TRANSLATIONAL HEALTH SCIENCE AND TECHNOLOGY INSTITUTE
(An Autonomous Institute of the Department of Biotechnology, Govt. of India)
496, Udyog Vihar Phase III, Gurgaon- 122 016
 
Online Registration Form
 
  Reference No. //
 
POST APPLIED FOR  
FULL NAME  
DATE OF BIRTH  
AGE 56 YEARS, 2 MONTHS, 5 DAYS
GENDER  
Male Female
NATIONALITY  
ADDRESS CORRESPONDENCE  
ADDRESS PERMANENT  
EMAIL ID  
TELEPHONE NO
 
 
ACADEMIC/ PROFESSIONAL QUALIFICATIONS
 
Name of Examination Year of Passing Subjects Board/ University %(Round Off) CGPA Division
Graduation
Post Graduation
Ph.D.
Others
 
Total Experience:
 
Uploaded Document:
CV-

 
Declaration:
 
I declare that I fulfil the eligibility conditions as per the advertisement and that all the statements made 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 or incorrect at any stage or not satisfying the eligibility conditions according to the requirements mentioned in the advertisement, my candidature/ appointment is liable to be cancelled/ terminated.
 
 

Place:

  
   
Date: Signature of the candidate