Application Form for the post of Research Fellow.

Name of the post_____________________ Advt. No./Circular No.____________

1. Name :

2. Father's Name :

3. Mother's Name :

4. Date of Birth :

5. Category

6. Mailing Address :

7. Permanent Home address :

8. Marital Status :

9. Contact Number :

10 Email Address

Academic qualifications:

Examination Year of passing Name of the Marks Division/

Board/Univ. obtained/OCPA/ out percentage
of_______ of marks.
10. Title of Thesis

11. Any Award/Medal

2-

12. Experience:

(Duration,nature of
duty and output.

13. Publications: (Authors, year, title, journal, page) (Included in NAAS list of journals -

Yes/No).

14. Two References: 1)

2)

15 (a)Have you ever been arrested/convicted in a criminal case. If so, please give details

and also present status of the case.

(b) Have you ever been placed on conduct probtion by any University, on account of

indiiscipline? If so, give details.

Date:

(Signature of the applicant)