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APPLICATION FORM FOR JRF/RA IN DRDO passport size

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self
FELLOWSHIP: JRF / RA (Tick any one) attestation
POST CODE: ……….... & SUBJECT: …….……………………………….………
1. Name in full in BLOCK letters : __________________________________________
(Ms/Mr/Mrs/Dr)
2. Father/Husband’s Name : __________________________________________

3. Present address for correspondence: __________________________________________

__________________________________________

4. Contact Number: Email ID : __________________________________________

Mobile : __________________________________________
Residence : __________________________________________

5. Date of birth and present age : _______________ Age as on _____Yrs ______Months

(as on closing date) (DD/MM/YYYY)
6. Category (Gen/OBC/SC/ST/PH) : __________________________________________

7. Educational Qualification: (Class X onwards only)

S.No. Class/Degree Board / University Month/Year Max. Marks Percentage
with place of passing Marks obtained (%)
1.
2.

8. Work Experience: (Latest First)

Name of Post Name of Organ./Dept./ From To Nature of duties performed
Section

9. Whether Qualified in UGC/CSIR-NET Examination: Yes/No

10. If yes, Please mention the name of Agency & validity: ……………………………………..

11. No. of Publications/Published Work in SCI Journals: ______________________________

(Separate Annexure as biodata should be attached with application form)

12. DECLARATION: I hereby declare that, the above furnished particulars are correctand no
information is suppressed. If at any time, I am found to have concealed/distorted any information,
my fellowship shall be liable for summary termination without notice. I will, if and when required,
take up duty in the discharge of Government assignment anywhere in India.

Place:
Date:
(Name /Signature of Applicant)