EPTRI

Online Application Form

Post Applied for *

Candidate Name *

Father's Name *

Date of Birth

Place of birth *

Marital Status *

Gender* *

Nationality* *

Category* *

Languages Known Rate 1-Least to 5-Fully Proficient

Language Name	Understand Spoken	Speak	Read	Write

Email *

Mobile Number

Address*

Have you ever been convicted by a Court of Law? Is there any legal case filed against you in a Court of Law? If yes, provide details. Or else, write "No"*

Are you related to any body currently employed in EPTRI? If yes, give the name of employee and nature of relationship (i.e., parent, child, sibling, cousin, uncle, aunt, nephew or niece, of self or of spouse) Or else, write "No"*

Education Qualifications

Qualification	Discipline/ Specialisation	University/ College	Year of passing	Percentage

Software Skills*

Awards and Honours (if any)

Experience

Organization	Designation	Period	Field of Work Experience	Salary Drawn	Reason of Leaving

Brief details of experience, skills, expertise, you have acquired up to now (attach extra sheets if required)

Area of Interest

Publications

Copies of Testimonials upload Zip (if any)

References (with telephone numbers)

Any other Information

Declaration

I here by declare that all the information furnished above is true to the best of my knowledge.

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(Signature)

Online Application Form

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