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  • 8/3/2019 Application Form 2010 Direct Selection

    1/21

    f"koSKkfudp;ueaMy

    f"kvuqla/kku Hkou&I]iwlk]ubZfnYyh&110012

    AGRICULTURALSCIENTISTS RECRUITMENTBOARDKRISHI ANUSANDHAN BHAVAN-I, PUSA, NEW DELHI-110012

    Application Form 2010 for Direct Selectionlh/kh HkrhZ ds fy, vkonu i= & 2010p;u }kjk fu;qfDr dsfy, izR;kf'k;ks gsrq vuns'k

    1-izR;k'kh dks Hkkjrh; ukxfjd gksukpkfg,A

    2-vkosnu i= lfpo] d`f"koSKkfud p;u eaMy lsvuqjks/kdjds izkIr fd, tk ldrs gSaA izR;k'khvkosnu i= rFkkvU; lacaf/krlwpuk Hkkjrh;df"kvuqla/kkuifj"kn rFkk f"koSKkfudp;ueaMy dhosclkbVls HkhMkmuyksMdjldrs gSa tks fd dzek%

    www.icar.org.inrFkk www.asrb.org.ingSaA

    3- tks O;fDrLFkk;h ;k vLFkk;h:ils lsokljdkjh] xSj&ljdkjh ;k izkbosVesagSamUgsavkosnu 'kqYd

    lfgrvkosnudh,dvfxze izfrlfpo]df"koSKkfud p;u eaMydkslh/ksHkstuhpkfg, rksvafrefrfFk ;k mlls igys igqapuh vko';d gSAvkosnu dh vafre frfFkds cknizkIr vkosnuijfdlh HkhfLFkfr esafopkjugha fd;k tk,xkAewydk;kZy; }kjk vxzsf"kr ewy vkosnui= vafre frfFk ds,di[kokM+s ds vanj eaMy esa igqap

    tkuk pkfg,A

    4-,d in ds fy, izR;kf'k;ksadks vkosnu dh dsoy,dizfr lfpo] d`f"k oSKkfud p;u eaMy]iwlk] ubZ fnYyh&110012 dks Hkstuh g S AblvkosnudslkFk izR;kkh dks dsoy mu nLrkostksa

    dh Lo izekf.kr izfr;ksa dks gh layXu djuk gSftudk mYys[k foKkiu esa fd;k x;k gS A

    d) vkosnu 'kqYd ds:i esavkosnu dslkFk lfpo] df"koSKkfudp;ueaMy]ubZfnYyh

    ds i{k es a 500-00 #i;s dk js[kkafdr fMekaM MkV 6eghusdsfy,oS/k]ftldsihNs dh vksjizR;k'kh dkuke vkSj irkfy[kk gks tks fd fnYyh@ubZ fnYyh esa ns; gks Hkstk tk, A

    [k)vuqlwfprtkfr@vuq-tutkfr dsizR;kf'k;ksadksdksbZ'kqYd nsu s dh vko';drk ughagS] ysfdu mUg s a l{ke izk f/kdkjh@fudk; lsizkIr tkfr izek.k&i= dh Lo izekf.kr izfr vo';layXudjuh gksxhA

    x)'kS{kf.kd;ksX;rkvksalslacaf/krizek.ki=@mikf/k;ksadh

    lR;kfir izfr;kaA

    Instructions to candidates forappointment by selection

    1. The candidate must be a citizen of India.

    2. Application form can be supplied on request

    to Secretary, Agricultural Scientists Recruitment

    Board (ASRB). The candidates can also

    download the application form and other related

    information from the ICAR & ASRBs websites

    which are respectively www.icar.org.in and

    www.asrb.org.in .

    3. Persons already in service

    (Government/Quasi Government or private),

    permanent or temporary, must submit an advance

    copy of the application along with the application

    fee direct to the Secretary, ASRB so as to reach on

    or before the closing date. In no case the

    application received after the closing date will be

    considered. The original application duly

    forwarded by the parent office must reach the

    Board within a fortnight after the closing date.

