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Application Format , PROJECT SCIENTIST/ PROJECT ENGINEER ON CONTRACT

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					                                          Application Format


1.    Name of the position applied for         : PROJECT SCIENTIST/ PROJECT ENGINEER ON CONTRACT

2.    Position Code                            :

3.    Advertisement no                             :
                                                                                                      Affix
4.    Date and Name of newspaper in                :                                                  Photo
      which advertisement appeared

5.    Name in full [ in BLOCK LETTERS]             :

6.    Nationality                                  :

7.    Place of Birth                               :

8.    Date of birth and Age as on ……..             :

9.    Name of parent / spouse                      :

10.   Category [ mark ]                           :   UR     OBC         SC     ST       PWD
      [Must be supported by documentary
      evidence]

11.   Permanent Address with Pincode               :
      [BLOCK LETTERS]



12.   Address for communication with               :
      Pincode [BLOCK LETTERS]


13.   Telephone Number
                                 Residence         :
                                   Mobile          :
14.   Email id                                     :

15.   Nearest Railway Station                      :


16. Educational / Professional Qualification [beginning with SSC /SSLC Examination]
    [Enclose attested copies of relevant certificates and mark lists]

Exam passed      University/ Board       Year of Passing     Class &       Subject / Specialization
                                                            % of marks*




*Aggregate of all semesters
                                                       -2-
17.Experience

       [Details of experience may be furnished in chronological order starting from present position to backwards.]

                                 Period of service                                Name of office /
                                                                                                            Nature of
         Post held             From            To            Pay Scale          organization with full
                                                                                                             work
                                                                                       address




18. If your replies to Col 16 and 17 do not cover all the period :
    from school leaving till date, briefly state how you spent the
    uncovered period

19. If selected, minimum time required to join the position              :

20. Whether applied for any other post in ISRO/DOS                       :

21. If Yes, furnish following details                                    :

Name of the              Advt no:       Post    Name of the post         Date of              Result of
Centre                                  no:                              interview            interview




22. Any other information                                     :

23. References                                                :

Sl no                Name and Designation                          Address                 Contact Number


  1.



  2.



                                                 Declaration
         I affirm that the information given in this application are true and correct. I also fully understand
that if at any stage it is discovered that any attempt has been made by me to willfully conceal or
misrepresent the facts, my candidature may be summarily rejected and my employment terminated.

Name:                                          Date:                         Signature of the Candidate

				
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