CSIR - IHBT PhD Biological & Life Sciences Research Vacancy

A F P L I CA

CSIR-INSTITUTE OF HIMALAYAN BIORESOURCE TECHNOLOGY Palampur, (H.P.)-176 061 11 0 N F 0 ~ fV\ 0 R : .r R F /5 f(, F) PR ojE C T

r:

FELL 0 N

·" t'Ion f or t he P 't'Ion 0f : APP Ilea , 051 Ref: Advt. No.

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~

_

PI. attach your recent passport size photograph self attested

1. Name of Position applied for

2. Position No.

..

3. Name of Candidate (in Block Letters)

4. Father's Name 5. Mother's Name

6. Date of Birth(DOB) ,

.

7; Address for Communication

Telephone No. with STD Code

-'--

Mob.No.

_

e-mail address:

_

8. Permanent Address

- '"

Telephone

Mob.No.

No, with STD Code,

_

e-mail address: 9. Educational

, Examination

Qualifications

_ th

in tabular form from 10

Subject(s)

Marks Securedl Max. Marks

Class onwards:

%of Marks/Rank ICGPAlOGPA

University

Year

10m "

I-----

10+2

B.Sc. BE/B.Tech.

M.Sc.

-----"----

ME/M.Tech.

Ph.D

I Contd ... 2

-2-

10. Technical Qualification,if any (Not covered under COL9)

11. Experience,

as per following

Sr. Name of Department!

No. Organization 1 2

details:

Post(with Pay)

From

3

12. Whether belong to SC/ST/OBC/PH

To

Tots ' period

Nature of duties

5

6

4

:

_

13.Whether you have any blood relation : working in CSIR-IHBT.lf so, give details(his/her post/rank in CSIR-IHBT,Palampur.)

_

14. Any other details

.1 hereby declare that all the statements to the best of my knowledge information disqualification

found

false

or

made in the applic:";')n

and belief and nothing incorrect

,.

of my candidature

at any

time,

are correct and complete,

has been concealed. action

may

In the event of any

be taken

against

(Signatures) Name:

_

Place:

_

Encls: PI. attach the documents as per details mentioned

for

for the post applied for and I shall abide by the decision of the

Institute.

Date:

me

above.