CENTRAL UNIVERSITY OF PUNJAB City Campus, Mansa Road Bathinda-151 001 (Punjab) India Website: Application form for post of Research Assistant for the ICSSR sponsored Project entitled A Study on Women Entrepreneurship in “ Agro-Based Industries in Punjab: Challenges and Opportunities” Advt. No. Pro-39 (2017) Reg. No. _______________ (to be filled by the Office) Personal details First Name Middle Name Surname Name 1. (in Capital Letters) Day Month Year Years Months Age as on date of 2. Date of birth advertisement City/ Village State Country 3. Place of birth 4. Father’s name 5. name Mother’s 6. Nationality 7. Gender: 8. Marital status Community/Category 9. (delete those not applicable) If physically disabled, indicate the relevant If applicable, Percentage of S.No. of proof 10. particulars disability enclosed Write ‘yes’ a. Blindness or low vision : b. Hearing impairment c. Locomotor disability or cerebral palsy (includes all cases of Orthopedically handicapped 11. Educational qualifications (Attach additional pages, if required) Name of the course Name of the Board / Month & CGPA Subjectsstudied S.No. University Year Division % of (if grading is ofproof passed Marks applicable) enclosed 10th Class / equivalent 10+2 /equivalent Bachelor’s degree Master’s degree M.Phil. / equivalent Ph.D. Indicate specifically whether Ph.D. degree has been awarded : Yes / No Whether Ph.D. degree was with course work or not Yes / No
CENTRAL UNIVERSITY OF PUNJAB City Campus, Mansa Road Bathinda-151 001 (Punjab) India Website: Application form for post of Research Assistant for the ICSSR sponsored Project entitled “ A Study on Women Entrepreneurship in Agro-Based Industries in Punjab: Challenges and Opportunities” Advt. No. Pro-39 (2017) Reg. No. _______________ (to be filled by the Office) Personal details 1. Name (in Capital Letters) First Name Middle Name Surname 2. Date of birth Day Month Year Age as on date of advertisement Years Months 3. Place of birth City/ Village State Country 4. Father’s name 5. Mother’s name 6. Nationality 7. Gender: 8. Marital status 9. Community/Category (delete those not applicable) 10. If physically disabled, indicate the relevant particulars If applicable, Write ‘yes’ Percentage of disability S.No. of proof enclosed a. Blindness or low vision : b. Hearing impairment c. Locomotor disability or cerebral palsy (includes all cases of Orthopedically handicapped 11. Educational qualifications (Attach additional pages, if required) Name of the course Name of the Board / University Month & Year passed Division % of Marks CGPA (if grading is applicable) Subjectsstudied S.No. ofproof enclosed 10th Class / equivalent 10+2 /equivalent Bachelor’s degree Master’s degree M.Phil. / equivalent Ph.D. Indicate specifically whether Ph.D. degree has been awarded : Yes / No Whether Ph.D. degree was with course work or not Yes / No
ICSSR_Application_form.docx