An autonomous Institute of Dept. of Biotechnology, Ministry of Science and Technology, Govt. of India

Translational Health Science and Technology Institute

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RN No. Post Applied For

Domain/Centre Name

Have you qualified any of the national level examinations i.e. • JRF examination of CSIR/UGC/ ICMR/ DBT/NBHM or AYUSH-NET or DST INSPIRE Fellowship

Method of Appointment

Personal Information

Full Name

Father's Name Mother's Name

Date of Birth (as on ) Age

Nationality

Correspondence Address

State City Pincode

Same as Above

Permanent Address

State City Pincode

Email ID Mobile no.

Academic Details

Name of the Examination Passed	Month & Year of Passing		Name of the degree/Subjects	Board / University	% (Round Off)	CGPA	Division

Period of Employment		Total Experience	Designation	Name of the Organisation	Salary Per Month(INR)
From	To	Total Experience	Designation	Name of the Organisation	Pay Level (if any)	Gross Pay

Name of the Refree	Designation	Organisation	Email Id	Phone No	Mobile No