Application for Appointment of: Faculty Members/Research Staff ...

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• Publié par: ecomejex
• Nombre de lectures: 163
• Langue: English

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Application for Appointment of: Faculty Members/Research Staff (Group A)

Indian Institute of Technology, Bombay Powai, Mumbai - 400076, India

(Please type or write usingBLOCK LETTERS)

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Post Applied for

Department

1. Name in Full (pl underline surname)

Married

2. Address: Present

Permanent

Fax Email Telephone Office Res

3. Date of Birth:

Single

Day Month

Year

5. Present Employment: Designation Organization Date of Joining Scale of Pay Rs. Pay Rs. Total emoluments (per month) Rs.

6. Basic pay expected at IIT-B as per advt.

Rs.

 Amountof Bank Draft *  enclosed  Nameof issuing bank

 Numberand date

Male

4. Nationality

7. (a) Tick mark the appropriate box if you belong to reserved category

(b) Attested copy of certificate enclosed

YES

NO

* Notrequired for SC/ST candidates and candidates applying from abroad.

Female

x x

SC

 (Please tick)

ST

x x

OBC