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APPENDIX ‘A’
DEFENCE RESEARCH & DEVELOPMENT ESTABLISHMENT JHANSI ROAD, GWALIOR - 474 002 APPLICATION FORM
Paste your recent passport size photograph here
Self Attested
Post Code
Name in full in Block letter
Father’s/Husband’s Name
Date of Birth & Age as on date of Interview Address for Correspondence Permanent Address (with proof) Mobile No.
Email ID
ID Proof (PAN Card/Driving License/Aadhar Card) 10. Whether GEN/SC/ST/OBC 11. Whether NET / GATE /Any other fellowship Qualified Yes or No (if yes, give details)
12. EDUCATIONAL QUALIFICATION
S.No. | Class/
Tt
Board/University
Degree
1% of Marks —
| Yearof | Subjects
obtained
Passing
J
13. Details of other experience, if any (Attach copy of the same):-
‘Post Held | Name of employer
14.
From
Period TO
Nature of Work
Sala
Remarks —
Any other Information:-
| certify that the particulars given above are correct. Date:
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ACOHOSS: osscbs i cisieaei suse secetevens |