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APPLICATION FORM
 
Advt No *   Post Name *
  Category *
 
 
First Name *   Middle Name   Last Name *
Gender *   Date of Birth [dd/mm/yyyy]*     Marital Status *
Disabilities * Ex-Serviceman *   Emp of Govt /Semi Govt /PSU /PSE / Autonomous Org *
Email *   Phone[with STD code]   Mobile
Father's/Husband Full Name *   Nearest Railway Station *      
 
 
Address 1 *
Address 2
Address 3
City *
State *
PIN Code *
Address 1 *
Address 2
Address 3
City *
State *
PIN Code *
 
 
SrNo.DescExamYear Of PassingBoard/University/InstitutePercentageSpecialization
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Sr.No. Designation Company Skill Set Salary Scale / Drawn Period From To [dd/mm/yyyy] Total Exp In Years
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Reference 1 (with full address and contact numbers) * Reference 2 (with full address and contact numbers) *
 
If selected minimum time required to join NCRA-TIFR * Any Other relevant information / Remarks
 
Brief Description of Job *
 
Whether you were Offered to join NCRA-TIFR for any Posts) & did not join. If Yes, Please give complete details of it Have you been detained in Police Custody? If Yes, Please give complete details of it.
 
Have you been convicted by any Court of Law or not? If Yes, Please give complete details of it. Whether any criminal case is pending or contemplated against you in any Cout of Law? If Yes, Please give complete details of it.
I hereby certify that the fore-going information is correct to the best of my knowledge and belief. I have not suppressed any material fact or factual information in the above statement. In case I have given wrong information, or suppressed any material fact or factual information, then my selection is liable to be terminated, without giving any notice or reason therefore. I am not aware of any circumstances which might impair my fitness for employment. I also undertake that, I am possessing all the relevant certificates/documents issued by relevant competent Authority on the date of submitting this ONLINE application.
I AGREE *
Place * Date of Application
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