TATA INSTITUTE OF FUNDAMENTAL RESEARCH
Centre for Interdisciplinary Sciences (TCIS)
HYDERABAD
APPLICATION FORMAT
1
Advertisement Number
2
Name, Serial Number of the post
3
Name of the Applicant
4
Date and place of birth
(attach photocopy of an appropriate
certificate)
5
Present affiliation and Occupation
6
Address for Correspondence
7
Email Id
(IMPORTANT: If selected for interview.
further details will be sent to this Email
address. Please make sure your account
is active and functional)
8
Telephone number
(include mobile numbers - will be used if
email does not work)
PHOTO
9.
Educational Qualifications: (attach photocopies of certificates or mark lists)
Degree
Year
University
Subject
Total
marks
Marks
obtained
Percenta
ge of
marks
%
S.S.C
H.Sc.
BVSc.
MVSc.
PhD
10. Any Experience with details of organization (attach photocopies of certificates)
Sl.
No.
11.
Name, address and telephone /
mobile number of the organization
& post held
From
Date
Any additional qualification (s) or awards :
To
Date
No. of
years
Total
emoluments
per month
Rs.
Nature of
work /
reason for
leaving
12. Name and contact details (with Email, Phone No) of two referees
Sl.
No.
Name
Address
Telephone Nos.
Mobile / Landline
1
2
13.
A half-page write-up on why you are interested in the above position. This can be hand
written.
14. Signature of the Candidate: