Application Form for the Post of Scientific Officer/Technical Officer

Passport size
Coloured Signed
Photograph

Post Applied for Fee Details

Amount & Date:
S B Collect Reference Number:
Exempted case subject to production of proof for the same :

1. Name in Full (in Capital Letters)

2. Father’s/Husband’s Name
3. Mother’s Name
4. Date of birth Day Month Year
(please attach true copy of certificate)
Age on 02/03/2020 Year Month Day
6. a) Marital Status : Married/Unmarried
b) Gender:
8. a) Permanent Address b) Correspondence Address

Phone (with STD code): E-Mail:

Mobile No.:
10. Nationality
Religion
12. Category
13. Were you at any time declared medically
unfit; asked to submit your resignation;
discharged or dismissed from Govt. /
PSU/Autonomous Body or Private Service? If
yes, give details in a separate sheet.

14. Educational Qualification:

(Please attach self attested photocopies of various Degrees/ Certificates/ Mark sheets):-

S. No. Qualification Stream/ % Marks/ Division Month & University/ Remarks

Degree/ Specialization CGPA Year of Institution/ (If any)
Certificate passing Board
 1. SSC (10th)

2. HSSC (12th)/
Diploma
3. UG

4. PG

5. Post-PG
(if any)

15. Details of Desirable experience & Qualification:

(a) Desirable Experience:
Work experience in the relevant field, e.g. maintenance of scientific equipment, system
administration, software development in fabrication and support to research.
(Please attach self attested copies of proof)
Position/Designation Name of Institution From To Total Pay & Pay
Till date Scale
Years Months or AGP

(b) Desirable Qualification:

Ph.D. in the relevant field (Please attach self attested copy of proof)

S. No. Qualification Specialization % Marks/ Division Month & University/ Remarks

Degree/ CGPA Year of Institution (If any)
Certificate passing
1. Ph.D.

16. Did you previously apply for any post in this Institute ? If yes, give particulars:
……………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………...

DECLARATION

“I hereby declare that I fulfill the eligibility conditions to the post and that the statements
made by me in the form are true, complete and correct to the best of my knowledge and belief.”

Place:…………………………… Signature of Applicant

Date……………………………… Name………………….
………………………………………………………………………………
 .................................................................................................................
Check list for Scientific Officer/Technical Officer Post

Name of the Applicant :

Name of the Post :
Gender :
Mobile Number :
Details of Application Fee :
S. No. Particulars √ / X / NA Page No.
1. Matriculation/10th Standard/ Secondary or equivalent certificate
2. Higher Secondary / Class XII (or equivalent) board marks sheet.
3. Degree certificate along with mark sheets pertaining to all the
academic years as proof of educational qualification claimed.
4. For Scientific Officer
Proof of B.E./B.Tech. in Computer Science & Engineering
Proof of B.E./B.Tech. in Computer Engineering
Proof of B.E./B.Tech. in Information Technology
Proof of M.Sc. in Computer Science
Proof of MCA
Proof of Employees of the Institute serving as Technical
Assistant (SG-II) for atleast 5 years (Grade Pay 4800/-) or
Technical Assistant (SG-I) with Grade Pay of Rs. 5400/- in PB-2
with two years regular service in the Institute.
11. For Technical Officer
Proof of B.E./B.Tech. in Mechanical Engineering
Proof of B.E./B.Tech. in Production Engineering
Proof of B.E./B.Tech. in Industrial Engineering
Proof of B.E./B.Tech. in Production & Industrial Engineering
Proof of B.E./B.Tech. in Manufacturing Technology
Proof of B.E./B.Tech. in Manufacturing Science & Technology
18. Proof of Desirable Qualification (if any).
Candidates with Ph.D. in the relevant field.
19. Proof of Desirable Experience (if any).
Work experience in the relevant field, e.g. maintenance of
scientific equipment, system administration, software
development in fabrication and support to research.
20. Photo identity card [issued by govt. agency/last attended
Institution/University]
21. NOC and Experience Certificate(s) from the Head(s) of
Organization(s) for the entire experience claimed (if any).

Place:…………………… Signature of Applicant

Date…………………… Name………………….