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Application Form For Research Staff in Virology Lab, Dept. of Microbiology

This document is an application form for a research staff position in the Virology Lab at the Department of Microbiology at Sri Venkateswara Institute of Medical Sciences. Applicants are asked to provide personal details like name, date of birth, qualifications, research experience, publications, and references. The last date to submit the filled application form along with copies of certificates is May 7, 2015. The form should be sent to the address provided, to the attention of Dr. Usha Kalawat, Associate Professor and Nodal Officer of the Virology Lab.

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Jeshi
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115 views

Application Form For Research Staff in Virology Lab, Dept. of Microbiology

This document is an application form for a research staff position in the Virology Lab at the Department of Microbiology at Sri Venkateswara Institute of Medical Sciences. Applicants are asked to provide personal details like name, date of birth, qualifications, research experience, publications, and references. The last date to submit the filled application form along with copies of certificates is May 7, 2015. The form should be sent to the address provided, to the attention of Dr. Usha Kalawat, Associate Professor and Nodal Officer of the Virology Lab.

Uploaded by

Jeshi
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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SRI VENKATESWARA INSTITUTE OF MEDICAL SCIENCES,

SRI PADMAVATHI MEDICAL COLLEGE FOR WOMEN, SVIMS UNIVERSITY


TIRUMALA TIRUPATI DEVASTHANAMS, TIRUPATI 517 5017; A.P.

APPLICATION FORM FOR RESEARCH STAFF IN VIROLOGY LAB,


DEPT. OF MICROBIOLOGY

LAST DATE

07-05-2015

Post applied for:

1. Name (in Block Letters)

2. Fathers Name

3. Address for communication.:

Contact Nos
Email id

:
:

4. Date of Birth

Age (yrs)

& Age

5. Nationality & Religion


6. Academic Qualifications:
S.No.

Qualification

Group subjects studied

College, Place of study


& University

Period of study
From

1. Degree

(.................. )
2.

PG Degree
(speciality)

(.................. )
3. Ph.D./equivalent

4. Others

To

7. Details of previous appointments / research / teaching experience:


S.No.

Position

Name & Address of the


Institution

From

To

Experience in years
& months

1.

2.

3.

4.

8. No. of research publications in indexed journals:


S.No.

1.

2.

3.

4.

5.

6.

Authors Listing

Title of the Paper

Journal Name /
Year / Vol. / Page
nos.

Whether
Indexed

9.

Details of previous experience in handling research projects under the supervision of Chief
Guide/Principal Investigator (number of research projects completed/submitted (mention only if
pre-proposal accepted in case of ICMR extramural projects)- the document should be
recommended and undersigned by the Principal Investigator to certify that the candidate is
capable of writing/handling research projects.

S.No Name of the Principal


Investigator
1.

Title of the Research Project

Funding agency

Project ID

2.

3.

4.

This is to certify that Ms/Mrs/Mr/Dr/_________________________ has been working/ worked in the


above mentioned project(s) under my supervision. During his tenure he/she was sincere and
hardworking; hence I am recommending him/her for the position offered by SVIMS.

Principal Investigator

10. CV should be attached along with the application in case of possessing additional
qualifications and research experience. (photocopies of certificates shall be attached
to support research / teaching experience in the form of workshops, training programs
and CMEs attended).
11. Are you prepared to be considered for a post lower than the one applied: YES / NO.

12. If the post is offered, how much period is required for joining ________________

DECLARATION
I hereby declare that the contents of the application form and documents /
certificates submitted by me along with the application are absolutely true, correct and
authentic.

In the event of any of the statement in this application / enclosures found incorrect
or false at a later date, the undersigned is liable for necessary disciplinary action as per the
rules.

PLACE :
DATE :

SIGNATURE OF THE CANDIDATE

1. Xerox copies of certificates of


a. SSC
b. MBBS/BSc
c. MD/MS/MSc
d. Research/Teaching experience certificates from the employer from the date of
beginning of the service till date
e. Copies of research publications published
2. Two passport size photographs.
Note:
The filled in application form along with the Xerox copies of the certificates should be sent
by post or in person so as to reach on or before 2-4-2015 to the following address.
Dr. Usha Kalawat
Associate Professor
Nodal Officer, Virology Lab
Department of Microbiology
Sri Venkateswara Institute of Medical Sciences (SVIMS)
Alipiri Road
Tirupati517507
Chittoor District, Andhra Pradesh

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