IUAC (FORMS)

Application for Research Associate (2021)

Personal Details :

1. Name in full :

2. Date of birth (dd/mm/yyyy) :

3. Gender :

4. Nationality :

5. Address of Correspondence :

a. Email :

b. Phone / Mobile :

c. Alternate Mobile :

d. Postal :

6. Category :

7. Particulars of educational qualifications:

Aggregate percentage of marks are to be based on marks/grades in all the semesters/annual examinations completed so far (if marks are shown in grades, numerical percentage is to be indicated.

Examination / Degree	Board / University	Year of Passing	Class / Grade	Percentage of Marks	Major Subjects
PhD
Masters
Bachelors
Class 12
Class 10

8. PhD Qualification:

a. Result :

b. Examination (Month and Year) :

c. University :

d. Topic :

e. Area of specialization :

f. Name of Supervisor :

g. PhD Publication(s) :

h. Summary of PhD and Research work experience (max 300 words) :

i. State Briefly about the Research Work Proposed to do at IUAC (max 300 words):

9. Upload Photograph:

max file size 100KB.

10. Upload Signature:

max file size 50KB.

11. Mother’s / Father’s / Guardian’s Name :

12. Awards / Scholarships (if any):

13. Marital Status:

14. References 1

a. First reference name in full :

b. First Reference Address :

c. First Reference mobile :

d. First Reference email:

e. is reference related to you?

15. References 2

a. Second reference name in full :

b. Second Reference Address :

c. Second Reference mobile :

d. Second Reference email:

e. is reference related to you?

16. Documents to be uploaded (upload in one pdf document in given sequence):

i. Degree/ Thesis submission certificate of Ph.D.
ii. Degree and Marksheets for each year/semester for Bachelors and Masters
ii. Degree and Marksheets for Class 10 and 12
iii. Govt. issued Photo Identity Proof
iv. Caste certificate (if applicable)
v. Other documents you wish to provide

max file size 500KB.

17. DECLARATION:

1. I hereby declare that all the information given in the application form are true to the best of my knowledge and belief. I understand and agree that misrepresentation or omission of facts will justify denial of admission, cancellation of admission or expulsion.
2. I understand that the admission is granted to me on the terms, conditions and rules of IUAC and such modifications thereof as may by the authorities concerned. I agree to abide by the rules and regulations of IUAC for the time being in force and such modifications thereof, which may hereafter be made.
3. I agree that the Director’s decision in all matters concerning my admission, studies, scholarship, discipline and conduct will be final and binding on me.
4. I understand that my association active or passive with any unlawful organizations is forbidden.

Agree