Scribd
Upload
1 views2 pages

Project Staff Application Form Word1

Uploaded by

kpsingh6763
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
Download as docx, pdf, or txt
1 views2 pages

Project Staff Application Form Word1

Uploaded by

kpsingh6763
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1/ 2

For office use only

Application No……………. Dated…………………


APPLICATION FORM

Advt.No.670/R&C/2024-25 Dated: 21.10.2024


Research Project Information Security Education and Awareness
Entitled (ISEA) Project Phase-III, sponsored by
Funding Agency The Ministry of Electronics and Information Self-Attested
Technology (MeitY), Government of India.
recent passport
Name of P.I. Prof. Rama Shankar Yadav
Name of position Project Staff (On Contract) size Photograph
Department/Section Computer Science and Engineering

1. Name of the Candidate Jay Chandra Yadav


(In Capital letters)
2. Sex (Male/Female) Male
3. Marital Status Unmarried
(Married/Unmarried)
4. Date of Birth
5. Age as on last date of
__________Years _________Months _________Days
application
6. Father’s/Husband’s
Name
7. Present/Contact Address

8. Permanent Address

9. Mobile No.
10. E-mail
11. Nationality / State
12. Category Gen/SC/ST/OBC/PH _________ (enclose Self-attested copy of certificate) and
women
13. GATE GATE: Yes / No; Roll. No.:__________, Year:__________,Score/Rank__________
14. Educational Qualification
Qualification Subject/Discipline Board/Institute/Univ. Year % ofmarks/CPI Div.
10th or equivalent
12th or equivalent
Diploma, if any
U.G
P.G.

*Title ofProject:……………………………………………………………………………………………………….

15. Details of Experience in chronological order. Enclose a separate sheet duly authenticated under your
signature if necessary
Organization Position Salary/Emoluments Nature Nature of Period of Experience
of appointment
Duties Year Mont Days
h

16. Any other


information
17. Indicated whether you propose to register for a higher degree*
at MNNIT, Allahabad. Yes/No (Name of higher degree is Ph.D.)

Note:- *Those candidates who wish to be admitted as student for a higher degree must fulfilatleastthe minimum eligibility
for the respective admission as available on the Institute website.

DECLARATION

I hereby declare that all the statements made in this application are true and complete 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 engagement
is liable to be summarily terminated without notice.

Place: Signature of the Applicant


Date:

Enclosure-Self attested copy of documents


1. Proof of Date of Birth.
2. Mark sheets & certificates of all the examinations passed.
3. Category Certificate, if applicable.
4. GATE / NET score card, if passed.
5. Experience certificate, if any.

You might also like