DEFENCERESEARCHLABORATORY,TEZPUR

1.

Sl.No.	BasicQualification	No.ofpost
(i)	1stClassM.Sc.inBiotechnology	01
(ii)	1stClassM.Sc.inZoology&specializedinEntomology	01

2.

3.

4.

5.

6.

7.

8.

9.

Director

DefenceResearchLaboratory

PostBagNo.2

Tezpur(Assam)784001

APPLICATION FOR RESEARCH FELLOWSHIP IN DRDO

SUBJECT APPLIED FOR:__________________________

01. Name of Fellowship : JRF

02. Name in Block Letters :.

03. Fathers/ Husbands Name :.

04. (a) Marital Status : Married/Single : (b) Nationality:

05. (a) Category : SC/ST/OBC/PH/Gen: (b) Date of Birth

(c) AgeYrs months as on 01-03-2014

06. Address for Communication ..

07. Contact Details: Phone:. : Mobile: ..

Permanent Residence..

E-mail ID: .

08. Educational Qualifications (From SSC/Matric onwards. Self attested copies to be enclosed):

Examination Passed	Subject (S)	University or Board	Month & Year of passing	Division or class	% of Marks

09. Experience:

Name of the organisation with design.	Period of service		Salary	Reasons for leaving
	From	to

10. Whether Qualified in UGC/CSIR/NET/GATE Examination: YES/NO

If yes give details (proof to be enclosed)

11. Have you ever been interviewed in any DRDO Unit, if so give details:

12. Any other information

13. DECLARATION: I hereby declare that, the above furnished particulars are correct and no

information is suppressed.

Place:.

Date:.. Signature of the candidate