APPLICATION FOR THE POST OF Junior Research Fellow

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Fullname
DateofBirth
PlaceofBirth
Sex:M/F
MaritalStatus
Nationality
CategoryGeneral/OBC/SC/SST
FathersName
Permanentaddress

11.

AddressforCorrespondence

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PhoneNo.
MobileNo.
Emailaddress
ACADEMIC RECORD
i.NET/GATE/CSIR/UGC/Otherfellowshipdetails:
(Mention examination name, discipline, score, and
yearappeared)
ii.Detailsofprojectcarriedoutwithduration,placeof
work, area worked on, mentor/guides name
description of the project and contribution to the
project(innotmorethan5sentences)andpublication
ifany(pleaseattachlist)

Nameof
Examination(Mention
School/Collage/Board/
Yearof
specializationwhere
University/InstitutewithCity passing
applicable)
&State
ClassX
HigherSecondary
Degree

PG

Anyother

Subjects

%ofmarks/
GPA
Obtained

Remarks
Distinction/
Division

(PTO)

iv.LanguagesKnown(pleaseputtickmark)
Read

Writing

Speak

English
Hindi
Malayalam

v.

WorkingExperience(ifany)

vi.

Whethercurrentlyemployed:Y/N

15.

Nameandaddressofrefereealongwithphonenumberandemailaddress

DECLARATION
IherebydeclarethatIhavecarefullyreadandunderstoodtheinstitutionandparticularsonthisapplicationand
thatallentriesinthisformaswellasintheattachedsheetsaretruetothebestofmyknowledgeandbelief.

Signature
Date:
Place: