National Institute of Plant Genome Research



Application for Project Position(Prepare separate application if applying for more than one post)Position applied for (Delete the irrelevant one):Project Scientist I / Senior Project Associate / Scientific Administrative AssistantName of the candidate:Father’s name:Date of birth (Enclose proof as Annexure 1):dd/mm/yyyyAge as on the last date of receipt of application:____ Years ____ Months ____ DaysMarital status:Address for correspondence:Contact number:E-mail ID for communication:Educational qualifications(Enclose proofs as Annexure 2):(10th onwards)Exam passedBoard/UniversityDivisionPercentage / CGPAYear of passingSubjectsCSIR-UGT NET/ DBT JRF/ ICMR NET/ etc.(Enclose proofs as Annexure 3):YES / NO (if YES, provide details below)Details of awards, fellowship and/or distinctions (If any)(Enclose proofs as Annexure 4):Title of M.Sc. dissertation/ Ph.D. thesis:Research Experience(Enclose proofs as Annexure 5):List of publications in refereed journals :(Do not list abstracts/proceedings, etc.)(Enclose first page of each publication as Annexure 6)S. No.AuthorsYearTitle of the articleJournal name, volume, pagesNational/ InternationalImpact factor(JCR 2019)Summary of Ph.D. and research work experience: (Not more than 300 words)Two References(Provide complete contact details, including name, designation, address, numbers of telephone, mobile, and fax, and email ID):Declaration:I hereby declare that the entries in this form are correct and true to the best of my knowledge and belief. It is further declared that the entries are complete in all respect. If at any time, I am found to have concealed/suppressed any material/information or given any false details, my candidature/appointment to the post is liable to be summarily terminated without notice or compensation. In such case, I will abide by the rules and by-laws of the Institute.Place: Signature of the candidateDate: Note: All the Annexures* along with the duly filled and signed application form should be sent as a single PDF file to the Scientist-in-Charge by email. Do not send any hardcopies unless otherwise mentioned in the Advertisement.*Annexure Checklist FORMCHECKBOX Annexure 1: Proof for date of birth FORMCHECKBOX Annexure 2: Mark statements and degree certificates (class 10th onwards) FORMCHECKBOX Annexure 3: proof for qualifying CSIR NET, DBT-GAT-B, ICMR-NET, etc. FORMCHECKBOX Annexure 4: Proofs for awards, fellowships and honours claimed FORMCHECKBOX Annexure 5: Proofs for professional experience (post-PhD) FORMCHECKBOX Annexure 6: First page of publications ................
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