Application for Senior Project Associate or Project Associate II(Online Application only)

Name of Exam

Specialisation

Board / University

Year of Passing

% of mark

Grade / Class

Online Application Form - Application for Senior Project Associate or Project Associate II(Online Application only)

Personal Details

Name *

(As same as in 10th standard or equivalent certificate)

Father's Name *

Email*

Telephone Number(with STD Code)

Mobile Number*

Gender*

Name of parent/spouse in the case of female applicant,if married

Religion*

Category*

Are you a Person with Disability (PWD)*

Date of Birth*

Aadhaar No.

Annual Family Income *

State of Domicile *

Nearest Railway Station*

Nationality *

Permanent Address

Communication Address

Address Line 1*

Same as permanent address
Address Line 1 *

Address Line 2*

Address Line 3

District/City*

State*

Pincode*

Academic Details (Applicants who have pursued degree/specialization in related areas other than listed ones shall choose Others and enter the qualification as given in their degree certificate / marklist)

Current Advanced Educational Status (Whether results has been declared or not by the University) *

Yes No

Whether pursuing any Higher Studies

Yes No

If Yes, Fill the details

Course : University/Institution :

Employment Details

Employment Status*

No Yes

Name of Organization with full address	Designation	Period of Service		Total Emoulment	Nature of Work	Experience Upload	Add
		From	To
							Delete

Breifly explain how you spent the uncovered period between studies/employment till now

If selected, minimum time required to join the position

Photo *(Max. Size : 100kb)

Signature *(Max. Size : 100kb)

Consolidated Mark Sheet(Diploma/B.Sc/BE/B.Tech/ME/M.Tech/M.Sc as applicable) Along With Test Score Certificates(GATE/NET/JEST/JRF)
*(Max. Size : 500kb, Type : .pdf)

Degree Certificate(jpg/pdf/png)
(Diploma/B.Sc/BE/B.Tech/ME/M.Tech/M.Sc as applicable)*(Max. Size : 500kb, Type : .pdf)

List of Uploads - PWD Certificate, if applicable

Any Other Relevent Information
(For example: Additional qualification, Achievements,GATE Score,Awards etc.)

Reference
Sl.No.	Name & Address	Email id	Contact Number
1
2

I affirm that the information given in this application are true and correct to the best of my knowledge and belief. I also fully understand that if at any stage it is discovered that any attempt has been made by me to willfully conceal or misrepresent the facts, my candidature may be summarily rejected and my employment terminated