NATIONAL LAW UNIVERSITY AND JUDICIAL ACADEMY, ASSAM (ESTABLISHED BY THE ASSAM ACT NO. XXV OF 2009) HAJO ROAD, AMINGAON, GUWAHATI - 781 031, ASSAM (INDIA) APPLICATION FORM FOR RESEARCH ASSOCIATE PASTE YOUR FORM NUMBER ADVERTISEMENT PUBLISHED IN RECENT (FOR OFFICE USE ………….……………………………………………. ONLY) PASSPORT SIZE PHOTOGRAPH …………………… HERE DATED…………………….. 1. NAME OF THE POST APPLIED FOR 2. PERSONAL DETAILS FIRST NAME MIDDLE NAME SURNAME NAME A. (IN CAPITAL LETTERS) YEAR MONTH DAY MONTH YEAR AGE AS ON B. DATE OF BIRTH DATE CITY / VILLAGE STATE COUNTRY C. PLACE OF BIRTH D. FATHER’S NAME E. MOTHER’S NAME F. NATIONALITY G. GENDER MALE / FEMALE / OTHER: COMMUNITY / GEN / SC / ST / OBC / PC / OTHER CATEGORIES CATEGORY (TICK H. IF OTHER CATEGORY: - GIVE DETAILS WHICHEVER IS _____________________________________________________ APPLICABLE) MARRIED / UNMARRIED I. MARITAL STATUS IF MARRIED, NAME OF SPOUSE ____________________ IF PHYSICALLY CHALLENGED, INDICATE IF APPLICABLE, PERCENTAGE OF J. THE RELEVANT PARTICULARS WRITE DISABILITY ‘YES’ (i) BLINDNESS OR LOW VISION (ii) HEARING IMPAIRMENT (iii) LOCOMOTOR DISABILITY OR CEREBRAL PALSY (INCLUDES ALL CASES OF ORTHOPEDICALLY HANDICAPPED)
NATIONAL LAW UNIVERSITY AND JUDICIAL ACADEMY, ASSAM (ESTABLISHED BY THE ASSAM ACT NO. XXV OF 2009) HAJO ROAD, AMINGAON, GUWAHATI - 781 031, ASSAM (INDIA) APPLICATION FORM FOR RESEARCH ASSOCIATE ADVERTISEMENT PUBLISHED IN ………….……………………………………………. DATED…………………….. FORM NUMBER (FOR OFFICE USE ONLY) …………………… PASTE YOUR RECENT PASSPORT SIZE PHOTOGRAPH HERE 1. NAME OF THE POST APPLIED FOR 2. PERSONAL DETAILS A. NAME (IN CAPITAL LETTERS) FIRST NAME MIDDLE NAME SURNAME B. DATE OF BIRTH DAY MONTH YEAR AGE AS ON DATE YEAR MONTH C. PLACE OF BIRTH CITY / VILLAGE STATE COUNTRY D. FATHER’S NAME E. MOTHER’S NAME F. NATIONALITY G. GENDER MALE / FEMALE / OTHER: H. COMMUNITY / CATEGORY (TICK WHICHEVER IS APPLICABLE) GEN / SC / ST / OBC / PC / OTHER CATEGORIES IF OTHER CATEGORY: - GIVE DETAILS _____________________________________________________ I. MARITAL STATUS MARRIED / UNMARRIED IF MARRIED, NAME OF SPOUSE ____________________ J. IF PHYSICALLY CHALLENGED, INDICATE THE RELEVANT PARTICULARS IF APPLICABLE, WRITE ‘YES’ PERCENTAGE OF DISABILITY (i) BLINDNESS OR LOW VISION (ii) HEARING IMPAIRMENT (iii) LOCOMOTOR DISABILITY OR CEREBRAL PALSY (INCLUDES ALL CASES OF ORTHOPEDICALLY HANDICAPPED)