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    Application Form

    Uploaded by

    Manish Paliwal
    This document contains an application form for administrative positions at the National Agri-Food Biotechnology Institute (NABI) in India. The 3 page form requests information such as the applicant's personal details, educational qualifications, employment history, additional skills, and references. It also requires the applicant's signature to declare that the information provided is true and consent to background checks. Upon completion, applicants who are currently employed must have their employer endorse the form and verify the application details.

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    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd

    Application Form

    Uploaded by

    Manish Paliwal
    14 views3 pages
    This document contains an application form for administrative positions at the National Agri-Food Biotechnology Institute (NABI) in India. The 3 page form requests information such as the applicant's personal details, educational qualifications, employment history, additional skills, and references. It also requires the applicant's signature to declare that the information provided is true and consent to background checks. Upon completion, applicants who are currently employed must have their employer endorse the form and verify the application details.

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    This document contains an application form for administrative positions at the National Agri-Food Biotechnology Institute (NABI) in India. The 3 page form requests information such as the applicant's personal details, educational qualifications, employment history, additional skills, and references. It also requires the applicant's signature to declare that the information provided is true and consent to background checks. Upon completion, applicants who are currently employed must have their employer endorse the form and verify the application details.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    14 views3 pages

    Application Form

    Uploaded by

    Manish Paliwal
    This document contains an application form for administrative positions at the National Agri-Food Biotechnology Institute (NABI) in India. The 3 page form requests information such as the applicant's personal details, educational qualifications, employment history, additional skills, and references. It also requires the applicant's signature to declare that the information provided is true and consent to background checks. Upon completion, applicants who are currently employed must have their employer endorse the form and verify the application details.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    Page 1 of 3

    NATIONAL AGRI-FOOD BIOTECHNOLOGY INSTITUTE (NABI)


    (Dept. of Biotechnology, Ministry of Science & Technology, Govt. of India) C-127, Industrial Area, Phase VIII, S.A.S. Nagar, Mohali-160 071.(Pb), INDIA Website: www.nabi.res.in Tel: 0172-2290300; Telefax: 0172-4604888
    FORM OF APPLICATION FOR ADMINISTRATIVE POSITIONS To be filled in by the candidate Particulars of application Advt.No._____________ fee (Rs.)_____________ For Office use D.D. for Rs._______ REMOVED Application S. No:

    Post applied for______________

    D.D.No. _____________ Date ________________

    Affix your recent coloured passport size photograph

    Post Code, if any______ ____________________

    Name of the Issuing bank & Branch_____________ ____________________

    Rectt. Section Date of receipt: _________

    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 30th November 2011: yymm..dd. 4. Postal Address..................... . PIN CODE. Phone No :( with STD code).....Mobile No.. E-mail Permanent Address....................... ..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/ Other Backward Class. If so, attach an attested copy of the prescribed certificate in support of your claim, (Tick the appropriate Category) SC ST OBC GEN PH

    Page 2 of 3
    8. Are you related to any employee(s) of the DBT / NABI? If so, give details: .................. ..................... 9. Educational/ Professional Qualifications: Exam. Division/ Year of Passed Grade & % age Passing of marks

    Duration of the Degree, etc.

    Board/Univ

    Subject(s)

    10. Professional Qualification (e.g. knowledge of computer, etc.)

    11. Details of employment (in chronological order):Organization Post Scale of Exact dates to be Held pay and given last pay drawn From To

    Total period (in years)

    Nature of duties

    12. Any additional qualification such as membership of professional societies; awards and honours etc....................................... (Enclose a separate sheet, if the space is insufficient) 13. Are you willing to accept the minimum initial pay of the scale? If not, state what is the lowest initial pay that you would accept in the prescribed pay-band: ...................... 14. Time period required for joining:

    Page 3 of 3
    15. Name and address of 3 referees (with email address) 1. 2. . . . . 3. . .

    16. Additional information, if any, which you would like to mention in support of your suitability for the post. (This among other things may provide information with regard to (i) additional academic qualification (ii) professional training and (iii) work experience over and above the minimum prescribed in the Vacancy Circular / Advertisement). (NOTE Enclose a separate sheet, if the space is insufficient).

    17. List of enclosures : 1....................................................................................................... 2. 3. 4.

    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 candidatures is liable to be cancelled and action taken against me. I also agree that NABI can contact any or all of the above three referees named by me and seek information in confidence. I am aware that NABI is free to act upon such information independently to judge my suitability for the post applied for.

    Place: Date:

    Candidate's signature_________________ Full name__________________________

    Endorsement by the Head of the Department or Office Candidate already in employment 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. Signature.. Designation. Stamp.......................................

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