Academy of Scientific and Innovative Research Headquarters: AcSIR, Training and Development Complex, CSIR Campus, CSIR Road, Taramani, Chennai 600 113 – AcSIR, CSIR-HRDC, Kamla Nehru Nagar, Ghaziabad (U.P.) Coordination Office: CSIR-NATIONAL CHEMICAL LABORATORY, Pune Application Form for post of Executive Consultant, AcSIR Personal Information Name in full (in block letters): Father’s Name: Affix Recent Nationality: Photograph Religion: Gender: Male Female Category: Gen SC ST OBC PH Date of Birth Date Month Year (as per SSLC/ HSC/ SSC/ Matric Certificate) Address for Communication: City: Pin code: State: Phone with STD code/ Mobile No.: E-mail: Academic Information (commencing with the Matriculation or equivalent examination in chronological order) Examinations Name of the Board/ Year of Subject/ Percentage/ Class/ Passed University Passing Specialization CGPA Division
Academy of Scientific and Innovative Research Headquarters: AcSIR, Training and Development Complex, CSIR Campus, CSIR Road, Taramani, Chennai – 600 113 Coordination Office: AcSIR, CSIR-HRDC, Kamla Nehru Nagar, Ghaziabad (U.P.) CSIR-NATIONAL CHEMICAL LABORATORY, Pune Application Form for post of Executive Consultant, AcSIR Personal Information Name in full (in block letters): Affix Recent Photograph Father’s Name: Nationality: Religion: Gender: Male Female Category: Gen SC ST OBC PH Date of Birth (as per SSLC/ HSC/ SSC/ Matric Certificate) Date Month Year Address for Communication: City: Pin code: State: Phone with STD code/ Mobile No.: E-mail: Academic Information (commencing with the Matriculation or equivalent examination in chronological order) Examinations Passed Name of the Board/ University Year of Passing Subject/ Specialization Percentage/ CGPA Class/ Division
Application-format-EC-NCL.docx