TEA RESEARCH ASSOCIATION
TOCKLAI TEA RESEARCH INSTITUTE
JORHAT-785 008, ASSAM, INDIA
Ph.-91-376-2360467/ 2360974 / 2360475 Fax: 91-376-2360474, e-mail: director@tocklai.net, Web: www.tocklai.org
Application Form for Sr. Project Fellow / Jr. Project Fellow/ Project Assistant
Project Name: “Evaluation of “MAK ADJUVOL”as an adjuvant with recommended pesticides in tea (Phase II)” funded by Bharat Petroleum Corporation Limited.
1 Applying for Post Sl. No
2. Position Applying for :
3. Name(Dr./Mr./Mrs./Ms.) :
4. Date of Birth
5. Age as on 1st July 2023 :
6. Address for Correspondence
7. Contact No. (Mobile)
8. Email
Please affix a selfattested recent passport size colour photograph
Office: Tea Research Association,
Park Street , Kolkata -
016 , INDIA Ph : 91-033-22291815,
Fax
Registered
113
700
22297943,
: 91-033-22294271, Web : www.tocklai.org
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Degree University Year of Passing Subject Percentage/GPA Ph.D
11 Qualifications:
M.Sc./M.Tech B.Sc./ B.Tech Diploma
TEA RESEARCH ASSOCIATION
TOCKLAI TEA RESEARCH INSTITUTE
JORHAT-785 008, ASSAM, INDIA
Ph.-91-376-2360467/ 2360974 / 2360475 Fax: 91-376-2360474, e-mail: director@tocklai.net, Web: www.tocklai.org
11. CSIR-UGCNET including LS/DBT JRF/ ICMRJRF/ICAR-NET (year; roll no.,rank)
12. GATE (year; registration no.; valid score; rank)
13. Experience, if any(Attach relevant certificate/details)
14. Number of publications in SCI journals, if any (attach photocopy of first page)
Please state whether you are employed at present:
Yes/No
If yes, then give details of Employer with full Address and produce No Objection Certificate
Additional information, if any:
Declaration: The information given above by me are true to the best of my knowledge and belief. If any information and/or document is being found false, my candidature/services, if selected, may be terminated without any notice.
Signature of Applicant
Dated:
Registered Office: Tea Research Association, 113 Park Street , Kolkata - 700 016 , INDIA Ph : 91-033-22291815, 22297943, Fax : 91-033-22294271, Web :
12th 10th
www.tocklai.org
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