Please fill all Mandatory Information
[* Marked fields are mandatory] |
|---|
| Salutation* |
First Name*
[Max. 50 Characters] |
Middle Name
[Max. 100 Characters] |
Last Name*
[Max. 50 Characters] |
|
|
|
|
| Gender* |
Male Female |
Date of Birth |
|
Father's Name*
[Max. 100 Characters] |
|
Working in CSIR As* |
Group IV Scientist Group III Technical Staff |
Present Designation*
[Max. 20 Characters] |
|
E-Mail Address*
[Max. 100 Characters]
Note: Please Enter Official E-Mail Address Preferbly |
|
Laboratory*
Note: Please Select the Laboratory in which presently working |
|
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] |
|
Re-Type Password*
[Max. 10 Characters] |
|
| Captcha |
![]() |
|
Error Connecting To Database,
Please Try Again Later |