Online Application Form

Post Applied for*

Candidate's Name*

Father's Name*

Date of Birth*

Place of Birth*

Martial Status*

MarriedUnmarried

Gender*

MaleFemale

Nationality*

Category*

Languages Known Rate 1-Least to 5-Fully Proficient

Language Name Understand Spoken Speak Read Write

Email*

Contact Number*

Address*

Have you ever been convicted by a Court of Law? Is there any legal case filed against you in a Court of Law? If yes, provide details. Or else, write "No"*

Are you related to any body currently employed in EPTRI? If yes, give the name of employee and nature of relationship (i.e., parent, child, sibling, cousin, uncle, aunt, nephew or niece, of self or of spouse) Or else, write "No"*

Education Qualifications

Qualification Discipline/ Specialisation University/ College Year of passing Percentage
Post Doctoral
Ph.D / M.Phil
Post Graduation
Graduation
Intermediate
S.S.C

Software Skills*

Awards and Honours (if any)

Experience

S.No. Organization Designation Period Field of Work Experience Salary Drawn Reason of Leaving
1
2
3

Brief details of experience, skills, expertise, you have acquired up to now (attach extra sheets if required)

Area of Interest

Publications

Copies of Testimonials upload Zip (if any)

References (with telephone numbers)

Any other Information

Declaration

I here by declare that all the information furnished above is true to the best of my knowledge.

(Signature)

Menu Title