Application Form for Junior Research Fellow (JRF)

Passport size photo

01. Name of the candidate (CAPITAL):
02. Father/husband name:
03. Mother name:
04. Date of birth:

05. Sex:

06. Married /Unmarried:

07. Address with phone and mobile numbers:
Permanent:

Correspondence:

08. E-mail address:

09. Nationality:
10. Category SC/ST/OBC/General:
11. Details of JRF/LS examination
(If applicable)

Exam name:
Year of passing:
Roll no.:

12. Educational qualification: (Starting from SSC/matriculation onwards)

1.
2.
3.
4.
5.
6.
7.

Name of the
Exam.

Name of the
Board/University

Subjects (with specialization in grad and

post-grade)

Marks
obtained

%/
Grade

13. Brief write up about your research interests and why did you choose NABI (500 words):
14. Research experience/training:
15. Publication/Presentations:
16. Award & Fellowship, if any:

17. Name with contact detail of three referees with recommendation letters:
i.

ii.

iii.

18. Attested copies of mark sheets, Certificates, award/fellowship, etc.

I hereby declare that the information furnished above is true.

Date:
Place:

Signature of the candidate