ReferenceCode:

national centre for biological sciences

tata institute of fundamental research

Institute for Stem Cell Biology

and Regenerative Medicine

GS 2015: Application Form for NCBS, inStem

LAST DATE FOR RECEIPT OF DULY FILLED IN APPLICATION & REFEREE LETTERS:
FEBRUARY 20 2015

I. NAME: Mr./Ms. ________________________

Affix your latest

photograph

Date of Birth___________

Contact address (permanent)

_________________________

____________________________________________________________________________
____________________________________________________________________________
Tel. __________________ Mobile No. __________________Nationality ________________
E-mail:______________________________
II. ACADEMIC QUALIFICATIONS (No certificates or copies need to be attached)
YEAR

Exam
Board/University

School/ College

%
Marks

Rank (If
any)

Class/Div.

X Std or
Equiv
XII Std or
Equiv
I B.Sc./B.E/
MBBS
II B.Sc./
B.E/MBBS
III B.Sc./
BE/MBBS
IV BSc/B.E/
MBBS
I M.Sc./M.E.
II M.Sc./M.E

THE LATEST DEGREE REGISTRED FOR /COMPLETED ________________

III. Specialization (if any, in the form of special papers ) for most recent degree:

IV.Breakincareer(pleaseprovidedetailsoftheduration[s]&reason)

V.Awardsorfellowships(CSIR/DBTJRF/ICMR/GATE/NET/Anyother:Yes/No
Ifyes,mentiontheyearofpassing,/levelofqualifying/dateofqualifying/validityoffellowship
oraward

VI. Any other information that adds to your application: e.g., let us know if you have
presented yourworkinmeetings, participated orassisted inthe organization ofmeetings &
workshops

VII.Training/Internships(pleasebebriefandONLYlistthedates,hostlaboratoryandtopicof
research).Publicationsorpresentationsarisingfromyourwork

VIII.StatementofInterest prepareanoriginalproposalintheformatoutlinedbelowina
topicthatinterestsyouthatyoumayhaveencounteredaspartofyourcurriculumorhaveworked
onforaproject.TheproposalcanaddressaquestioninBiology,Physics,Chemistryorallied
subjects.Theformatisprovidedtotestyourunderstandingoftheproblemandyourabilitytobe
clearandbriefwiththepresentation.
ThereisnorequirementforidentifyingaproblemwhichoverlapswithresearchatNCBS.
Pleasestaywithinthewordlimitspecifiedandindicatetheactualwordcountattheendofevery
ofsubsectioninparenthesis/brackets
1.Question/Problemtobeaddressed(50wordsmaximum)
2.Backgroundtotheproblem(300words)
3.Experimenttoaddresstheproblem(300words)
4.Expectedoutcomesandalternativestrategyifnecessary(100words)
5.References
Weencourageyoutodrawyourownschematics andnotquotefrommaterialinthepublic
domain.However,ifyourefertopublishedworkormaterial(schematics,cartoons,graphs)on
theinternet,thisinformationshouldbeacknowledgedinyourwriteup.Ifmaterialisfoundto
becopiedfromapublishedsourceortheinternetyourapplicationwillbedisqualifiedandnot
processedfurther.

IX.ScientificReferees[Instructions]:
Thesemaybeyourteachersorindividuals(suchascourseinstructors,laboratoryheadsetc.)who
mayhavesupervisedyouandhaveinteractedwithyouduringaninternship,workshopetc.We
wouldlikeyourrefereestofillintheformatprovidedinthisapplication. Inaddition,your
refereeisencouragedtoattachaletterhighlightingyouracademicabilitiesandsuitabilityfor
independentresearch. Pleaseinformyourrefereethatwedoconsidertheirrecommendations
rathercarefullyandappreciatetheirtimeandeffortinsendingustheirinput.
(ScientificReferee1)
Name,Affiliation,EmailandTelephonecontact

(ScientificReferee2)
Name,Affiliation,EmailandTelephonecontact
X.Information(ifknown),ofdatesofexaminationsornationaltestsscheduledinMay
June2015thatyouarelikelytoappearfor:

XI. The interview process: Based on your scores in the written test, your academic
performance,statementofinterestandopinionsofyourreferees,youcouldbeinvitedtoappear
inaninterviewatNCBS
CandidatesMAYbeinterviewedbyacommitteewithaspecializationinChemistry/Physics/
Biology.Pleaseindicateyouchoiceofspecializationifany.
Chemistry/Physics/Biology/Nopreference

Date_________

Signature_____________

AdditionalInstructions:
1.
Completedapplicationsmust besubmittedelectronically andthereference letters[intheenclosed
formatseeinstructionIX]uploadedusingthewebbasedprocess.

2.

Ifrefereereportsaresubmittedmanually,pleasedownloadtheRefereeReportForm(1)and(2)for
yourreferees.Thecompletedformsshouldbereturnedinsealedenvelopestoyou.Thesemaybeincludedinyour
applicationpackage. Theapplicationwillbeinvalidatediftheenvelopeshowsevidenceoftamperingbefore it
reachesus.Pleasesendintheseformswithyourapplicationifyouaresubmittingyourapplicationbypost.
3.
ThelastdateforthereceiptoftheapplicationandreferencelettersisFebruary20,2015.Pleasemailall
relevantformstoAdmissionSection,NationalCentreforBiologicalSciences,TataInstituteofFundamental
Research,GKVK,BellaryRoad,Bangalore560065(Tel:23666404,Email:phd@ncbs.res.in),soastoreachon
orbeforeFebruary20,2015.TheenvelopeshouldbeclearlysuperscribedGS2015andbeartheapplication/Hall
ticketnumberasitappearsonthisform.
4.
ApplicationsNOTsupportedbylettersofreferenceintheprescribedformatareinvalidatedand
nottakenfurtherinthescreeningprocess.