APPLICATION FORM FOR FELLOWSHIP OF DRDO RESEARCH ASSOCIATE (RA) (Walk-in-Interview: 31 August 2015 at 9 AM Sharp) Fix Latest Coloured Passport Photograph 1. Name of the fellowship applied : RA (Subject) ____________________________ 2. Name in full in BLOCK letters : __________________________________________ 3. Father/Husband’s Name : __________________________________________ 4. Present address for correspondence: __________________________________________ __________________________________________ 5. Contact Number: Mobile Residence Email ID : : : __________________________________________ __________________________________________ __________________________________________ 6. Whether Indian Postal Order is attached. If yes, Give the details : (Yes/No) No……………………dt………….Rs…….. 7. Date of birth and present age : __________________________________________ 8. Category (Gen/OBC/SC/ST/PH) : __________________________________________ 9. Highest Educational Qualifications: (From Graduation onwards only) S. No. 10. Qualification Board / University Year passing of Max. Marks Marks obtained Percentage (%) Work Experience: Name of Post Name of Section Organ./ Dept./ From To Nature of performed duties 11. Publications/Published Work: _____________________________________________________ (Separate Annexure should be attached with application form) 12. DECLARATION: I hereby declare that, the above furnished particulars are correct and no information is suppressed. Place: Date: (Name /Signature of Applicant)