Professional Documents
Culture Documents
2)
Stipend
3)
Qualification / Experience
4)
Maximum age
: 35 years
5)
Place of posting
Duration
Interested candidates possessing the requisite qualifications may apply on plain paper giving full
details, such as, name, date of birth, qualification, experience, address for communication, alongwith the
copies of certificates / testimonials and a passport size photograph. Applications should be sent in an
envelope superscribing the post applied for so as to reach Dr. Rajesh Singh, at Dr. KSK GRL, Allahabad
on or before 28.02.2013.
Registrar
( , )
. 5, 18,
(), 410 218
. 002/2013/
, , ISRO
ELF/VLF /
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|
1)
(1 )
2)
. 18000/- ()
3) /
, NET/GATE/SET
Ph.D. |
4)
35
5)
. ... ,
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221 505
6)
, |
, ,
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| . 28.02.2013 . ...
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Q H Y
&
APPLICATION FORM FOR RECRUITMENT BY SECTION
:Name of the Post :_________________________________________
. / Post No.:
_________________________________________
- | Kindly mention clearly the post applied for in the application form.
| Separate application form should be filled in for each post.
1.
(a)
,
Post for which you are a candidate _________________________________________
(b)
:Y % )
Name in full :in block capitals)
2.
C.
:a)
:b)
D.=
././// . / Prof./Dr./Shri/Smt./Kum
& %
%
Have you at any stage added or dropped any
part of your name or surname or changed
your name
5 Y
If so5 give particulars
Name
_________________________________________
/
Yes / No
_________________________________________
5 :Q
_________________________________________
)5
:Y % ) Postal address:including
_________________________________________
the candidates name) in full :in block capitals)
to which communications should be sent.
_________________________________________
. / Telephone No.>
/e6mail address
Surname
_________________________________________
_________________________________________
@.
E.
& L ?
Are you a citizen of India by birth and/or by domicile ?
________________________________________
5
6 &W
? / If not domiciled in the Indian Union5 have
you taken steps to obtain a declaration of eligibility
from the Government of India ?
- -
Name the state to which you belong
_________________________________________
7.
/ Fathers Name
_________________________________________
10.
B.
A.
:i) L /% ?
a citizen of India by birth and/or by domicile ?
:ii) /Nationality of :a) / Mother
_____________________________________
_____________________________________
11.
/ State your
(a) / Religion _____________________________________
(b) % / |
Do you belong to Scheduled Caste or Scheduled
Tribe ? /Yes /No
,
| % /
If yes, give particulars and attach a copy of the Scheduled Caste / Tribe
Certificate from the District Magistrate in support
of your claim.
(c) ( )
? ( ,
)
Do you belong to OBC (non creamy layer) (if
yes, produce attested copy of the certificate
issued by prescribed authority)
12.
& 6 : ) 5 % ?
What languages :including Indian languages) can you read5 write or speak ?
Y H $ %
Give particulars and state the examination:s) passed in each. Underline the language5 which is your
mother tongue.
/ Read
only
1C.
/ Speak
only
5
$ /
/ Read5 write
Examination:s) passed
and speak
% 5 Q
Give the following particulars regarding your University of higher education.
/
Name of University
1D.
/
Read 3 speak
5 /
College5 if any with address
/
Date of entry
/
Date of leaving
$ % %L Y
Y :10 Q) & 5 /M
H Q % Y
Give Particulars of all examinations passed5 the degrees and technical qualifications obtained at the
University or other places of higher or technical education :commencing with S.S.C. or equivalent
examination:s). Attested copies of all certificates/diplomas and degrees obtained should be attached
with the application and should5 in addition5 be authenticated by the candidates full signature.
/ H $ $ 5 $ % $
Where the certificate/degrees etc.5 do not indicate the divisions or class obtained5 only the percentage
of marks obtained should be indicated.
/
Examination of
Degree
1@.
$ /
Year
/
Subjects taken
$ /
/$ /
Division or
Name of University/Board
Class
1E.
% %$ 5 % %
Y
Give in chronological order details of your employment. If the space below is not sufficient and the
details of employment are supplied on a separate sheet of paper5 those details should be duly
authenticated by the candidates full signature.
$5 $ Y
$ / Full
address of the office5
firm or Insitution
Post held
From
/ To
/
Scale of
pay
/
O /
Basic pay/Total
Emoluments
Y /
/ %Y /
Whether held
permanently / on
probation /
temporary
/
Reasons
for leaving
the post
1B.
5 & % $ Y
Describe below the specific experience gained during your employment which has a bearing on duties
for the post applied for>
1A.
17.
$ ? ( )
, /
?
Are you a government servant ? (Answer
Yes or no) If yes, whether your appointment
is temporary or permanent.
20.
L &
? 5 $ 6 L
Y
& 5
& % ?
If appointed5 what notice period would you
require before joining the post ?
22.
& ? 5 Q >
Have you been outside India ? If so5 give the following particulars >
/
Country
2C.
% /
Duration of visit
/
Purpose of visit
QH Y & Q ? 5
Q >
Have you been a candidate for any post advertised by the Indian Institute of Geomagnetism ? If
Yes give particulars required below >
/ Post
applied for
2D.
/
Date of visit
&
/ Date of
H
/ Date of
&& $ . :
) / IIGs reference
& : &&
) / Result of application :If
applying
Interview
no.:If any)
communicated by IIG)
i)
& Y 5
%$ 6 % %
?
Have you ever been dismissed5 removed or
compulsorily retired from Government
service or convicted by a Court of Law?
ii)
$ :Q %
)
If yes give details. :this entry should be
in the candidates own handwriting)
2@.
Name
$
Full Address<<
V
Occupation or position
email >
<
email >
% Q 5 Q
% 5 QH Y5 5 L 6D1021A
If candidate desire to name any person residing outside India as referee they should write to that
person and ask him/her to send directly to the Director5 Indian Institute of Geomanetism5 Kalamboli
Highway5 New Panvel D10 21A a statement of his/her opinion5 concerning the candidates
character and suitability for the post. The reply will be treated as confidential.
<<
V Q$ :// )
Complete address of the referee :Street/Town/Pin Code) should be given.
2E.
2.
C.
D.
@.
E.
== Q :5 5 G5 H) &
%L % L & %
5 5 & & /
H Q 5 5 T
== Candidates are informed that if any enclosures :books5 publications5 manuscripts5 etc.) are to be
sent5 they should be sent with the application and are liable to be lost. If5 however5 they are sent
subsequent to the submissions of the application5 the candidate must enclose a forwarding letter
giving full name and address5 advertisement number and item number of the post applied for. It is
also desirable to attach slip to each publication/book etc. giving the name 3 address of the candidate
and the post applied for.
2B.
% M > % 5 5 Q
$ $ %
Y H & $ $
Additional Remarks >6 :Applicants may mention here any special qualification or experience which
has not been given under the above heads. If the space below is insufficient for the purpose5 please
give full particulars on a sheets of paper5 duly authenticated by the candidates full signature and
attach it to this application inserting here a reference to the sheet attached.)
& % : )5 5
%
I hereby declare that the entries in this form and the additional particulars :if any)5 furnished are true
to the best of my knowledge and belief.
/Date _________________
K $K
Certificate by the Head of Department or Office
././// .
____________________________________________________
/$/Y/ _____________________________
&
&
Certified that Prof./Dr./Shri/Smt./Kumari ____________________________________________ holds the post of
___________________________ in this Department/Office/Institution/Organisation. I have no objection to his/her
application being considered for the post.
L QH Y %
______________________________ /$/Y/ % & Y
Certified also that he/she submitted his/her application to the Department/Office/Insitution/
Organisation on ____________________________________________________ for onward transmission to the Indian Insitute
of Geomagnetism.
./No.
Y/Signature
/Date
/Designation
Y/Place
$ /Office Stamp.