RECRUITMENT AND ASSESSMENT CENTRE

D EF EN C E R E SEAR C H AND D E V E LOPMENT ORGANISATION (DRDO)

APPLIC ATION FOR M FOR ADVT. No. 102

Item No. ____ Post applied for: ____________________ Subject: _________________________

APPLICATION FEE PARTICULARS (Not Applicable for SC/ST/PH/Women candidates, Rs 50/- for others)
INDIAN POSTAL ORDER NUMBER_______________________________________
Date______________ Amount Rs._______
(IPOs prior to date of advertisement are not acceptable) Affix Recent

1. Name in full (Shri / Smt / Km / Dr : _________________________________ Passport

(as recorded in Secondary School certificate) Size
2. Date of Birth: ______ ______ 19______ Photograph
(in Christian era in figures) Date Month Year

3. (i) Age as on closing date (10-06-2011) of Advt.: ____ yrs ____ months ______ days
(ii) Are you seeking age relaxation (Yes/ No ; if Yes, specify reason)?: ______________________________
(iii) Are you Physically Handicapped* (Yes/ No)?: _______________________________________________
(iv) Are you Ex-serviceman (Yes/ No ; if Yes, specify period of service)?: ________________________
(v) Are you short service commission officer (Yes/ No ; if Yes, specify period)?: ________________________

4. Nationality : _________________________

5. Category (GEN/SC/ST/OBC): ______________________________

(if other than Gen. attach certificate)

6. (i) Sex (M/F) : __________ (ii) Marital Status: Married (Y/N) : _________________

7. Type of Present Employment, if employed (Central Govt/ State Govt/ Others) : _________________

8. Father’s Name : __________________________________

9. Mother's Name : __________________________________

10. (a) Address for correspondence : ______________________________________________________

(In India with Pin code, email, fax, phone & mobile)

________________________________________

(b) Nearest Railway Station : ______________________________________________________

11. Permanent Address : _______

(with Pin code, email, fax, phone & mobile) ________________________________________________

________________________________________________

IMPORTANT: USE ONLY A4 SIZE PAPER FOR APPLICATION AND ALL OTHER TESTIMONIALS
* Age relaxation will be given to PH candidates as per rules
 -2-

12. (a) Educational Qualifications:

(Copies of certificates should be attached)

Aggregate Subject(s) University/Board

Joining Passing
Education Degree #
Percentage/ Division Univ
Year Year (in which degree awarded) (Full Name) rank
CGPA*

10th

12th

Graduate
Degree

PG
Degree

#
Degree obtained from a recognised university.
*
In case of CGPA / CPI, also give marks in percentage without rounding off along with the conversion formula.

12. (b) Are you GATE/NET/ (JRF/LECTURER) qualified, (if yes, give details and tick mark the applicable) ?:

Year of passing __________ GATE Score ____________________

12. (c) Any gap in educational career, (if yes, give details)?: ____________

13. Ph D details:

(a) University/Institute : ____________________________________________

(b) Date of registration : ____________________________________________

(c) Thesis defended date : ____________________________________________

(d) Title of Project/ Dissertation/ Thesis : ________________________________________________

(e) Specialization : ____________________________________________

(f) Number of Papers Published in Journals/ Conference : ______________

(g) Abstract of Thesis (max 250 words) : ________________________________________________

______________________________________________________

______________________________________________________

______________________________________________________

______________________________________________________

Fully Partially Not Matching

(h) Does it match with QRs? (Tick √ appropriately)
(QR: Qualitative Requirements)
 -3-

14. Professional Training:

Period
Organization Training Detail(s)
From To
1.
2.
3.
4.

15. (a) Will you join on minimum Basic Pay of the Post? (Yes/ No ; if No, mention expected salary with reason)?:
____________________________________________________________________________________

(b) Are you under any contractual obligations to serve Central/State Govt. /Any other PSU or

autonomous body (Yes/ No ; if yes, give details)?:

__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
(Attach NOC if required)

16. (a) Employment Record (Copies of supporting documents to be attached):

Name & Place Period Pay Scale Salary Nature of

of Type** Designation with Grade per Job
Organization * Pay annum (Attach
From To Total
details)
Experience
(yy-mm)

Total Experience: ______ Yrs ______Months

* In chronological order
** Type of employment: Regular / Ad-hoc / Contract / etc.

Fully Partially Not Matching

16. (b) Does it match with QRs? (Tick √ appropriately)

(QR: Qualitative Requirements)
 -4-

17. Have you been interviewed for any recruitment/selection by RAC during the past one year? If yes, give
particulars:

S.No. Advt No. Date of Interview Post Discipline Result

18. Please justify in 250 words as to why you think you are suitable for this job:
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________

19. Name and telephone/ email of two ‘Refrees’ familiar with your work:
(1) (2)
Name ______________________________ Name ______________________________

email ______________________________ email ______________________________

Address ______________________________ Address ______________________________

_________________________________ ___________________________________

Telephone No. _______________ Telephone No. _______________

Occupation ______________________________ Occupation ______________________________

20. Any other information you may wish to add: _______ _______ _______ _____

21. Declaration

I declare that the foregoing information is correct and complete to the best of my knowledge and belief
and nothing has been concealed/ distorted. If at any time, I am found to have concealed/ distorted any material
information; my appointment shall be liable to summary termination without notice. I will, if and when required,
take up duty in the discharge of government assignments anywhere in India.

Place:
Date: Signature of Candidate
 -5-

22. Details of Enclosures attached (Tick √ appropriately)

i) Proof of Age

ii) Proof of Qualification

iii) Proof of Category

iv) Fee through IPO/DD

v) Proof of Employment

vi) Others if any please specify ___________________________

_____________________________________
 -6-

UNDERTAKING

Applicable for Central/UT/State Govt./PSU Official

It is certified that I have applied for the post of __________________ against Advt. 102 through proper channel.

Place:
Date: Signature of Candidate

Note:
o Only Indian nationals are eligible
o All columns should be properly filled