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TRANSLATIONAL HEALTH SCIENCE AND TECHNOLOGY INSTITUTE
(An Autonomous Institute of the Department of Biotechnology, Govt. of India) |
| 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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| DATE OF BIRTH |
AGE 56 YEARS, 2 MONTHS, 5 DAYS |
| 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 |
| Name of Examination |
Year of Passing |
Subjects |
Board/ University |
%(Round Off) |
CGPA |
Division |
| Graduation
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| Post Graduation
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| Ph.D.
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| Others |
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Total Experience:
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| 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. |
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Place: |
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| Date: |
Signature of the candidate |
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