National Agri-Food Biotechnology Institute (Nabi) : Form of Application For The Positions of Scientist

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NATIONAL AGRI-FOOD BIOTECHNOLOGY INSTITUTE (NABI)

(Dept. of Biotechnology, Ministry of Science & Technology, Govt. of India)
Sector - 81, Knowledge City, Mohali -140306 (Pb), India
Website: www.nabi.res.in
FORM OF APPLICATION FOR THE POSITIONS OF SCIENTIST
To be filled in by the candidate For Office use

Particulars of application D.D. for Rs._______
Advt.No._____________ fee (Rs.)_____________ REMOVED
Affix your recent
coloured passport
For Administrative size photograph
Post applied D.D.No. _____________ Officer
for__________________ Date ________________
Area of Specialization Name of the Issuing bank Rectt. Section

____________________ & Branch_____________ Date_________
____________________ ____________________
_______ ____________
1. Name in full (IN BLOCK LETTERS)

.
(In the case of female candidate, the appropriate prefix 'Miss' or 'Mrs' should be used)
2. Father's Name .Mothers Name.
Husband's Name.
3. Date of Birth (DD/MM/YYYY)Place of Birth..
Age as on 31st May, 2017: .YY....MM...DD
4. Postal Address.....................
PIN CODE.
Phone No:(with STD code).....Mobile No..
E-mail ID.
Permanent Address.......................
.
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....PIN CODE......
5. Are you a citizen of India by birth or by domicile?...
6. Name of State to which you belong: ..................................
7. State whether you are a member of Scheduled Caste/Scheduled Tribe/ SC

Other Backward Class. If so, attach an attested copy of the prescribed ST
certificate in support of your claim, OBC
(Tick the appropriate Category) GEN
PH
8. Are you related to any employee(s) of the DBT / NABI? If so, give details:
..................
9. Educational/ Professional Qualifications:

Exam. Division/ Year of Date of award of Board/ Subject(s) / Title
Passed Grade & % age Passing Ph D degree University of Ph D Thesis
(Graduation of marks
onwards)
10. Details of employment (in chronological order):-

Organization Post Scale of pay Exact dates to Total Nature of duties
Held and last pay be given period (in
drawn years)
From To
11. Any additional qualification awards and honours etc.......................................

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12. Topic of Ph.D / Higher Degree thesis:
13. List of papers published along with impact factor, citations and h-factor of research papers,
excluding reviews:
14. Three best publications:
15. Name and address of 03 references (Confidential evaluation may be arranged to be sent to
scientistrectt@nabi.res.in)
1.
2.
3.
16. Pl. give 1000 words of your research vision for NABI in the space given below or attach a
separate sheet
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17. Are you willing to accept the minimum initial pay of the scale? If not, state what is the lowest
initial pay that would you accept in the prescribed pay-band: ......................
18. Time period required for joining:
19. Any other information related to academic achievements, health status, police proceedings
etc.:
20. List of enclosures:
DECLARATION BY THE CANDIDATE

I, _______________________, hereby declare that the statements made in the application
are true, complete and correct to the best of my knowledge and belief and in the event of any of
the information being found false or incorrect or any ineligibility being detected before or after the
selection, my candidature is liable to be cancelled and action may be initiated against me.
Place: Candidate's signature_________________
Date: Full name__________________________
Endorsement by the Head of the Department or Office

Candidate already employed should get the following endorsement signed by his/her present employer.
No. Date
Forwarded application of Dr./Shri/Ms________________________________________

(Name & Designation). It is certified that :
1. The information furnished by Dr./Shri/Ms..has

been verified from official records and found correct.
2. It is also certified that no disciplinary/departmental enquiry is either pending or

contemplated against ................. and that he/she is not undergoing any
penalty.
3. His/her integrity is certified.
Full Signature....
Designation...
Stamp...........................................................

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Page 1 of 4

NATIONAL AGRI-FOOD BIOTECHNOLOGY INSTITUTE (NABI)

FORM OF APPLICATION FOR THE POSITIONS OF SCIENTIST

To be filled in by the candidate For Office use

Area of Specialization Name of the Issuing bank Rectt. Section

1. Name in full (IN BLOCK LETTERS)

2. Father's Name .Mothers Name.

3. Date of Birth (DD/MM/YYYY)Place of Birth..

Age as on 31st May, 2017: .YY....MM...DD

Phone No:(with STD code).....Mobile No..

5. Are you a citizen of India by birth or by domicile?...

6. Name of State to which you belong: ..................................

7. State whether you are a member of Scheduled Caste/Scheduled Tribe/ SC

9. Educational/ Professional Qualifications:

10. Details of employment (in chronological order):-

11. Any additional qualification awards and honours etc.......................................

12. Topic of Ph.D / Higher Degree thesis:

14. Three best publications:

18. Time period required for joining:

20. List of enclosures:

DECLARATION BY THE CANDIDATE

Place: Candidate's signature_________________

Date: Full name__________________________

Endorsement by the Head of the Department or Office

Forwarded application of Dr./Shri/Ms________________________________________

1. The information furnished by Dr./Shri/Ms..has

2. It is also certified that no disciplinary/departmental enquiry is either pending or

3. His/her integrity is certified.

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