Application form Last date for receiving the application is 3rd May 2020 Advertisement no. Advt.No: AIIMS Bhopal/SERB/CRG /2020/01/UR
Affix a recent passport size color photograph with self signature on it.
1. Name of the candidate: 2. Date of birth: 3. Permanent address: 4. Address for correspondence: 5. Email address: 6. Telephone/mobile no: 7. Qualification from Matriculation/ High school and above: S.no
Qualification
Name of the board /university
8. Experience post essential qualification: S.no Post Name of the From Institution (date/month/year)
Year of passing
To(date/month/ye ar)
Percentage of marks
Total experience
Duties/ responsibilities
I hereby declare that above information provided by me is correct to my knowledge and belief. Place ------------Date ------------------------------------------Signature of the candidate
Approved by:
Members of Selection committee