Professional Documents
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National Institute of Animal Biotechnology (Niab) : Application Form For Scientific Positions
National Institute of Animal Biotechnology (Niab) : Application Form For Scientific Positions
National Institute of Animal Biotechnology (Niab) : Application Form For Scientific Positions
2. Area of Specialization: ..
..
3. Father's/Husbands Name: .
.
4. a) Date of Birth (DD-MM-YYYY): ...
b) Age as on the last date for receipt of applications: YY. MM....
DD.
5. Gender: ..... 6. Marital Status:
.
7. Correspondence Address.
.......................
.
..
...
PIN CODE..
Phone No: (with STD/ISD code)....... Mobile No.
..........
E-mail:
..
Page 2 of 6
Permanent Address..................
.
...
.........
PIN CODE..
8. a) Are you a citizen of India?
Yes/No
b) Are you a person who has migrated from Pakistan with the intention of
permanently settling in India or subject of Nepal?
Yes/No
9. State whether you are a member of Scheduled Caste/ Scheduled
Tribe/ Other Backward Class/PH/Ex-servicemen/Others. If so, attach an
SC
attested copy of the prescribed certificate in support of your claim from
the Competent Authority (Tick the appropriate Category)
ST
OBC
PH
Exservicemen
Ot
hers
GEN
10. Are you related to any employee(s) of NIAB? If so, give details:
..................
..
...................
.
...................
.
11. Have you been convicted by a Court of Law? Is there any legal case filed against you
in a Court of Law? Yes/No.
If yes, provide details
.
12. Educational Qualifications:
Division/Gra
Level
de & % of
marks
Matriculation/ SSC/
Equivalent
Year of
Passing
Board/
University
Subject(s)
Page 3 of 6
Intermediate/ Equivalent
Graduation
Post Graduation
Ph. D.a
2.
.....................
.
Period
Name of
the
employer
Post
Held
From
(Month
-Year)
To
(Month
-Year)
No.
of
Year
s
No. of
Month
s
Permane
nt/
Tempora
ry
Salary &
Grade
Page 4 of 6
Universi
ty/
Instituti
on/
Industry
Period
Countr
y
Post
Held
From
(Mont
hYear)
To
(Mont
hYear)
No.
of
Yea
rs
No.
of
Mont
hs
Designat
ion
Nature of
duties
Page 5 of 6
MPhil/MTech/MSc/MVSc/ME
Supervised Independently:
Supervised Jointly:
Ph.D./D.Phil.
Supervised Independently:
Supervised Jointly:
From
(MonthYear)
To
(MonthYear)
Sponsoring Agency
Budget
Title
Number &
Year
National/International
Granted/Filed
2.
3.
4.
5.
Page 6 of 6
22. Are you willing to accept the minimum initial pay of the scale? If not, state what is
the lowest initial pay that you would accept in the prescribed payband: ........................................................
23. Time period required for joining:
24. Names and addresses of references (with email address and telephone)
1.. 2.
..
..
...
..
....
...
..
3..
..
....
25. List of enclosures:
1.
2.
3.
4.
Place:
Signature________________________
Date:
Name__________________________________
Candidate's
Full