IIT Bombay invites applications for the post of Technical Assistant, BE/B.Tech(Mech)

							                            INDUSTRIAL RESEARCH & CONSULTANCY CENTRE
                                                                                   RECENT
                                     OFFICE OF THE DEAN (R&D)
                                                                                   PASSPORT
                                 INDIAN INSTITUTE OF TECHNOLOGY
                                                                                   SIZE
                                   P O W A I , M U M B A I - 400 076
                                                                                   PHOTO
                             APPLICATION FOR APPOINTMENT IN PROJECT


1. Post Applied For                 : _____________________________________________

2. Advertisement No.                : _____________________________________________

3. Job Code                         : _____________________________________________

4. Name in Full                      : _____________________________________________
   (in Capital letters & underline Surname)

5. Address for Correspondence       : _____________________________________________

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6. Email Address                    :   ____________________________________________

7. Phone Number                     :   _____________________________________________

8. Date of birth                    : _____________________________________________

9. Nationality                      : _____________________________________________

10. Whether SC/ST/OBC               : _____________________________________________

11. Married / Single                : ___________________12. Male /Female ___________

13. Educational Qualifications (Starting from Xth) :-

Certificate/Degree     CollegeUniv./Institute   Year of Passing   % of Marks   Class Obtained




14. Professional Qualifications:-

Certificate/Degree     CollegeUniv./Institute   Year of Passing   % of Marks   Class Obtained
15. Professional Experience (Previous Employment):-

Organisation       Position Held      Date of Joining     Date of Leaving    Salary Drawn




16. How in your opinion do you meet the job requirement as advertised:-

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17. Any special characteristic that are not mentioned above:-

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18. Two References with email address and phone number:-

     1.                                            2.




I hereby declare that all information is true to the best of my knowledge and belief.

   Date : _______________

   Place : _______________                                ____________________________
                                                            Signature of the Applicant