APPLICATION FORMAT FOR DBT-RESEARCH ASSOCIATESHIP IN BIOTECHNOLOGY AND LIFE SCIENCES (NATIONAL & NE) Note: (a) (b) (c) (d)
Applicants are advised to go through the GUIDELINES at the DBT-RA web site. Print the application on both sides of the A4 size paper. Application and other documents are accepted in hard copy form ONLY. Applications are accepted against advertisements in February and September each year. The deadline will be indicated in the advertisements. (e) Applications that do not contain the following documents will be considered incomplete & rejected. (f) The recommendation & consent letters should be in sealed envelopes with the recommender’s signature across the flaps. (g) Multiple applications from a candidate will result disqualification of his/her candidacy.
1. Name of the Applicant: 2. Date of Birth (enclose a self-attested proof):
Age (years):
Gender:
3. Permanent Address (with Pin Code): 3.1 Complete Address for Correspondence (with Pin Code): 3.2 Email ID (100% necessary): 3.3 Mobile (100% necessary): 4. Educational Qualifications: (In chronological order from Graduation onwards). Enclose selfattested photocopies of the degree certificates. No other certificates are necessary. Degree
University/ Year Institute passing
Subjects
Division/ % marks
BSc/BE/MBBS/ BVSc/B Pharm, etc MSc/MTech, etc PhD/MD/MS*
*If PhD/MD/MS (Medical) degree certificate is not available, enclose a copy of provisional award certificate/proof of thesis submission certificate from Registrar/Controller of Examinations. Certificate issued from any other authority in this regard is not acceptable. 5. Title of the PhD/MD/MS (Medical) Thesis: 5.1 Name, Designation, Postal Address, Email ID & Mobile no. of PhD/MD/MS Supervisor: