This document is an application form for a Junior Research Fellowship (JRF) in Computer Science and Engineering for an R&D project sponsored by IBITF-DST. It requires personal information, educational qualifications, employment history, and research publications from the applicant. The applicant must also declare the accuracy of the information provided and understand the consequences of any false information.
This document is an application form for a Junior Research Fellowship (JRF) in Computer Science and Engineering for an R&D project sponsored by IBITF-DST. It requires personal information, educational qualifications, employment history, and research publications from the applicant. The applicant must also declare the accuracy of the information provided and understand the consequences of any false information.
APPLICATION FORM for JRF in Computer Science and Engineering
for IBITF-DST Sponsored R&D Project
To Dr. Sangram Ray Associate Professor Self-attested Dept. of Computer Sc. & Engg. Photograph National Institute of Technology Sikkim Ravangla – 737 139, Sikkim, India
GATE/NET qualified (Please tick √) Yes / No If yes, discipline:
Exam: Year: If yes, please provide details Rank: Score/Percentile:
1. Name in full (in capital
letters) (Underline Surname) 2. Father’s / Husband’s Name 3. Mother’s Name
4. a. Marital Status b. Male / Female/ Others
5. a. Permanent address b. Address for correspondence
Mobile No. E-mail ID
6. Date of birth (DD/MM/YYYY) 7. Category (Please tick √) SC / ST / OBC / PWD / General
8. Nationality 9. No. of research publications, if any SCI Journal - Other Journal - Conference – (Enclose the list) Book Chapter/Book -
10. Additional information, if any
1 11. Details of educational qualifications: Please give particulars of all examinations passed and degrees obtained commencing with the 10th standard / Matriculation. Sl. Examination Name of the Name of the Board Class / Discipline % of marks or Year of No. / Degree / Diploma passed Institute/College / University / Institution Division CGPA out of 10 passing
12. Details of employments: If employed, please give particulars of your present and past employments in chronological order, starting with the present one: Sl. Organisation / Institute Position held Nature of duties / work From To Experience Last Pay scale No. Date Date (__Yr.__Months) & Gross pay
I hereby declare that I have carefully read and understood the instructions and particulars supplied to me and that all the entries in this form are true to the best of my knowledge and belief. I fully understand that if it is found that any information given in the application is incorrect/false or if I do not satisfy the eligibility criteria at a later date, my candidature/appointment is liable to be cancelled.
________________________ Date: ................................ Signature of the Candidate Place: ..............................
