applicationFormPart-1

Online Appilcation Form Part.1

1. Advertisement No. 2/2019-REC

2. Post Code. 19-JSA-1 (OBC/ST)

3. Level of Entry. Junior Secretariat Assistant (G)

4.Category*

ST OBC

5.Gender*

Male Female

6.Are You CSIR Employee? *

Yes No

6.1.Give Details of Employment in CSIR

7.Whether belong to Physically Handicapped Category *

Yes No

7.1.Nature of Disability *

OH HH VH

7.2.Percentage of disability *

8.Migrated from J&K? (Please see claise No. 5 of General Terms and Conditions) *

Yes No

9.Marital Status *

Single Married Divorce

9.1.Demand Draft Number

Enter DD No.

9.2.Date

DD-MM-YYYY

9.3.Amount

10.Personal Details *

First Name

Middle Name

Last Name

11.Father's/Husband Name *

First Name

Middle Name

Last Name

12. Address For Communication *

Street Address.1.

Street Address.2.

City

State/Province/Region

Mention

Postal/Zip Code

Country

13. Contact Number *

Check this box if Address of Communication and Permanent Address are the same.

14. Permanent Address *

Street Address.1.

Street Address.2.

City

State/Province/Region

Mention

Postal/Zip Code

Country

15. Contact Number *

16.Email *

16.1.Confirm

17. Date Of Birth *

Date

Month

Year

Age (as of 06/01/2020)

18. Place of birth *

19. Nationality *

20. Religion *

21. Whether any of your blood relation are employee of NEIST/CSIR *

Yes No

21.1. Give Details such as name,address,post held and nature of relationship