CHITTARANJAN NATIONAL CANCER INSTITUTE
Ministry of Health & Family Welfare Govt. of India Regional Cancer Center
Application form for NET-JRF (663/2023)
PERSONAL DETAILS
Name of the Candidate:
(in BLOCK CAPITAL)
*
Guardians’ Name
*
Address for communication
(in full)
Contact Number:
*
E-mail ID
*
Date of birth
*
Whether belonging to
*
-- Select any --
GEN
SC
ST
OBC
PWD
Academic qualifications
[+]
[-]
(Graduation/Post Graduation)/ other
Subject (Major)
Year
University / Institute
% Marks
1950
1951
1952
1953
1954
1955
1956
1957
1958
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1960
1961
1962
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2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
Whether NET-JRF exam qualified with valid score. Furnish details.
Faculty (Mention three choices)
List of enclosures
CV
*
Document of DOB
*
Publication (Pdf Only)
NET-JRF letter
*
Caste certificate (if any)
MSc marksheet
*
Photograph of the Candidate
*
I hereby declare that the statements given above are true and complete to the best of my knowledge and belief.
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