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Indian Institute of Science BANGALORE - 560 012

1. This document provides a format for applicants applying for a post at the Indian Institute of Science in Bangalore. 2. The format requests information such as name, father/husband's name, date of birth, gender, marital status, contact details, category, physical disability status, educational qualifications from SSC/matriculation onwards, professional qualifications, details of employment experience including organizations worked for, designation, period of service, nature of duties and salary, experience in armed or paramilitary forces, and any other relevant information. 3. The applicant is required to declare that the information provided is true to the best of their knowledge and that they have not concealed any information. It notes that providing untrue

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SharathRaj
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21 views

Indian Institute of Science BANGALORE - 560 012

1. This document provides a format for applicants applying for a post at the Indian Institute of Science in Bangalore. 2. The format requests information such as name, father/husband's name, date of birth, gender, marital status, contact details, category, physical disability status, educational qualifications from SSC/matriculation onwards, professional qualifications, details of employment experience including organizations worked for, designation, period of service, nature of duties and salary, experience in armed or paramilitary forces, and any other relevant information. 3. The applicant is required to declare that the information provided is true to the best of their knowledge and that they have not concealed any information. It notes that providing untrue

Uploaded by

SharathRaj
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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INDIAN INSTITUTE OF SCIENCE

BANGALORE 560 012


FORMAT OF APPLICATION
Application for the post of __________________________________________________________________
1. Name
2.
Father / Husbands
*
Name
(
*
in case of married female)
3. Date of Birth Date Month Year 4. Ae
Years
Months
. !ender Male / Female ". Martial #tatus
Married
$nmarried
!.
a) Address for
%ommunication
b) &ele'hone No.
c) Mobile (hone No.
d) e)mail *d
". %ateor+ +ou belon to
!eneral / ,B% / #% / #&
((lease enclose 'hotoco'+ of the certificate in case of #%/#&/,B%)
#. -hether (h+sicall+
Handica''ed.
(/i0. Hearin *m'aired or
,rtho'aedicall+ %hallened)
handica''ed.
Yes / No
(*n case +es1 'lease enclose co'+)
$. %&'cational ('alification
(#tartin from ##2%/ matriculation on3ards)
45am / course /
Di'loma / Deree
*nstitute / $ni/ersit+ Year of (assin Main #ub6ects
%lass / 7 of
Mar8s
(lease affi5 here
'ass'ort si0e 'hoto
) 2 )
9. Professional ('alification
:;. *etails of e+plo,+ent - e.perience
(a) ,ranisation Desination From &o Nature of
duties
#alar+ /
4moluments dra3n
(b) 45'erience in Ar med For ces / (ar a Mi l i t ar + For ces
/ t o 0e f i l l e& onl , 0, appl i cant s appl ,i n1 f or post of 2ec'r i t , Assi st ant 3
Armed Forces / B#F / %<(F /
%*#F
<an8 =
(eriod of #er/ice = No. of
Years
From &o
) 3 )
::. An+ other rele/ant information. (lease furnish =
D4%2A<A&*,N
*1 declare and affirm that the information furnished b+ me in the a''lication form is true to the best of
m+ 8no3lede and * ha/e not concealed an+ information related to the abo/e items. * understand that if an+ of
the abo/e is found untrue or that * ha/e concealed an+ information1 m+ a''lication or selection or offer stands
cancelled and the *nstitute can ta8e action aainst me 3hich it deems fit.
(lace =
Date = #inature of the A''licant

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