SPACE APPLICATIONS CENTRE, ISRO

Ahmedabad, Gujarat-380058

Application for Scientific Research and Training

(Website: www.sac.gov.in/vyom/srtd.jsp)

कृपया टाइप करें अथवा साफ अक्षर ों में लिखें

Please type or write in CAPITAL Letters

For Office Use only Please paste recent

passport size
photograph duly
Application No.
attested by Head of
Date of Receipt Institute

1. Personal Details

नाम Name श्री/सुश्री Mr./Ms.

जन्म लिलथ (लिलि/मामा/वववव)
Date of Birth (DD/MM/YYYY)

लिोंग Gender(Tick appropriately) पुरुष/मलििा Male / Female

Nationality (Indian/Foreign/Dual)

स्थायी पिा Permanent Address:

Communication Address

आधार कार्ड सों. Aadhar Card No.

फ न Phone No.

ईमे ि आईर्ी Email ID

2. Do you have any relative among the staff of SAC/ISRO (Yes/No)? ………………..
If yes, please give the following particulars:

__________________________ _________________________ _______________________

Name of the Relative Relationship with the Candidate Designation

3. शैलक्षक अिड िा Education Qualification:

Website: www.sac.gov.in/vyom/srtd.jsp
 उत्तीर्ि होिे
विषय यूनििनसिटी, शहर तथा राज्य
पाठ्यक्रम का िषि %/सीजीपीए
Specialization/ Thesis University/Institution with city
Course Year of %/CGPA
Title and state name
Passing
पीएच.डी PhD

स्िातकोत्तर
Postgraduate
पूिि स्िातक
Undergraduate
4. Mention prior research experience (if any)

5. आपकी य ग्यिा/अनुभव Mention your core technical skills/competencies (Analytical etc.)

6. प्रस्तालवि अनुसोंधान का शीषडक/Proposed Research Topic

7. Brief Description of Research

8. कायड अवलध…10+...................सप्ताि और कायडप्रारम्भ की लिलथ...../....../........

Research duration 10+ weeks with starting Date....../....../........

मुहर और दिनांक के सार्थ प्रभाग प्रधान/संस्र्थान/प्राचार्य की दसफाररश

अभ्यर्थी के हस्ताक्षर तर्था दिनाकं
Signature of the applicant with Date Recommendation by Head of Department/Institution/Principal
with seal and date

9. Emergency Contact Details

आपदा की स्स्थलि में सोंपकड लकए जाने िे िु लवभाग-प्रधान/कायाड िय/पररवार का ई-मेि एवों फ न
Contact E-mail & Phone of HOD / Office / Family in case of Emergency

Website: www.sac.gov.in/vyom/srtd.jsp
Instructions to the Candidate
• Candidate shall submit the duly filled, signed and scanned PDF copy of this form to
srtd@sac.isro.gov.in, with a copy of email to Head of Institute/Placement office of institute,
in case of submission through e-mail. Incomplete form, in any aspect, shall be rejected.

• Mention the e-mail subject as YourShortName-SRTD-Application-MobileNo.

• It is advised to submit your Application well in advance, typically 1 month prior to expected
date of start of training, to enable due processing of the application.

• Candidate shall carry following documents at the time of reporting.

- Passport size photograph (2 Nos.)
- Bonafide Certificate (Original and 1 Copy)
- University/Institute ID Card (2 Copies)
- Aadhar Card, if available (2 Copies)

Terms & Conditions

• SAC (ISRO) reserves the right to ask for original documents, for verification purpose only.

• No Fee is charged to the Candidate for Research/Training project.

• No stipend or any other form of monetary compensation is provided to the Candidate.

• Candidate shall not undertake any parallel assignment during the period of
research/training at SAC (ISRO).

• Candidate, during the research/training period, shall abide by extant policies and guidelines
of DOS/ISRO, as applicable.

• SAC (ISRO) reserves the right to terminate the research/training project, at any point, if the
candidate is found in violation of any of the rules and regulations of SAC (ISRO)

I hereby declare that all details furnished by me in this application are true, complete and
correct to the best of my knowledge and belief. I understand that in the event of any
information being found false, incomplete or incorrect, my candidature is liable to be
cancelled.

I have read above instructions and accept terms & conditions mentioned in this form.

दिनांक के सार्थ अभ्यर्थी के हस्ताक्षर

Signature of the applicant with date

Website: www.sac.gov.in/vyom/srtd.jsp