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RA - DPIIT - Application Form

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0% found this document useful (0 votes)
10 views3 pages

RA - DPIIT - Application Form

Uploaded by

g7yv9sntvw
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
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Gujarat National Law

University
Gandhinagar, Gujarat, INDIA

APPLICATION FORM
(Note: Please go through the aadvertisement, essential criteria and highly desirable qualifications,
important note and other details given on the website www.gnlu.ac.in carefully before filling-up the
Application Form)

Post applied for (as given in advertisement):………………………………………………………….

1. Full Name (In Block Letters): Dr./Mr./Mrs./Ms. ………………………………………………………........


Affix here a
Recent Passport
2. Date of Birth: ……..…………… (In words)………………………………………………….… size
Photograph
3. Father’s/Spouse’s Name:………………………………………………………………………………………..

4. Mailing Address: …………………………………………………………………………………………

……………………………………………………………….....................................

………………………………………………………………....................................

………………………Pin Code

Tel. No (with STD code): …..………………………….Mobile : ………………………………………………..

E-mail ID:……………………………………………………………………………………………………….

5. Permanent Address:………………………………….……………………………………………………

………………………………….……………………………………………..….

………………………………………………………………....................................

……………………… Pin Code

6. Educational Qualifications:

Percentage of
S. Name of Board/ Year of
Examination/Degree Marks/Final Subject(s)
No. University Passing
Grade
1 SSC (10th Standard)

2 HSC (12th Standard)

Bachelor's Degree
3
(…………….)
Master's Degree
4
(…………….)
5 Any Other….

7. Whether Ph.D. awarded: Yes No If Yes, indicate the year of award…………….

Name of the Applicant:-_________________________________


Signature with date:-____________________________________
Gujarat National Law
University
Gandhinagar, Gujarat, INDIA

Title of Ph.D. thesis awarded……………………........………………………….……………

……………………………………………………………………………………………….….

8. Whether qualified CSIR/ UGC NET/SLET/SET Yes No

9. Details of Employment Experience: (In chronological order starting with the most recent):

Nature of Experience
Designation
S. Appointment (Ad (In Years,
Name of the Employer and Scale of
No. hoc/Temporary/ Months, Days)
Pay
Contract/Permanent)
1
2
3
4
5
Total Experience: Year(s)…………….Month(s)…………Day(s)……….

10. Contribution in organizing Training Course/Conference/Seminar/Workshop (If Any) :

S.
Particular Institution
No.

11. Participation in Training Course/Conference/Seminar/ Workshop (If Any):

S.
Particular Institution
No.

Name of the Applicant:-_________________________________


Signature with date:-____________________________________
Gujarat National Law
University
Gandhinagar, Gujarat, INDIA
4

12. DECLARATION BY THE CANDIDATE:

I hereby, declare that the information given by me in the Application form is true, complete and
correct to the best of my knowledge and belief and that nothing has been concealed or distorted. If at
any time, I am found to have concealed/distorted any information or given any false statement, my
application/appointment shall be liable to summarily rejection/termination without notice or
compensation.

I hereby declare that I possess the minimum qualification criteria for the post applied as per the
advertisement.

Date: ____________

Place: ____________ (Signature of the Applicant)

Name of the Applicant:-_________________________________


Signature with date:-____________________________________

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