEL: i) Knowledge of Oriya /Marathi language:

Oriya Marathi

Yes Yes Yes

No No No

ii) Research Interest in Speech Processing & Language Computing.

11. Are you employed in any Govt./Semi-Govt./Public Sector Undertaking/Govt. funded body? Yes No If Yes, the application should be forwarded through proper channel or NOC to be produced at the time of interview. 12. Details of present employment: i) Whether present post is held on regular/ temporary/ adhoc basis : ii) Current Pay scale and basic pay drawn ( with dates) if working in Govt / PSU etc. If in private sector the total monthly salary may be given :

13. Please furnish two references

References from relatives, friends, neighbours etc. will not be considered. Fax Number: E-mail:

(1) Name: Address:

Telephone Number:

How does referee know you:

(2) Name: Address:

Fax Number: E-mail:

How does referee know you: Telephone Number:

14. Please provide any other information that may have not been covered in this application form, to support your application:

Declaration: 1. I certify that all information provided in this application is true, complete and correct to the best of my knowledge and belief. I understand that any false information or omission of information may disqualify me from consideration for employment and may result in dismissal from the job, if discovered at a later date. 2. I understand that this application does not create a contract of employment nor guarantee for employment. I have read and understood the above declaration before signing this. Signature: Place: Date: