Application Form CSIR SRF
Application Form CSIR SRF
143675/2K19/1
Acknowledgement No.
[Copy of this Form to be placed at the top of the enclosures to be sent to HRD Group, CSIR]
1. Application for: SRF - 1
2. Subject Code: Electrical, Electronics, Instrumentation & Computer
Engineering Sciences - ENG - 43
3. Category: GEN
4. Gender: MALE
5. Number of Previous Attempts: 0
6. Marital Status: UNMARRIED
7. Date of Birth(dd/mm/yyyy): 27-11-1989
8. Age: 29 Y, 7 M, 30 D
17.(a). If registered for Ph.D./MD/MDS degree give the date of 27-07-2017
registration(dd/mm/yyyy):
17.(b). If submitted thesis for Ph.D./MD/MDS degree give the date of submission(dd/mm/yyyy): NA
17.(c). If you have been NA
awarded/submitted the Ph.D.
degree/thesis give here title of
your Ph.D. thesis:
18. Give yearwise details of your occupation after obtaining the qualifying degree in the following format:
(a). If a recipient of any Traineeship/Assistantship/Fellowship/Associateship etc.
Fellowship Name
Supporting Agency From To Stipend per
/Associateship of Host
Name (dd/mm/yyyy) (dd/mm/yyyy) Month
Name Instt.
TA TIET 08-01-2018 ----- 25000 TIET
-- -- -- -- -- --
-- -- -- -- -- --
-- -- -- -- -- --
If holding an equivalent fellowship, give reasons for applying: NA
(b). If employed give the following details:
From To Total
Designation Place of Work
(dd/mm/yyyy) (dd/mm/yyyy) Emoluments
ENGINEER SANDISK 29-06-2015 31-08-2017 1244000
-- -- -- -- --
(c). If unemployed or without fellowship:
Unemployed Working without Fellowship
From To From To
(dd/mm/yyyy) (dd/mm/yyyy) (dd/mm/yyyy) (dd/mm/yyyy)
01-09-2017 ----- 01-09-2017 07-01-2018
-- -- -- --
The combined information given in (a), (b) and (c) should match total period spent from the time of
obtaining qualifying degree till last date of application. Unaccounted period, if any, may lead to rejection.
19. Give here the Name, Designation & Address of your proposed Guide/Supervisor:
Name Department Univ./Instt. City-State
THAPAR INSTITUTE OF
ALPANA
ECED ENGINEERING & PATIALA - PUNJAB
AGARWAL
TECHNOLOGY(TIET)
Write your complete mailing address including your Name clearly and in Capital Letters only.
Name: LALIT SOOD
Address: HOUSE NO. C-31, JAWANDHA PATTI
City: BARNALA State: PUNJAB Pin code: 148101
Mobile: 7888562564 Phone: NA- NA
Email: [email protected]
I certify that to the best of my knowledge and belief the particulars given in the application are correct. If
later on, any information turns out to be incorrect my candidature for the fellowship shall be cancelled
forthwith and I shall be liable to any other action as CSIR may deem fit. I understand that the decision
taken on my application by CSIR including whether I should or I should not be called for interview, my
selection and subsequent placement etc. will be final. I have also noted that if my application is found
incomplete in any respect, the same will be liable to be rejected summarily, and no correspondence will
be entertained in this regard.
Place:
Place:
Place:
Signature, Name & Designation of
Date: Guide/Supervisor
(B) I is certified that the institution is recognized under UGC Act (Section 2 (f)) and the Guide/Supervisor
is authorized by the university to supervise the research work. Necessary facilities are available and will
be provided for the research work on the topic during the tenure of the award.