APPENDIX ‘A’
DEFENCE INSTITUTE OF ADVANCED TECHNOLOGY
(DEEMED TO BE UNIVERSITY U/S 3 OF UGC ACT, 1956)
(Defence Research & Development Organisation, Ministry of Defence, Govt. Of India)
Girinagar, Pune-411025
APPLICATION FOR ENGAGEMENT AS _________________________ UNDER SPONSORED PROJECT
PASTE HERE
Discipline applied for-_______________________________ Post: _________ A SIGNED
COPY OF
1. Name in full ___________________________________________________________________ YOUR RECENT
(as in qualifying degree certificate) PASS-PORT
SIZE
2. Address PHOTOGRAPH
________________________________________________________________________________________
City ________________________ State ___________________________ Pin
3. Email : ________________________________________________________ 4.
Mobile________________________
5. Phone No. ___________--________________ 6. Marital Status 7. Sex (M/F/TG)
STD Code
8. Date of Birth 9 . Caste :
(as in School leaving certificate)
______________
Gen/SC/ST/OBC(NCL)
10. What are you doing currently:
___________________________________________________________________________-
______________
11. Details of academic record (Please attach separate sheets if necessary):
Exam/ Degree Branch/ Subject University/ Month & Year % of Relative rank
Institute Marks in class*
X
XII
Bachelors
Year 1 SEM 1
SEM 2
Year 2 SEM 3
SEM 4
Year 3 SEM 5
SEM 6
Year 4 SEM 7
SEM 8
Masters
Year 1 SEM 1
SEM 2
Year 2 SEM 3
SEM 4
Any other
Qualifica-
tions
* Please clearly mention the relative rank in class/division/college/university (if any) . eg. 5 th in 89 students, 1st in
university,3rd in state as of the date of application. If you have not received result till date of application, please
mention as result awaited.
Contd…2/-
-2-
12. Research / Professional Experience in reverse chronological order (Attach separate sheet with details,
if required)
Name & Location of Period Nature of duties/ Title of Dissertation/Area
University/Institute/Industry/ Position held Name of of Research
Laboratory Supervisor
13. Additional Information (Attach separate sheet with details, if required)
a. Ranks/Scores/Awards obtained in university or national level exam such as CSIR, UGC, GATE :
b. Papers presented at seminar & conferences (attach copies if any) :
c. Projects carried out (if any, other than required for academic program) :
d. Participation/recognition in competition, such as NTSE, Olympiad, Design Contests :
e. Any other special recognition/information such as knowledge of special tools/ techniques/skills :
14. Any other information: -
15. Declaration by the Applicant:
a. I certify that the information given above is correct and I am aware that providing incorrect information
in the application form may result in the cancellation of the selection.
b. If I accept the above Fellowship, I undertake to abide by the rules and regulations of the Institute.
Date : Signature of Applicant :
Place : (Name of Applicant)
