RAT AT ART STE RE ET frcres # /Aawt. No] Tobe filied by the Office ‘GOVERNMENT OF INDIA fries 7 Date area & wate siafeer fara [85 8 / Post No. Application No._|_Form No. DEPARTMENT OF SPACE fee ear a arefta siafter argent dase Name of the Post INDIAN SPACE RESEARCH ORGANISATION fara arn aiafte az VIKRAM SARABHAI-SPACE CENTRE freariatfEH/ THIRUVANANTHAPURAM-695 022 Aix your recent passport Size Photog ‘sites Fa Ft / BIO-DATA FORMAT seats wae wae Sah . Please see instructions on Page § before filing in the form Alara are aed 8 (re an 8 ee Walia faa ot ae P| aay URIS) |a[ Saiea: Rate ]4 | cretaar sits} Full Name in BLOCK lotters (Please Date of Binh Marital Status | | _ Nationality lunderline the name by which you wish to be at | ater Be jaddressed.) e : Year_| Monn] Day ‘5 [eat 7 Adress wih phone numbers BEmailD Sta? atv Gta eater] 6 |) / Religion a Brae eee & Fae ear Plc fe ot eae one Rha aa For communication purpose, Permanent 1 oe fern & she ter srr 35 wr aerate rs You may be ented to concessioniteservation, if you be- long fo any of the folowing catgoris. Provide deta and attach certied copy of documentary prot, a ae Brot Prtoulrs TAT Scheduled Caste srqafen a Scnected Taibo Rar Bc fare aa Ex. Servicoman fray fray cree bes PN. Physically Handleapped [es eer (exe & pr ws a vied re) Educational Background (Staring trom highest qualiicalon and ending wih school leaving) ORs fectien memes Frafemeners) tent aint ae ota afer | ferret foie wit Reber & a Degree/Diploma | Universiyinsttuion’ | Yearo! “| class | % of marks | subject | Sposaleaton any Course Board passing10 2 ret ractars there areeera/ Feregferysfrerey/ ne a Pearce &/Caetara the gee ae 8 sad ot tee & we a) Provide details of your previous and present employment/tesearohvfellowship/ apprenticeshio/training(present lemplovment fist, followed by latest previous employment and so on) adam tae faoen tee - | frown tame - 1h _ [_Presentemployment__| Previous employment-|_[Previous employment I ares Br aT ate Tet Name and Address of the organisation fare war fas we eerdt/art Farad) Prof anf #/State \whether Govt Quasi Govt) Private etc saree fing me net TH Name of postis) held ‘aearrr /Scale(s) of pay ‘Bar att aaty | avFrom Period of Service| wa/To fear aarre aie Peer ara ifs ae Prater To lf /State whether the! lemployment is/was restricted| for specific duration or it is/ lwas a regular employment ‘arm angie Wis 8/Nature| of Job in brief [= area & at prea fram 8/if employed provide details any ‘ously drawn wert wet we | fae ate @ rene Wet aa Te) | aa1/Now being wa art #/ Date Next increment or drawn fromwhich continu-| araa/Date] 5 a 3 87 Salary on that date arte a Expected Salary Monthly ar aa Salary | Basic Pay et Total lemolument aist & are Reasons for leaving} fai ane oe SO sited A wd Ga Ea RS aed ot Gah wer B argare site gs deve eh fre ton et ee pet Gx ye & a eet fe sfifter gs Kes #/If you Were employed proviously in more than two organisations, provide details of such employment by attaching additional sheets of the same format. ‘While doing so, please mention on the top of this page “ADDITIONAL SHEET ATTACHED.”feqed tek? Som dqaad dome ate fr ae anak at eh sper et ar arate set a ferent :/If your replies in page 1 & 2 1ot cover all the period from schoo! leaving tll date, lbriefly state how you spent the uncovered period. 11] exaartier Frema/aen/aihindl & Wau/Association with professional bodies/institution/Societies. =ra/Name Gi aR ae sare went Beat F Postion) acer ot pe Nature of membership |** Ae sree sven Few # Fo 12] wa/Read fers Write ‘air Speak, Rear a ae aa Fa eT Tigra a Fram @)/Ves(Please give particulars) =a/NO 2 fore er ae fret er at eT = 'W#| Are you under any contrac- F tual obligation to serve any Govt/ Public authority: WH OT GS WA ERSTE feed we Pe one Rear wes a/No Have you applied for any post in ISRO/DOS betore? TRIER GAT A AE | ‘it arta zed interviewed fierst/Flesult ww/Post wt Sxvafiz aw aH/ISRO centre's! ai