APPLICATION FORM FOR RESEARCH FELLOWSHIP IN DLRL

Please affix a
passport size
Photo
SUBJECT APPLIED FOR:________________

01 Name in Block Letters

02 Father's/ Husband's Name

03 Personal Particulars
(a) Gender: (b) Category : SC/ST/OBC/PH/Gen
Age: ...... yrs.......months (as on
(c)
01/09/2016

04 Postal Address

05 Permanent Address

06 Contact Details: Phone: ___________________Mobile: _________________________

E-mail ID:________________________________________________

07 Educational Qualifications (From SSC/Matric onwards. Attested copies to be enclosed):

Examination University or Month & Year Division

Subject (s) Percentage
Passed Board of passing or class

08 Experience (if any)

Name of the Period of service

organisation Job Description Reasons for leaving
with
designation From To

09 GATE / NET Score & Year (Proof to be enclosed) Score Year

10 Application fee details: _______________________________________________

11 Have you ever been interviewed in any DRDO Unit, if so give details:
12 Any other information:
DECLARATION: I hereby declare that, the above furnished particulars are correct and no
13
information is suppressed. If any time I am found to have concealed/distorted any
information, my fellowship shall be liable to summary termination without notice. I will if
and when required, take up duty in the discharge of Government anywhere in India.

Place: ____________________
Date : ____________________ Signature of the Candidate