APPLICATION FOR THE POSITION OF MISSION DIRECTOR IN DBT-BIRAC NATIONAL BIOPHARMA MISSION -PROGRAM MANAGEMENT UNIT AT BIRAC
Position Applied for:
1. <Paste You Photo Here>Name of the Applicant (in Block Letters):
2. Father’s / Mother’s Name:
3. Date of Birth (DD/MM/YY):
4. Age as on 24-08-2020 :
5. Nationality:
6. Marital
Status:
7. Postal Address (including:
Mobile number/Tel/Email ID)
8. Permanent address:
9. Language Proficiency – state ‘good’ ‘fair’ or ‘poor’
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Languages (Specified) |
Speak |
Read |
Write |
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English |
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Hindi |
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10. Educational Qualifications:
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Name of School/College/Institution /University |
Educational qualification (Graduation onwards) |
Marks obtained (%) |
Year of passing |
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(Certificate in original will be examined at the time of interview)
11. Details of employment, in chronological order (start from the latest):
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Work Experience |
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Employer (including current employer) |
Post held |
From |
To |
Reason for leaving |
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12. Present Salary:
13. If you were
previously employed, indicate whether any condition exists that prevents your
re-employment:
If yes, provide the name of the previous employing department
14. Write in your own words (not more than 500 words) how do you feel that your experience is relevant to the job profile? How do you feel you can assist the programme in meeting its objectives?
15. Have you ever been convicted of a criminal offence or been dismissed from employment?
16. References:
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Name and occupation |
Tel. No./Mobile No./Email |
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17. Any other relevant information that you may like to furnish
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DECLARATION
I declare that all the information given in my application is correct to the best of my knowledge. I understand that any false information supplied could lead to my application being disqualified or my removal/dismissal if I am appointed.
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Place:
Date:
Signature: