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Kultur Dokumente
Staff
LAST DATE
02-04-2015
2. Fathers Name
Contact Nos
Email id
4. Date of Birth
D D
M Y
Y Y
Age (yrs)
& Age
Qualification
Period of study
From
1. Degree
(.................. )
2.
PG Degree
(speciality)
(.................. )
3. Ph.D./equivalent
4. Others
To
Position
From
To
Experience in years
& months
1.
2.
3.
4.
1.
2.
3.
4.
5.
6.
Authors Listing
Journal Name /
Year / Vol. / Page
nos.
Whether
Indexed
9.
Details of previous experience in handling research projects under the supervision of Chief
Guide/Principal Investigator (number of research projects completed/submitted (mention only if
pre-proposal accepted in case of ICMR extramural projects)- the document should be
recommended and undersigned by the Principal Investigator to certify that the candidate is
capable of writing/handling research projects.
S.No Name of the Principal
Investigator
1.
Funding agency
Project ID
2.
3.
4.
Principal Investigator
10. CV should be attached along with the application in case of possessing additional
qualifications and research experience. (photocopies of certificates shall be attached
to support research / teaching experience in the form of workshops, training programs
and CMEs attended).
11. Are you prepared to be considered for a post lower than the one applied: YES / NO.
12. If the post is offered, how much period is required for joining ________________
DECLARATION
I hereby declare that the contents of the application form and documents /
certificates submitted by me along with the application are absolutely true, correct and
authentic.
In the event of any of the statement in this application / enclosures found incorrect or
false at a later date, the undersigned is liable for necessary disciplinary action as per the
rules.
PLACE :
DATE :