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‘Sarre wer siteitfire arqeiers uftag / council of Scientific & Industrial Research enfier site stele orgeters Pat / Department of Scientific and Industrial Research Pere era saree, 4 BORE / Ministry of Science & Technology, Govt. of India) ‘eT aR; 2, TPL, =f Reel - 110001 / Anusandhan Bhawan, 2, Rafi Marg, New Delhi - 110001 ‘Application Number/ S1&@-1$RU:- 10290857 4. Name in full / TATE 2. Email Address / 2a 18S), *- 3. Mobile Number / Htarget=:- 4. Alternate Mobile Number / daft 17 ate 5. Gender / fefm:- 6. Nationality / thea: 7. Proof of Identity / Wear Bq WHTU- Identity Proof No. / WEI WA Wa GSA 8 Aadhaar No. / Tt aR- 9. Category /#f Marital Status / @afgap fut 11. Are you a Person with Benchmark Disabilities (Divyangjan) / 2 Sia tare Roar cater ® Reoatrory?- Percentage of Disability (Age relaxation available >= 4036) / arctan a feat Type of Benchmark Disability / etre wtupte:- Disability Certificate No / FIER HATE vader: 10. Date of issue (Disability Certificate) / Wat ae Bh anthe Rarer aA.) 12, Are you an Ex Senvicemen / 2 ma ATE ash: ADVERTISEMENT NO: E-Y/RC/2023/1 AMANDEEP KUMAR amandeepk15032000@gmail.com 8284900774 N/A Male Indian Aadhaar Card 600328781109 600328781109 Scheduled Caste Single N/A N/A N/A N/A 13. 14, 15, 17. Joining Date / Bareu ata - Leaving Date / “art atga at ante Are you an Employee of Central Govt State Govts/ PSUs / Autonomous Bodies / FT SIT HS ARR TST PREY ware Prep & eter Employee Designation / afar] Wea :- Name of Departmentnst. / RMTAFET rare Date of Joining / Ure 3 a AR Are you a regular employee of CSIR / re eRaTgsiR & Prats wefan Employee Designation / @Hfardt Weare. Name of Lab/Inst / WaNTRTeT ARIA 1 Pay Level / a7 BE- Are you related to any CSIR Employee / Fa sire fare Sieg SHAT S eieftia Name of the CSIR Employee / Stewie rife aa Designation of the Employee / Hang #1 Wee CSIR Lab at which the Employee is Appointed / Sessa de wet aaa Figad &- Applicant's relation with the CSIR Employee / dtqaamgamt antardt & ara arta a er Whether you require a Seribe / #2 omait Guam aA onagueren 8? :- Scribe requesting due to following disabilities / Prafef@a serransit & rear dew Bq arqaue? Date of Birth (as recorded in the Matriculation or Birth Certificate) / SATA Gran fe Aepaers o oH VA Ua Aaa e ) N/A N/A No N/A N/A N/A No N/A N/A N/A No N/A N/A N/A N/A N/A 15/03/2000 20. 21. 22. 23. 24, 25. Candidate's Age as on last date of 23 submission of online application / STOTT STEET AT BET BT SHR FORE Se ster gHtizan a airy: Posts) Applied for /W@& FRE STAG Section Officer and Assistant Section Officer 's 9 Months 27 Days Cadre Preference for Section Officer / SEEMTT send Ba Tex BH aA Cadre Preference 1: Cadre Preference 2:- Finance & Cadre Preference 3:- Stores & General (Gen) Accounts (F&A) Purchase (S&P) Cade Preference for Assistant Section Orficer / WBTER ofgHIT rare Be arse waa Cadre Preference 1:- Cadre Preference 2:- Finance & Cadre Preference 3:- Stores & General (Gen) Accounts (F&A) Purchase (S&P) Exam Centre City Preference (Stage |) / Ula a ex I Mrufeerall (RU City Preference 1/ MECHA City Preference 2/2 City Preference 3 / TRH ‘rufa 1 = Chandigarh ref 2: Delhi smrufterct 3 :- Dehradun Exam Centre City Preference (Stage I) / UE 3 Mea AT (RN I City Preference 1 / REAM City Preference 2/2 BY City Preference 3 / REAR srufierar 1 - Chandigarh srfiera2 = Delhi sruPiera 3 - Lucknow Father's Name / Rett &1 74 - chand ram Mother's Name / ATST 1TH = chhoto devi Permanent Address / Surat a: #366 saketri, near sheetla mata mandirPANCHKULA, HARYANA, 134109 Nearest Railway Stat : chandigarh railway station Correspondence Address / UATE 8q Ycil- #366 saketri, near sheetla mata mandirPANCHKULA, HARYANA, 134109 Nearest Railway Station: chandigarh railway station Qualification University/ Degree/Yearof Percentage Uploaded Board / Course Passing of marks Documents Institute Mattric/SSLC/10th * CBSE 2015 816 oO INTERMEDIATE/10+2/ CBSE SCIENCE 2017 70S © PUC/ 12th / Diploma* University Degree from PANJAB BScCS 2027 655 © a recognized university UNIVERSITY 26. Matriculation Certificate for verification of oO Date of Birth / orerfaft & sare & wa HF ‘Afepeer waaay/ara WaT 27. Category certificate for SC / ST / OBC / oO ews / Teeeady shat goers & fry Bro TOT Oy - 28. Uploaded Photo / arats Fira Te wel Uploaded Signature / rues FRAT wa BETA frandesp A 29 Application Registration Date / MTT «30-12-2023 10:39:57 daftereor FARR 30 Application Submission Date / S1¢¢4 THT 30- wea a fae 31 Amount Paid (Rs) / TR BT YT (WIA):- 0 2023 23:05:03 32 Application Fee Payment Reference No/ N/A der ew yar deel ee 33 Application Fee Payment Date & Time/ N/A. Sma ee MTT FAG Ue AT ‘IWUTI / DECLARATION gt chon area ge a ode AL are fe mea aes A har ree oh Rare 3 OAR wey, TH AR ae a site ah ah rtaene & ater AT Arete UT GT aT Gea UT aT A aS rare are oT aA Fe A ae aT afe ared carayoera erat gf, ft aaa/Prafae & fret ot aor Ag gefeand ee a oT ed 8 otk RR fare worked ye a ot ger 81 I hereby declare that all the statements made by me in this Application are true, complete and correct to the best of my knowledge and belief and in the event of any of the information being found false or incorrect or any ineligibility being detected before or after the selection or if | bring in outside pressure/influence, my candidature is liable to be cancelled at any stage of Selection/Appointment and action can be initiated against me. froovidesp HS Place: SIGNATURE OF THE CANDIDATE SATU / DISCLAIMER SATS omer BET Fae site PSorET fees srexrpeait oe anata e1 Tecan wt were a oct e fae 2 fearon oh ens a ug oie per ge ae "eer yy SSI oils eres wil & mreny a mega onder wT ref as ATS fe aalica 3 fears 4 fer ay eh arrest wr EE we fern 81 onda Te TH ia & ony @ otk feet oh ea STG a oe ea fear GT Bars | On-Line Application validation rules and design are based on the Advertisement requirements. Candidates are advised to read the advertisement carefully and refer “Instructions” page on the main page. Application submitted through On-Line form does not imply that candidate has fulfilled all the criteria given in the advertisement . Application is subject to subsequent scrutiny and can be rejected if found to be ineligible at any point of time

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