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Project Staff Application Form Word1

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Project Staff Application Form Word1

Uploaded by

kpsingh6763
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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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.

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