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TRANSLATIONAL HEALTH SCIENCE AND TECHNOLOGY INSTITUTE
(An Autonomous Institute of the Department of Biotechnology, Govt. of India)
NCR Biotech Science Cluster,3rd Milestone, Faridabad - Gurgaon Expressway, PO box #04, Faridabad - 121001 (HARYANA) |
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| Online Registration Form |
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| POST APPLIED FOR |
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| FULL NAME |
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| FATHER’S NAME |
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| MOTHER’S NAME |
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| ARE YOU PERSON WITH DISABILITIES(PWD) |
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| CATEGORY |
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| DATE OF BIRTH |
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AGE |
56 YEARS, 2 MONTHS, 5 DAYS |
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| GENDER |
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| NATIONALITY |
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| ADDRESS CORRESPONDENCE |
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| ADDRESS
PERMANENT |
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| EMAIL ID |
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| MOBILE NO |
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| ACADEMIC/ PROFESSIONAL QUALIFICATIONS |
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| Name of Examination |
Year of Passing |
Subjects |
Board/ University |
%(Round Off) |
CGPA |
Division |
| Graduation
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| Post Graduation
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| Others |
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Total Experience:
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| Do you have any near relative/friend working in THSTI. If so, please state ? |
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| Name of the person(s) |
Designation |
Relationship with the candidate |
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| Add Patent information, if any: |
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| Research Statement: |
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| Declaration: |
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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. |
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Place: |
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| Date: |
Signature of the candidate |
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