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Application Form - PDF

This document is an application form for a Junior Research Fellowship (JRF) in Computer Science and Engineering for an R&D project sponsored by IBITF-DST. It requires personal information, educational qualifications, employment history, and research publications from the applicant. The applicant must also declare the accuracy of the information provided and understand the consequences of any false information.

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64 views2 pages

Application Form - PDF

This document is an application form for a Junior Research Fellowship (JRF) in Computer Science and Engineering for an R&D project sponsored by IBITF-DST. It requires personal information, educational qualifications, employment history, and research publications from the applicant. The applicant must also declare the accuracy of the information provided and understand the consequences of any false information.

Uploaded by

vkk163007
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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APPLICATION FORM for JRF in Computer Science and Engineering

for IBITF-DST Sponsored R&D Project

To
Dr. Sangram Ray
Associate Professor Self-attested
Dept. of Computer Sc. & Engg. Photograph
National Institute of Technology Sikkim
Ravangla – 737 139, Sikkim, India

GATE/NET qualified (Please tick √) Yes / No If yes, discipline:

Exam: Year:
If yes, please provide details
Rank: Score/Percentile:

1. Name in full (in capital


letters) (Underline Surname)
2. Father’s / Husband’s Name
3. Mother’s Name

4. a. Marital Status b. Male / Female/ Others


5. a. Permanent address b. Address for correspondence

Mobile No. E-mail ID

6.
Date of birth (DD/MM/YYYY)
7. Category (Please tick √) SC / ST / OBC / PWD / General

8. Nationality
9. No. of research publications, if any SCI Journal - Other Journal - Conference –
(Enclose the list) Book Chapter/Book -

10. Additional information, if any

1
11. Details of educational qualifications: Please give particulars of all examinations passed and degrees obtained commencing with the
10th standard / Matriculation.
Sl. Examination Name of the Name of the Board Class / Discipline % of marks or Year of
No. / Degree / Diploma passed Institute/College / University / Institution Division CGPA out of 10 passing

12. Details of employments: If employed, please give particulars of your present and past employments in chronological order, starting
with the present one:
Sl. Organisation / Institute Position held Nature of duties / work From To Experience Last Pay scale
No. Date Date (__Yr.__Months) & Gross pay

I hereby declare that I have carefully read and understood the instructions and particulars supplied to me and that all the entries
in this form are true to the best of my knowledge and belief. I fully understand that if it is found that any information given in the
application is incorrect/false or if I do not satisfy the eligibility criteria at a later date, my candidature/appointment is liable to be
cancelled.

________________________
Date: ................................ Signature of the Candidate
Place: ..............................

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