Application Form

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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)
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