Punjab Biotechnology Incubator: Application For The Post of

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Punjab Biotechnology Incubator

SCO: 7&8, Phase-V, SAS Nagar (Mohali),


rectt.pbti@gmail.com
(PROFORMA-I)
Application for the post of _____________________________
(Hard copy to be submitted)
To be filled in by the candidate For Office use

Advt.No. & date __________ & Particulars of application fee (Rs.)____ Application
________ _________
Latest
S. No: Passport
size
Photograph
Post applied for ________________ Demand Draft No:___________
Date of receipt:
Date :________________
_________
Category (General / Reserved): Name of the Issuing bank :
__________________________
_____________________
(in case of reserve, please specify) Branch____ _________________

1. Name (IN BLOCK LETTERS) :

2. Father’s Name :

3. Date of Birth :

4. Age as on last date of application i.e. 29.03.2019 :


yy……mm……..dd……….

5. (a) Postal Address :

(b) Permanent Address :

6. Phone No. / Mobile No :

7. e-mail address :

8. Educational / Professional Qualifications :


(starting from higher to lower)

Page 1 of 3
Exam Year of Duration College Board Major Total Marks %age
Passed Passing / /Univ. Subject Marks Obtained Marks
institute
From To

09. Any additional qualification :


(Enclose a separate sheet, if the space is insufficient)
10. Total Experience: :
Give detailed experience in
Annexure-I
11. Any other achievements :

12. Give names, designations and :


complete addresses and contact
nos. of two References who are
familiar with your work & conduct

13. Self attested copies of the following documents should be attached with the application :

1) Matriculation Certificate (for age proof) ;


2) Certificate of Qualifying Degree along with mark sheets ;
3) Certificates of other qualifications, if any ;
4) Certificates in proof of experience clearly indicating the length and line of experience as per
eligibility conditions ;
5) Category certificate, if applicable;
6) DD for Rs. 500/- (for each post, if applied for more than one post) for UR applicants in original.
(Applicant are required to mention the name & post applied for on back side of DD)
7) Any other

DECLARATION:
I affirm that information given in this application is true and correct to the best of my knowledge
and belief. I also fully understand that if at any stage it is discovered that any attempt has been
made by me to willfully conceal or misrepresent the facts, my candidature may summarily be
rejected or employment terminated.

Date :
Place:

Signatures of the applicant

Page 2 of 3
Annexure-I
Details of Experience

Name of Post Applied For: _________________________________

Name of Applicant: _________________________________________

S. Name of the Organization Designation with Duration Detailed Nature of Experience


No. pay scales / From To Total Years /
consolidated Months
salary

Total Experience

__________________
(Signatures of the applicant)
Page 3 of 3
PROFORMA-II
Summarized details of application for the post of ______________________________
(Soft copy to be submitted in word format at rectt.pbti@gmail.com)

Sr. Name, Address Date of Category Qualification (Starting from higher to lower till Experience
No and Birth (General/ Graduation level)
Contact no. SC/ST/
Mobile / e-mail OBC / any
address Of the other) Degree Year of %age / College / Board / Name of Period Detailed
candidate Passing CGPA / Institute University organization Nature of
OGPA From To Experience

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