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Applying for " Advt. No. 02/2019: Recruitment of Scientist/Senior Scientist "
To be Filled in by the candidate . All columns should be properly filled in. Incomplete application form will be rejected Summarily.
Post Code *
Post Applied For *
Personal Details

Name in Full *:

Gender *:

Male   Female

Father's Name / Mother's Name * :

Spouse Name (if applicable) :

Date of Birth * :


Place of Birth *

Correspondence Address *

Permanent Address

Email Id * :

Mobile No * :

Aadhar No. * :

Religion * :

Nationality * :

Are you a Citizen of India by Birth or by Domicile*

By Birth   By Domicile

Name of State to which you belong *
State Category viz Scheduled Caste/Scheduled Tribe/Other Backward Class * General  Other Backward Class  Scheduled Caste  Scheduled Tribe    
Do you belongs to PWD category : Yes   No
Are you related to any employee of the CSIR ? If so , give details Yes   No
Educational/Professional Qualification (Matriculation Onwards)  
Exam Passed Percentage (%) Year of Passing Duration of the Degree / Diploma Board / Univ. Subject

Details of employment (in chronological order) :
Organization Post held Scale of Pay last pay drawn Exact dates to be given
From | To
Total Period (in years & months) Nature of Duties







Are you willing to accept the minimum initial pay of the scale? if not, state, what is the lowest initial pay that you would accept in the prescribed pay scale * : Yes   No  
Any additional qualification such as membership of professional socities, awards and honors etc
References of three Persons with complete Address
Person Name Designation Address Phone No. Email Id
Other Particulars
a) No. of Publication published in Scientific Journals
b) No. of Patents filed and granted
Country Visited Duration Purpose
Kindly write in 100 words, whether you were involved in any Product Development/Technology innovation/Approved Technology/Translational Research. If so, please attach documentry evidence thereof.*
Kindly write in 100 words, why you feel you are the best suited for the post you have applied for ? *
List of Enclosures
I hereby declare that the statements made in the application are true, complete and correct to the best of my knowledge and belief and in the event if any of the information found false or incorrect or any ineligibility detected at any stage of the selection/appointment, my candidature is liable to be cancelled and penal action as per law initiated against me.
Place * : Full Name :
Date : 19-09-2019
Upload Photograph * :
Max Size 50 KB, only jpg, png allowed
Upload Signature * :
Max Size 20 KB, only jpg, png allowed
Type Security Code * :


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