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Application Form For CSIR Summer Training Programme 2020

This document is an application form for a summer trainee program at CSIR laboratories. It requests personal information like name, address, contact details, as well as academic information including qualifications, grades, research interests, and statement of purpose. Applicants must declare that all information provided is true and complete. They also acknowledge that providing false information could result in termination from the program. Contact details are provided for the CSIR-SRTP 2020 Secretariat.

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KEERTHANA RAJAN L
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24 views

Application Form For CSIR Summer Training Programme 2020

This document is an application form for a summer trainee program at CSIR laboratories. It requests personal information like name, address, contact details, as well as academic information including qualifications, grades, research interests, and statement of purpose. Applicants must declare that all information provided is true and complete. They also acknowledge that providing false information could result in termination from the program. Contact details are provided for the CSIR-SRTP 2020 Secretariat.

Uploaded by

KEERTHANA RAJAN L
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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APPLICATION FORM

Form No.: Registration No.:

A. PERSONAL INFORMATION
Name of Applicant Mr/ Miss/Mrs
Father’s Name
Nationality
Category UR/OBC/SC/ST/PWD Photograph
Date of Birth
Permanent Address

Corresponding Address

Mobile No.
E-mail
B. ACADEMIC INFORMATION
Qualification Name of Course Subject / CGPA Class/ Year of CGPA
the Duration Specialization Out Division Passing till
Board/ of 10 / which
University Appearing Sem

C. SUPPORTING INFORMATION

Write Up on the research interest (150 - 200 words) :


Statement of Purpose (150 - 200 words) :

CSIR Lab 1.
Preferences 2.
3.

DECLARATION

I ________________ hereby declare that all the statements made in this application are true
and complete to the best of my knowledge and nothing has been concealed/ distorted. I am
aware that, if at any time I am found to have concealed/ distorted any material/ information,
my tenure as Summer Trainee at participating CSIR Lab is liable to be terminated without
notice.

Reference:
(From the current Head of the Institute with email
& Contact No.)

________________________
(Signature)

Place: ________________

Date: _________________

CONTACT: CSIR-SRTP 2020 Secretariat, Email: [email protected]/ [email protected],


Mobile: 9435514978, 7086064300, 9613854521, 9957031635

HEADQUARTER: COUNCIL OF SCIENTIFIC & INDUSTRIAL RESEARCHANUSANDHAN BHAWAN, 2RAFI


AHMED KIDWAI MARG, NEW DELHI-110001

COORDINATING OFFICE: CSIR-NORTH EAST INSTITUTE OF SCIENCE & TECHNOLOGY, JORHAT – 785006,
ASSAM, INDIA

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