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Indian Academy of Sciences Job Application Form

This document is an application form for a position at the Indian Academy of Sciences, requiring personal, educational, and professional details from the applicant. It includes sections for demographic information, qualifications, employment history, and references. The form also specifies requirements such as a recent photograph and a no objection certificate if currently employed in a government or public sector role.

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5 views2 pages

Indian Academy of Sciences Job Application Form

This document is an application form for a position at the Indian Academy of Sciences, requiring personal, educational, and professional details from the applicant. It includes sections for demographic information, qualifications, employment history, and references. The form also specifies requirements such as a recent photograph and a no objection certificate if currently employed in a government or public sector role.

Uploaded by

meowbhowsrivastava
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd

भारतीय विज्ञान अकादमी

INDIAN ACADEMY OF SCIENCES


(An Autonomous Institution of the Department of Science & Technology, GoI)
Raman Research Institute Campus, C.V. Raman Avenue,
Sadashivanagar, Bengaluru 560 080

Advertisement No. & Date:


Affix a recent
Application for the Post: passport size
photograph
1. Name in Full (in block letters):

2. Date and Place of Birth:

3. Father’s Name:

4. Mother’s Name:

5. Present Position:

6. Nationality:

7. Gender:

8. Marital Status:

9. Whether belonging to SC/ST/OBC:


(If so, give details and attach copy of certificate issued by competent authorities)

10. Permanent Residential Address:


11. Address for Correspondence:
12. Contact Telephone No./ Mobile No:

13. Email:

14. Educational Qualification (beginning with SSC/SSLC or equivalent)


Examination University/ Subject Year of % of marks
Degree/ Diploma Institute Passing Class/Grade
Distinction

15. Professional Qualification(s), if any:

16. Are you employed in Government/ Semi Government/ Public Sector Undertaking?
(If so, you are required to provide “NO OBJECTION CERTIFICATE” from your present employer)

Page 1 of 2
17. Are you under any contractual obligation to serve the Government/ Semi Government/ Public
Sector Undertakings? If so, please give details.

18. Professional Experience/ Details of present and previous employment (in ascending order):
Name of Employer Designation of the Period Last Nature of
with address post held From To Salary Work
Drawn Rs.

19. (a) Whether Physically Disabled: __________________ (Yes/No). (If yes, certificate from a
medical officer not below the rank of Civil Surgeon should be enclosed)

(b) Nature of Disability:

(c) Percent of Disability:

20. Languages Known:

21. Names and addresses of two referees, to whom references can be made regarding your
candidature and from whom reference certificates have been obtained and sent along with your
application.

2.

22. How soon can you join, if selected? (Reasons thereof):

I declare that the statements made in this application are true, completed and correct to the best
of my knowledge and belief.

Place: ______________

Date: _______________ Signature of Candidate

Note: 1. The complete filled-in application form should be sent along with the application.
2. The applicant should affix his / her recent passport-size photograph at the place
provided in the form, failing which his/her candidature is liable to be rejected.
3. Please attach additional sheets, if necessary.
4. Candidates may use this word format for preparing application.

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