Format of Application
The Chief Executive (A&F) Please affix
Indian Statistical Institute your recent
203, B.T. Road passport size
Kolkata – 700 108. photo here.
Sir,
With reference to the advertisement no REC-01/2026-1 KOL dated
22/01/2026published in the Employment News on 24/01/2026, I would like to
submit my application for the post of
______________________________________________________. The required information
are furnished below:
1. Name in full (in block letters) Mr./Mrs./Ms.
_____________________ ____________________ __________________
(first name) (middle name) (last name)
2. Permanent Address: ____________________________________________________
_______________________________________________________________________
___________________________________________ Pin code: ______________
3. (a) Address for communication:
__________________________________________________________________________
___________________________________________________________________________
_________________________________________________________________________
__________________________________________Pin code: ______________
(b) Phone (Residential): _______________________
(c) Phone (Office): _____________________________
(d) Mobile Number: ___________________________
(e) E-mail Id: _________________________________
4. Date of Bsirth: ___________________________
5. Sex (Male/Female): _____________________
6. Nationality: _________________________
7. Religion: ______________________________
8. Mother Tongue: ________________________
9. Marital Status (Married/Unmarried)
10. Category (UR/SC/ST/OBC-NCL/PwBD/ExSM/EWS): ____________________
(Attach self-attested copy of relevant certificate from appropriate authority)
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11. Particulars of academic qualifications from S.S.C./Matriculation onwards.
Attach copies of marks/grade sheets and certificates (Use separate sheet if needed).
Sl. Examinations Board/Council/U Year of Division/ Subjects
No. Passed niversity passing Grade Studied
12. Employment details (in chronological order) (Use separate sheet if needed):
Sl. Name & Designation Period of Pay Nature of Nature of
No. address of employment Scale/P Appointment Duties
employer ay Level (Regular/Dep
From To utation/Cont
ract)
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13. Applicable only for the post of Section officer. Please clarify your eligibility
for the purpose of experience in the pay scale/pay level with roles and
responsibilities [Applicable only for the posts of Section Officer (Accounts)/ Section
Officer (General)]:
Sl. Required Pay scale/ Period Roles and
No. experience pay level responsibilities in
supervisory position
From To
1. 5 years should be in
the Pay Level-6 in the
pay matrix of Rs.
35,400-1,12,400/-
(Pre-revised Pay Band
of Rs. 9,300-34,800 +
GP 4200/-) or above
14. Training Details (Use separate sheet if needed):
Sl. No. Title of Period of Training Training Conducted by
Training
From To
15. Knowledge of computer [Not Applicable for the posts of Carpenter ‘A’,
Electrician ‘A’, Driver ‘A’, Operator-Cum-Mechanic (Lift) ‘A’ & Cook ‘A’]:
1. MS Word
2. MS Excel
3. MS PowerPoint
4. Any other (Please specify)
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16. Present employer: ________________________________________________
Present Basic Pay: _______________________________
Pay Scale/Pay Level: ___________________________________
Present Designation: _______________________________________
Nature of Duties: ___________________________________________
17. Languages known: (Put mark)
Language Read Write Speak
18. NOC/Vigilance Clearance Certificate attached
(Put mark)
(YES / NO)
19. Were you ever discharged or dismissed from any previous employment
(Put mark)
(YES / NO)
20. Whether any penalty (major/minor) was imposed on you during the service:
(Put mark)
(YES / NO)
21. Application fee payment transaction id/UTR No.:
Declaration:
I hereby certify that the above particulars mentioned in the application form are
correct and true to the best of my knowledgeand belief. I understand that in the
event of any information being found false or incorrect at any stage or not
satisfyingthe eligibility criteria according to the requirements of the advertisement,
my candidature/appointment is liable to becancelled/terminated.
Date: __________________
Place: _________________ (Full signature of the applicant)
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