Given names (as on passport)

Surname (as on passport)

Gender
MaleFemale

Date of Birth

Father's Name

Mother's Name

Your Email-id

Your Telephone Number

Address for correspondence

Permanent/Home address with Telephone number

Do you have Criminal convictions?
NoYes

Passport Number

Passport Issue Date

Passport Expiry Date

Place of Passport Issue

Current or Most Recent University

Your current Degree Level

Title of your degree with specialization

Year of completion

Academic honors / distinctions/ prizes/ research grants/Scholarships

Publications- Please list up to 10 publications, including titles of any theses submitted. For publications, please give the names and initials of allauthors. Authors’ names should be followed by the year of publication, article title, journal title, volume number, and first and last page numbers. References to books should give the names of any editors, place of publication, editor, and year. If the publication or its abstract is available on the World Wide Web, include the web address

Work experiences (Please mention Name of employer, Country, Duration, Title and major responsibilities)

Please list up to 5 professional qualifications obtained; an example is Membership of the Institute of Mechanical Engineers.

Voluntary activity - please list up to 4 examples of charitable/voluntary or public activity undertaken (Please mention Name of organization, Duration and Activities/Achievements)

If you have worked on a research project, either for your first degree or subsequently, please describe your work below; your account should be intelligible to anyone who is not a specialist in your field. Kindly detail benefits of your project to society and common people. If you have no such research experience, leave this space blank. (max. 150 words)

List of patents

Have you worked on any multilateral projects?
NoneIndo-USAIndo-UKIndo-GermanIndo-EuropeIndo-AustraliaIndo-ASEANOther

Have you taken English language test?
NoneIELTSTOEFL

If yes; score

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