National Innovation Foundation- India Autonomous Body of Department of Science and Technology, Govt. of India Grambharti, Amrapur, Gandhinagar - Mahudi Road, Gandhinagar -382650, INDIA
Whether you belong to (please tick : and if yes, attach certificate)
SC !.....!
MONTH
ST !.....!
OBC !.....!
YEAR
Handicapped !.....!
1
10. Educational Qualifications: (In chronological order from latest. Enclose a separate sheet, duly authenticated by your signature, if the space below is insufficient) Sl. No.
Exams. Passed
University / institution / board
Year of passing
Subject(s) of specialisation
Div. / class & % of marks
11. Employment Record : (Details in chronological order, starting with the latest) (Enclose a separate sheet, duly authenticated by your signature, if the space below is insufficient) Sl. No.
Name & Address of Employer
Designation
Period From
To
Total period in years & months
12.
Total experience in years after Essential Qualification
:
13.
Details of work / experience, if any (Annexure, if any, should not exceed 200 words)
:
14.
Suitability for the post (Enclose a separate sheet, if the space below is insufficient)
17. Give below the names of two references (they must not be related to you) who are in a position to testify from their personal knowledge as to your fitness for the proposed appointment. (a) Name with full address (b) Name with full address
Any other information you may wish to add [Like list of publications, Membership of learned societies, awards and recognition, voluntary work in a reputed organizations etc. (in brief)]
: : :
19.
Details of Enclosures
:
20.
DECLARATION:
:
I certify that the foregoing information is correct and complete to the best of my knowledge and belief and nothing has been concealed / distorted. If at any time I am found to have concealed / distorted any material information, my appointment shall be liable to be summarily terminated without notice / compensation. Place: Date:
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