ILBS, MSc Biotechnology Research Assistant Vacancy

Institute of Liver & Biliary Sciences D-1, Vasant kunj, Delhi, India An Autonomous Institute under the Govt. of NCT of Delhi (Deemed University)

Application form

Photograph

Post applied for 1.

Name in block letters

: Mr/Ms

First

2.

Marital Status

: Married / Unmarried

3.

(a) Permanent address

:

(b) Postal address (for correspondence)

:

Middle

Last

/ Widow / Divorcee

(City)

(City)

(State)

(Pin)

(State)

(Pin)

4.

Telephone and mobile number

:

5.

E-mail address

:

6.

Date of birth : (Please annex documentary evidence)

7.

Are you (a) A citizen of India by birth and or by domicile?

Yes

No

(b) Peson of Indian origin

:

Yes

No

(c) Holding dual citizenship

:

Yes

No

8.

Do you belong to any of the following categories (Please annex documentary evidence): (i) SC / ST / OBC / Ex Service men

:

(ii) PWD (having 40% or more disability) suffering from

9.

Father's/ Husband’s name

: First

10. Educational Qualification (Higher Secondary/ 10+2 and above):

Middle

Last

S.No.

Month & Year From

Name of the Degree Diploma/ Certificate

To

Name of the Institution and location

Name of the University

1 2 3 4 5 6

11. Work Experience (Start from the first job to the most recent appointment/ job): S.No.

Name of Organization/ Hospital

Date of Joining

Date of Leaving

Name of the post held (Also state Temporary or Permanent)

Scale/ Total emolument

12. Enclosures:

1. Demand Draft Number

Date

Amount

Bank

or receipt of electronic transfer to Account No. 50100188042315 through HDFC Bank Sector C, Vasant Kunj, New Delhi having Swift Code No. HDFCINBBDEL (International) and IFS CodeHDFC0000273 (for Domestic remittances). DD in favour of “Institute of Liver and Biliary Sciences� payable at New Delhi.

2.

13. References (Name, designation, address and telephone/mobile number): 1.

2.

Declaration I hereby declare that all statements made in this application are true and complete to the best of my knowledge and belief. In the event of any information being found false or incorrect or ineligibility being detected before or after the test, interview, and joining, my candidature will stand cancelled and all my claims of the recruitment will stand forfeited.

Date:

SIGNATURE OF THE APPLICANT