ca at | ornot. It so indicate the unit's name Month & Year date of interview ‘ee fires & ek H war are Reet aren ae] aio | Vos (pret ve a ate ae a aH ward)/ Please mention Post ‘a far onde we TEE | Are you applying} No. and Name of Post) for any other post against. this| advertisement? a oe a ae ee aT a wT ETT Westies Ham baer fear mar & a Preheat eee (Ploase give relevant details) Have you ever been convicted by a Court of law for any offence or misconduct or are there any proceedings involving you in progress in any court of law?17 8 19 4+ fear foot Gta wat ona feet wet ater a ties? Did] oy, Byes great vers rer /ou sulfer from any major illness during last five years? (Please give relevant details) at Bad a AT eh ie eo eT BIT selected how soon can you join? [ara Fredaet Steet Sea acer mail over tie WH © A Stee eee wT we Test wx wad €7/Mention name and] ‘address of two responsible persons(other than yout relatives) who can comment upon your professional competence 1 2 aie one ag ora Se qe tar wan b Pw See sre ee Et Gore mya TA a fed / Please use this space it you, ‘want to add any other relevant information not already covered » "ear any fsck eqa are wed F2/Any documents you wish to produce? ebro aco avc Fn ee oe A eh wet Swe Ba ee TH Br rea ee 8 we aT “aera is eat at a ae TN eT ar ra TA A me a ere a ala a ae arse ware frat a1 aa @1/l affirm that the foregoing information in this application is true and correct, | am fully aware that if it is discovered at any stage that any attempt has been made by me to wilfully conceal or misrepresent the facts, my candidature may be summarily rejected or my employment terminated. ‘ante, Date ..... RIF Place... ‘WaTERt/ Signature .... es ‘ ‘grat aiz Hi/Please Note 4. Oe oraee we @ afte ets ade oT ed Eat ade eis & fa se gor oder a hy ‘Separate applications have to be sent for each post/grade, if the applicant desires to be considered for more than one posv/grade 2 Bra see wre wd Galvan we 8 fee ome, fine ot where seem areas ga BA we andes ve fara oT wT B/ Replies should be in clear and categorical terms. Vague or evasive answers in any column may lead to rejection of the application. 3, eer Praem fora & fire Rear Gar Bae ovate at one a ators we) A aT ERT ae ae aw wa wd i Wherever space provided is insufficient to write appropriate details, please attach separate sheets. In doing so, please indicate that fact in the relevant column. 4, Ws 2 wen aero dre pie at pe ae ae ie ati stem Bre er dee ot oe safc & fre et) wet wet tier at et a faftar orate or Prutfer orate ar sect @ ae diam & eat et ar, Be here oF fare rae eH fear ore With regard to the query in page 2 on the nature of employment please note that a REGULAR ‘employment means, an employment for an indefinite period. Wherever the condition of employment stipulates any definite duration’ 6ranypresoribed period for employment, either in the form ofa contract or not, such employment should be shown as specific duration ones. 5, Staite framyuncita sinter arptert ares & fer Seyafie 81 Department of Space/Indian Space Research Organisation has the following Centres/Units 1. fam aren sicfter xy Vikram Sarabhai Space Centre 2 wasiewsi/en ax/SDSC/SHAR Centre 3. FHI STE Fz/ISAO Satelite Centre 4. staf seit x /Space Applic 5, anda safer arqeiurt He EMTA/Indian Space Research Organisation (Hars.) 6. afar eft se civil Engineering Division 7. fareprar site vifires Hak afAz/Development and Educational Communication Unit 8. 9. tion Centre - ‘aegis setter ware Seles wonet National Natural Resource Management System ugha RX dees sMfeErTTT/ National Remote Sensing Agency 10. gat gefaftr srqacrr sitter Azath/ ISRO Telemetry Tracking Command Network 11. 5a ate woneit Bz/Liquid Propulsion System Centre 12, 4H Frriaes efaury Master Control Facility ps 3a faq my net aed gach dai A Pratt ve & fore oder fear t7 This may please be noted while answering the-query in page 3, “Have you applied for any post in ISRO/DOS before 7” |