Sardar Patel University Job - Msc Chemistry JRF Salary up to 47,000 pm

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ANNEXURE-1 FORMAT OF APPLICATION

1

Advertisement No.

: R/CHEM/PND/DST-NANOMISSION/2019-

2

Post applied for

:

3 4 5

Name in full (in Block Letters)

: : :

6 7 8

Nationality

9

Father’s Name Date of Birth

20/01 01 Junior Research Fellow (JRF) / 01 Research Associate (RA) (Strike off which is not applicable)

Date

Month

Year

: : Whether belongs to (Strike out : SC / ST / OBC / SEBC / PH / General Religion

Whichever is not applicable) Whether documentary proof from appropriate authority insupport of your claim being /SC/ST/ OBC / SEBC /BC/PH is enclosed(Please tick)

: Yes / No

10 Address for correspondence (in block : letters with pin code)

11 Permanent address (in block letters)

:

12. Educational qualifications (in chronological order from 10th Standard onwards): Sl. No.

Courses passed

University / Institution / Board

Year of Passing

13. Professional Training: Organization

Subject taken

Period

From

Result with Division / Class

Details of Training

To

14. Details of Research Experience, if any (in chronological order, starting with the first job): Name and address of institution

Period service From

of

Designation and Nature of work Remuneration and level of responsibilities

To

15. Research paper published in Science Citation Indexed (SCI) journal: Sr No 01 02

Research title

Paper Name Journal

of

From

Page no

To

Year of Impact publication factor

16.Field of special interest:

17. Explain why your background and experience would be a good fit for this JRF/RA position:

18. Any other information you may like to add :

Declaration I certify that the above information is correct and complete to the best of myknowledge and belief and nothing has been concealed / distorted. If at any time I amfound to have concealed, distorted any material / information, my appointment shall beliable to summary termination without notice / compensation.

Place:

Signature of Candidate Date: