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Bidhan Chandra Krishi Viswavidyalaya

Comprehensive Scheme: Cost of Cultivation


APPLICATION FORM FOR CANDIDATES

(Space for Office use only)

Received SBI Draft No


Rs. . dated .......................... ..... as
application fee
Signature of the receiving assistant

(TO BE FILLED IN BY THE CANDIDATE IN HIS/HER OWN HAND WRITING)

To
The Director-in-Charge
Comprehensive Scheme: Cost of Cultivation
Directorate of Research
Bidhan Chandra Krishi Viswavidyalaya
P.O. Kalyani, Dist. Nadia, Pin : 741 235
West Bengal

Space for
candidates
photograph
(Passport size)

Sir,
In response to your advertisement No. I wish to apply for the post of
.. My particulars are given below.

Signature of Candidate in full


1. Name in full (in Block letter)

Surname

2. i) Candidates address in full where


correspondence is to be made with
contact number & email id (if any)

(i)

ii) Candidates permanent address

3. i) Date of birth (ii) Place of birth

Name

(ii)

(i)

(ii)

iii) Dist. and State to which you belong


iv) Whether an Indian citizen.
4. Fathers name, address and occupation (if
dead, state his last address & occupation before
death

(iii)

(iv)

2
5. i) Marital status

i)

ii) Husbands name, occupation & address for

ii)

Married/Unmarried/Widow/Divorced

married woman candidate only)


6. Candidates mother tongue
7. Give particulars of all examinations passed and degree and technical qualifications obtained at the University or
other places of higher technical education or instruction (commencing with the Matriculation/Secondary or
equivalent examination).
Examination School/College
Year of
Class
or
Subject
Academic
or Degree or or University
Division & %
Distinctions, if
Admission Passing of
Diploma
any
marks
out
obtained

8. Reasons of gap, if any:

9. In which language (including Indian languages) you can read, write or speak. Give particulars and
examination(s) passed in each.
Read only
Speak only
Read & speak
Read, write and speak
Examinations passed

10. Whether belong to Scheduled Caste/Tribe/OBC. If yes, give details with attested copy.
11. Present and previous employment: - Give Particulars
Name
of Designation
Pay scale and Date of
Permanent or
employer
of post
salary (Basic +
temporary
Leaving
other allowances Joining

Reason
leaving

N.B. Candidates who are already in service should submit a no objection certificate from the present employer

of

12. Research Experience/Technical Experience: (May be given in Annexure)

13. Experience in computer14.

List of documents attached to the application

Terms and Conditions

a) The scheme and the post are purely temporary, co-terminal and contractual in nature and the appointment shall
be terminated on withdrawal of the post or the scheme as the case may be by the funding agency ( Department
of Agriculture and Cooperation, Ministry of Agriculture, Govt. of India). The appointing authority deserves the
right to terminate employment by giving one months advance notice. As appointment is contractual in nature,
renewal of appointments depends on the renewal of scheme or post by the funding agency.
b) On termination of the post or scheme as the case may be the incumbent shall not be entitled to
placement/absorption in any other scheme or temporary/permanent establishment of the University.
c) Salary/Pay and other allowances are as per Govt. of India Rules and shall be disbursed as and when fund is
available under the Scheme Head.
d) The employment shall not be entitled to any death-cum-retirement benefits and service conditions will be
decided as per guidelines of the funding agency from time to time.

Declaration
I hereby declare that the statements in this application form are true to the best of my knowledge and belief. I
further declare that having read the terms and conditions laid down above I agree to be guided by such terms
and conditions.

Date:
Place:

Candidates full signature