CENTRALUNIVERSITY OFTAMILNADU तिमलनाडुके

नील
(EstablishedbyanActofParliament,2009)
/NeelakudiCampus, ित वा ि◌/Thiruvarur-610005
Email: establishment@cutn.ac.in /Tel:04366-277256
ApplicationfortheJuniorResearchFellowPositioninSERBSponsoredProject (Advt.No.SERB-CRG/2022/005847)
1. Nameoftheapplicant :
2. Father’sName :
3. DateofBirth&Age :
4. Sex : Male/Female
5. MaritalStatus :
6. Nationality :
7. Correspondingaddress E-mail MobileNo.
8.Academicrecords:
:
Affixrecent passportsize photograph
a)Educationalqualification(10thStandardonwards).Attachonesetofself-attestedcopiesof certificate(s)
Sl. No. Degree/ Course University/Institution/ Board Yearof Passing Subjecttaken CGPA/ Percentage
b)NET/GATE/ICAR-JRF/DBT-JRF/CUCET Qualified-YesorNo: Ifyes,yearofpassing:- Details: Score/Rank
c)DetailsoftheM.Sc.,/M.Phil., projectcarriedout(shouldbringacopyofM.Sc.,thesis):
(d)Detailsoftheprojectexperience/workedcarriedout(Encloseaseparatesheetifneeded):
(e)ListofPublication/conferences/Seminars/Workshopsparticipated(ifany):Enclosea separatesheet
9.Workexperience(ifany): Organization Period Detailsofexperience/job responsibilities From To
(Pleaseencloseself-attestedcopiesofcertificates/proofinsupportofemployment
10.Nameandpostaladdressof2Referees:
Reference1
Reference2
Email: Email: MobileNo: MobileNo:
11.Anyotherinformationyoumayliketoadd : Declaration
I certify that the above information is correct and complete to the best of my knowledge and belief and nothing has been concealed / distorted. If I am selected, I undertake to engage myself whole time for research under the guidance of the principal investigator of the project. I have noted the post is co-terminus with the project. If at any time I am found to have concealed, distorted any material / information, my appointment shall be liable to summary termination withoutnotice/compensation.
Place:
Date: SignatureofCandidate