    4. For one post, the candidates should send

    only one application, addressed to the

    Secretary, ASRB, Pusa, New Delhi 110 012. The

    candidates need to attach only those documents with the

    application whose specific mention has been made in the

    the advertisement.

    a) With the application, a crossed Demand Draft

    of Rs. 500/- (valid for six months, with name

    and address of the candidate on its back) maybe drawn in favour of the Secretary, ASRB , New

    Delhi payable at Delhi/New Delhi may

    be sent as application fee.

    b) SC/ST candidates need not pay any fee, but

    they must attach self attested copy of caste

    certificate issued by the competent

    authority/body.

    c) Attested copies of certificates/degrees in

    support of educational qualifications.

  • 8/3/2019 Application Form 2010 Direct Selection

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    ?k )izR;kf'k;ksa dks lykg nh tkrh gS] fdogvkosnu&i= dk izR;sd dkWye Hkkxd vkSj[k mi;qDr:ils HkjsaA v/kwjk Hkjk gqvkvkosnu&i= fujLr dj fn;k tk,xkA

    fVIi.kh% i) foKkiudhfrfFkdsizdk'kulsiwoZvkSjvkosnu&i= izkIrgksus dh vafre frfFkds ckn ds

    fMekaMMkVLohdkj ugha fd, tk,axsA

    ii)dsoyrhu ekg dsfy, oS/kfMekaMMkVLohdkjughafd, tk,axsA

    iii)fu/kkZfjr'kqYdds fcuk vkosnu&i=Lohdkjughafd, tk,axsA'kqYd fdlh Hkhdkj.ko'kokfilugha fd;k tk,xkA

    iv) Hkkjr lsckgj dsizR;kf'k;ksadksvkosnu&i= izkIrgksus dh vafre frfFk ;k mlls iwoZ 20

    vejhdhMkyjdk varjjk"Vh; kWLM fMekaM MkVHkstus dh O;oLFkk djuh gksxhA

    v) izR;kkh dks vkosnudslkFk dsoy munLrkostksadh Lo izekf.kr izfr;ks a dks gh layXu djuk gSftudk mYys[k foKkiu esa fd;k x;k gS AgkykW afd ] lk{kkRdkj ds le; p;u lfefr@ lk{kkRdkj eaMy vuqHkolaca/khizek.k&i=] izdk'ku ,oamldh lwfp;ka]iqjLdkjizek.k&i=]fo'ks"k miyfC/k;ks a@;ksX;rkvksa ds izek.k vkfnn s[k ldrh g S A

    vi)p;ulfefr ds lnL;ksa dh tkudkjhdsfy,lk{kkRdkj ds le; vkosnu&i=ds Hkkx&[kdh vkB@nl izfr;ka izLrqrdjuh gksaxhA

    5. d`f"koSKkfud p;ueaMy dks dksbZ HkhflQkfj'k ugha dh tkuh pkfg,A fdlh Hkh

    :iesavuq;kpudjus ij mEehnokjdks v;ksX; ?kksf"kr fd;k tk ldrkgSA6-lsokjr izR;kf'k;ksa dksdksbZ;kk&HkRrk@nSfud&HkRrk ugha

    fn;k tk,xkA gkykaW afd] mu vkosndksa@izR;kf k;ksa dks tks fd lsokjr ugha gSa] dks lcls de nwjh ds ekxZ ls dh xbZ ;k=k dk f}rh; Js.kh (;uizHkkj lfgr)rd jsy fdjk;k ;k okfLrfod O;;] tksde gks] fn;k tk;sxk A

    d) Candidates are advised to fill each and every

    column (Part A & B) of the application form

    appropriately. Incomplete applications are

    liable to be rejected.

    Note: i) Demand Drafts obtained before the date

    of publication of advertisement and after the

    closing date for receipt of the application in the

    Board will not be accepted.ii) Demand Drafts valid only for three months will

    not be accepted.

    iii) Applications not accompanied by the prescribed

    fee will not be considered. The fee will not be

    refunded under any circumstances.

    iv) Candidates applying from outside India should

    arrange to send International Crossed Demand

    Draft for US $20 on or before the closing date for

    receipt of applications.

    v) The cand ida tes need to a t tach se l f

    a t t e s t e d c o p i e s o f o n l y t h o s e

    c e r t i f i c a t e s w h o s e s p e c i f i c

    m e n t i o n h a s b e e n m a d e i n t h e

    advertisement. However, at the time of

    interview, the Selection

    Committee/Interview Board may like to

    see the Certificates of experience,

    publications and their list, award certificates,

    proof of special attainments etc.

    vi) Eight/Ten copies of Part-B of the application formshould be produced at the time of interviewfor appraisal by the selection committeemembers.

