Chief Scientist APPLICATION FORM Post Applied for : Name of the Project : Name of the Candidate in full : Date of Birth : Name of Father/ Husband : Contact Tel/Mobile No. : E-mail Address : Nationality : Address for correspondence : (in block letters) Permanent Address : Whether SC/ST/OBC/General : Educational/Professional Qualifications (Matriculation onwards): Sr. Examination Passed University/ Year of Division Exact % Subjects No. (Indicate name of Board Passing of marks Studied degree) 1. 10th class 2. 12th Class 3. Graduation 4. Master Degree 5 Preferred Qualification (RS & GIS) 6. Higher Qualification, if any Relevant Experience (Only in GIS & RS) : No. of Publications (Attach Xerox copies) : If selected, minimum time required to join the post : Application fee details: D. D./ I.P.O./ No. __________. Dated: _________
Chief Scientist APPLICATION FORM Post Applied for : Name of the Project : Name of the Candidate in full : Date of Birth : Name of Father/ Husband : Contact Tel/Mobile No. : E-mail Address : Nationality : Address for correspondence : (in block letters) Permanent Address : Whether SC/ST/OBC/General : Educational/Professional Qualifications (Matriculation onwards): Sr. No. Examination Passed (Indicate name of degree) University/ Board Year of Passing Division Exact % of marks Subjects Studied 1. 10th class 2. 12th Class 3. Graduation 4. Master Degree 5 Preferred Qualification (RS & GIS) 6. Higher Qualification, if any Relevant Experience (Only in GIS & RS) : No. of Publications (Attach Xerox copies) : If selected, minimum time required to join the post : Application fee details: D. D./ I.P.O./ No. __________. Dated: _________
walkin151018.docx