Please fill all Mandatory Information
[* Marked fields are mandatory] |
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| Salutation* |
First Name*
[Max. 50 Characters] |
Middle Name
[Max. 100 Characters] |
Last Name*
[Max. 50 Characters] |
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| Gender* |
Male Female |
Date of Birth |
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Father's Name*
[Max. 100 Characters] |
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Working in CSIR As* |
Group IV Scientist Group III Technical Staff |
Present Designation*
[Max. 20 Characters] |
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E-Mail Address*
[Max. 100 Characters]
Note: Please Enter Official E-Mail Address Preferbly |
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Laboratory*
Note: Please Select the Laboratory in which presently working |
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Upload Scan Image of Official Identity Card
Note: Please Upload your Photograph of less than 250 KB in size, Selected Photograph will be uploaded when you press SAVE button. Also note that only *.bmp, *.jpg, *.jpeg, *.png, *.gif types of files are accepted here. |
*.bmp, *.jpg, *.jpeg, *.png, *.gif |
Password*
[Max. 10 Characters] |
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Re-Type Password*
[Max. 10 Characters] |
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| Captcha |
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