Application Form

Kindly fill all the fields. Fields marked with * are mandatory.
Code of the Post * :
GATE Details :
Discipline*:
Year of GATE Exam :
Registration No*:
GATE Score valid upto:
GATE Score :

Basic Details

Name of the Candidate
First Name*:
Middle Name:
Last Name:

Date Of Birth*:
Gender*:
Category*:
Whether Person with Disability Candidate(with kind of disability OH and with disibility not less than 40%)

Father's/Husband's Name
First Name*:
Middle Name:
Last Name:


Address :
Correspondence Address :
City :
State*:
Pincode (6 digit):
Permanent address same as above
Permanent Address*:
City :
State*:
Pincode (6 digit)*:

Contact Details :
Email Address*:
 
Mobile Number (10 digit)*:
Office Telephone Number (With STD Code) :
Residence Telephone Number (With STD Code) :

Details Of Educational Qualifications

SNoExamination/Degree Passed (10th and onwards) Name of InstitutionBoard/University/InstituteYear of PassingSubjects StudiedPercentage of marks/Grading 
1             Delete
2             Delete
3             Delete
        


Details Of Previous Experience

SNoName of the organizationPost heldPeriod FromPeriod ToPay ScaleBrief Description of Duties 
1     Delete
        

Documents Upload
Photograph
Scanned copy of photograph in only .jpg/.jpeg or .png or.gif image types not exceeding 1 MB.
 
Signature
Scanned copy of signature in only .jpg/.jpeg or .png or.gif image types not exceeding 1 MB.
 


Declaration

I have carefully gone through the vacancy advertisement and I solemnly declare and undertake that all the information furnished by me is true, correct and complete to the best of my knowledge and belief. I understood that my candidature shall remain provisional till it is confirmed by the Authority after verification of documents/certificates etc. in support of above details furnished by me. I undertake that, if at any stage of the selection or even after selection, any of the information furnished by me is found to be false, incorrect or misleading, then my candidature/appointment/services will stand cancelled / terminated without assigning me any reason. I will produce the original documents in support of the information furnished when so ever required by the employer.