Translational Health Science and Technology Institute

Recruitment Form

Clinical Development Services Agency

An extramural unit of THSTI, Institute of Dept. of Biotechnology, Ministry of Science and Technology, Govt. of India

RN No.

Post Applied For

PERSONAL DETAILS

Fields marked with an asterisk (*) are mandatory, i.e., you will not be able to submit your application without entering details in these fields

Full Name*

Father's Name*

Mother's Name*

Date of Birth*

Age (auto-calculated)*

Gender*

Male Female Other

Category*

SC ST OBC GEN EWS

Person with disability?*

No Yes

Ex-Servicemen?*

No Yes

Nationality*

Indian Other

Address for Correspondence *

Is your permanent address same as your correspondence address?

No Yes

Permanent Address*

Email*

Mobile*

Alternate Contact Number*

Academic Details (Beginning from Secondary School certificate)*

Name of the Examination Passed	Year of Passing	Name of the Degree/Subjects	Board / University	Aggregate Percentage (Round Off)	CGPA	Division

Work Experience

Do you have any relevant work experience? *

No Yes

Please Note: Enter the details of last 3 similar or relevant roles/ positions you have held in the past. In addition, the resume being submitted must have the details of your total work experience.

Period of Employment		Total Experience	Designation	Name of the Organisation	Salary Per Month(INR)
From	To	Total Experience	Designation	Name of the Organisation	Grade Pay (if any)	Gross Pay

Total Work Experience*

Have you applied for a position in CDSA, in the past one year?* No Yes

Name of Project*

Position *

Were you shortlisted? *

No Yes

Did you appear for an interview?*

No Yes

Have you held a position within CDSA in the past?* No Yes

Date of appointment*

Date of relieving*

Reason for leaving *

Do you have any near relative/friend working in CDSA. If so, please state?* No Yes

Name of the person(s)*	Designation*	Relationship with the candidate*

Please upload the following documents to complete your application *

Recent passport-sized (photograph) *

Attachments (.jpg/.jpeg file only and Size less than 1 MB)

Upload Resume*