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Inter University Accelerator Centre: Advertisement No: 02/2014

This document contains an application form for a position at the Inter University Accelerator Centre in New Delhi, India. The application requests information such as the applicant's name, address, date of birth, educational and professional qualifications, experience, awards received, reasons for considering themselves fit for the position, and references. The applicant is required to declare that the information provided is true and complete, and understand that any false information could result in their candidature or appointment being cancelled.

Uploaded by

Stuart 'Stu' Nofkee
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95 views3 pages

Inter University Accelerator Centre: Advertisement No: 02/2014

This document contains an application form for a position at the Inter University Accelerator Centre in New Delhi, India. The application requests information such as the applicant's name, address, date of birth, educational and professional qualifications, experience, awards received, reasons for considering themselves fit for the position, and references. The applicant is required to declare that the information provided is true and complete, and understand that any false information could result in their candidature or appointment being cancelled.

Uploaded by

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

Inter University Accelerator Centre

(An Autonomous Research facility of University Grant Commission, New Delhi,


India)
Post o! No" #$%$&, Aruna Asaf Ali 'ar(, New Delhi)##$$*+
Application form
Advertisement No" $&,&$#-
1. NA'. /0 12. P/31 APP4I.D 0/R :
2. Full Name (in Capital letters) :
3. Fathers Name :
4. Mothers Name :
5 us!an"s Name (#n case of female marrie"
can"i"ates )
$. Nationalit%
&. (a) A""ress for communication ('ith (in
Co"e)
(!) (ermanent A""ress
(c) )*mail #+
(") Mo!ile phone No.
,. +ate of -irth (++.MM.////)
0. A1e as on the "ate of last "ate of receipt of
application
12
.
Cate1or% (3C.34.5-C.6)N.()
(Certificate o!taine" from 7e8enue 5fficial not
!elo9 the ran: of +eput% 4ahsil"ar . Competent
Me"ical Authorit% in case of ( shoul" !e attache"
as e8i"ence)
##
5
Details of .ducational 6ualifications (3tartin( from class 7 onwards5 All columns
are to 8e filled u9)
);am
(asse"
#nstitution.<ni8ersit
%
3u!=ect stu"ie" /ear of
(assin1
> of mar:s
#&5 Details of Professional , 1echnical .ducational 6ualifications Additional 3heet may 8e
added, if re:uired" (All columns are to 8e filled)
);am
(asse"
#nstitution.<ni8ersit
%
3u!=ect
stu"ie"
+uration of
3tu"%
/ear of
(assin1
> of mar:s
7ecent
(assport
si?e
(hoto1raph
*2*
13. +etails of );perience (Can"i"ates are a"8ise" to fill*up this column carefull% an" in terms of
con"itions stipulate" in the A"8ertisement to a8oi" re=ection) A""itional sheet ma% !e a""e"@ if
reAuire".
Name of
/r(ani;ation
Post
held
Pay 3cale Duration of 3ervice Nature of
a99ointment
whether
re(ular or
adhoc
Remar<s
(If any) From 4o
14. 3cholarships.fello9ships.A9ar"s recei8e" 9ith
"etails:
15. 3tate !riefl% 9h% "o %ou consi"er %ourself fit for
the post applie" (use separate sheet in
necessar%)
1$. #s there an% "epartmental inAuir% pen"in1 or
contemplate" a1ainst %ou. #f %es please 1i8e
"etails B
1&. a8e %ou e8er !een impose" an% penalt% B #f
%es please 1i8e "etails
1,. Name an" a""ress of t9o referees (9ith e*
mail)9ho shoul" !e a responsi!le person@ not
relate" to the can"i"ates !ut 9ell acAuainte"
9ith him.her 9or:.stu"%
10 D.C4ARA1I/N: (i) # here!% "eclare that # fulfill the eli1i!ilit% con"itions as per the
a"8ertisement an" that all the statements ma"e in this application are true@ complete an"
correct to the !est of m% :no9le"1e an" !elief. # un"erstan" that in the e8ent of an%
information !ein1 foun" false or incorrect at an% sta1e or not satisf%in1 the eli1i!ilit%
con"itions accor"in1 to the reAuirement mentione" in the a"8ertisement@ m% can"i"ature .
appointment is lia!le to !e cancelle" . terminate". (ii) # ha8e enclose" the reAuire" atteste"
copies of the certificates.
(lace : .....................
+ate : .....................
3i1nature of the Applicant

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