CSIR-NEIST, Recruitment Portal

REGISTRATION FORM FOR PROJECT STAFF

Advertisement No.: 11/2024-25

Post Code: 7 & Post Name: Senior Project Associate (Senior-PAT)

1. Salutation

2. Name of the Candidate

3. Date of Birth

DD-MM-YYYY

4. Gender

5. Father's/Mother's/Guardian's Name

6. Nationality

7. Religion

8. Category

9. Permanent Address

10. Pin Code

11. Address for Communication

12. Pin Code

13. E-mail Address

In small letters only

14. Mobile Number

10 digit mobile no.

15. Have you worked at CSIR-NEIST/CSIR as Project Worker?

Yes No

15 (a). Date of Joining

DD-MM-YYYY

15 (b). Date of Release

DD-MM-YYYY

15 (c). Project Number

15 (d). Division

16. Whether any of your relations employed in CSIR-NEIST/CSIR?

Yes No

16 (a). If Yes, please state the details

Name, designation and relation

17. Upload Passport Size Photograph

.jpg format only. Max size 100KB

18. Academic Qualification commencing from HSLC onwards

(a). Exam Passed

10th/ HSLC/ AISSE etc.

Year of Passing

Board/University

Institution

Subjects

% of Marks

Numeric only upto 2 decimal places

Division/Class

I/ II/ III

(b). Exam Passed

12th/ HSC/ AISSCE / Diploma etc.

Year of Passing

Board/University

Institution

Subjects

% of Marks

Numeric only upto 2 decimal places

Division/Class

I/ II/ III

(c). Graduation

BSc, BTech, BPharm etc.

Year of Passing

Board/University

Institution

Subjects

Only Honours / Branch

% of Marks

Only numeric value, No CGPA

Division/Class

I/ II/ III

(d). Post Graduation

MSc, MBA, MTech, MPharm etc.

Year of Passing

Board/University

Institution

Subjects

Only Department / Subject / Branch

% of Marks

Only numeric value, No CGPA

Division/Class

I/ II/ III

(e). Any Other Degree

ITI, Diploma, UG, PG etc.

Year of Passing

Board/University

Institution

Subjects

% of Marks

Numeric only upto 2 decimal places

Division/Class

I/ II/ III

(f). Higher Degree

PhD etc.

Subject

University

Year of Submission/Award

Title

Special characters not allowed

19. Experience, if any:

Yes No

19 (a). Name of Organization

Designation

Date of Joining

DD-MM-YYYY

Date of Leaving

DD-MM-YYYY

Last Pay Drawn

Last month salary

Nature of Duties

Special characters not allowed

19 (b). Name of Organization

Designation

Date of Joining

DD-MM-YYYY

Date of Leaving

DD-MM-YYYY

Last Pay Drawn

Last month salary

Nature of Duties

Special characters not allowed

20. Whether NET/GATE qualified?

Yes No

20 (a). If GATE Qualified, Valid upto

21. Number of Publications

22. Average Impact Factor (IF)

Declaration:
I hereby declare that the above information are true and correct to the best of my knowledge and belief.