    5. No recommendations should be forwarded to

    ASRB. Canvassing in any form will disqualify a

    candidate.

    6. No TA/DA will be paid to 'In-Service' candidates.However, to the candidates who are not inservice, TA/DA shall be reimbursed to the extentof second class railway fare (including sleepercharges) by the shortest route or the actual fare,whichever is less.

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    7-izR;k'kh dks LoLFk gksuk pkfg,A mls fpfdRlktkap ds fy, rS;kjjguk gksxk vkSjlacaf/krfpfdRlkizkf/kdkjhdks larq"V djuk gksxkA

    8- d-oS-p-ea-izR;k'khdks fdlh fo'ks"k in ds fy,mldh ik=rk dsckjsesadksbZijke'kZugha nsldrkgSAizR;k'kh Lo;a;gfu.kZ; ysafd osfu/kkZfjr;ksX;rkvksadsvuq:i fdlh in dsik= gSa vFkok ughavkSj D;k mUgsa mlfo'ks"k in ds fy,vkosnu djuk pkfg,A

    9- Hkkjrh; d`f"k vuqla/kku ifj"kn (Hkk- d`-v- i-),d Lok;k'kklh laxBu gSA

    ifj"kndh lsok esadk;Zjr vf/kdkfj;ksads ekeysesa NqV~Vhdh Lohd`fr] osru] vfxze] ;k=krFkkvU; HkRrs o vU;lsok 'krs Z ale;ij Hkk-d`-v-i-@Hkkjrljdkj}kjktkjhfu;eksa

    vkSjvkns'kks ads vuqlkjykxw gksrs gSaA

    10-df"k oSKkfud p;u eaMy }kjk foKkfirHkfrZ;ksa ds vkos nu ds laca/k esa lHkh

    i=&O;ogkjlfpo] d`f"koSKkfud p;u eaMy]dScI,iwlk]ubZfnYyh&110012ls fd;k tkukpkfg, vkSjmlesa fuEufyf[kr fooj.k fn;ktkuk pkfg, %

    d foKkiu la[;k rFkk en la0[k vkosfnr in dkuke

    x vkosnd dk uke o vkosnu&i=esa mfYyf[kr i=kpkj ds fy, irkA

    ftl i=kpkj e mijkDr fooj.k ugha gksxsml ij /;ku ugha fn;k tk,xkA

    11-vkosnu&i= dsHkkx&d vkSj Hkkx&[k nksuksa esafu/kkZfjr LFkkuksaijizR;k'khds gLrk{kj rkjh[k vkSjLFkkulfgr vfuok;Z:ils gksuspkfg,A d`-oS-p-

    ea-fdlh HkhfLFkfr esa xSj&gLrk{kfjr vkosnu&i=ijfopkjughadjsxkA

    12-izR;sd inds fy, vyx vkosnu vkSjvyx vko snu 'kqYd vnk djuk gksxkAnksvyx-vyx inksads fy, vkosnui=ksadks,dlkFk uRFkh djds ughaHkstkukpkfg,A

    7. A candidate must be in sound health. He/she

    must be prepared to undergo such medical

    examination and satisfy such medical authority

    as required.

    8. ASRB cannot advise candidates as to their

    eligibility for any particular post. It is for the

    candidates themselves to judge whether they

    satisfy the prescribed requirements, and whether

    it is worthwhile to apply.

    9. Indian Council of Agricultural Research (ICAR) is

    an autonomous organization. The grant of leave,

    pay, advance traveling and other allowances, and

    other service conditions, of officers and

    establishments in the service of the Council are

    regulated in accordance with the relevant

    rules/instructions issued the ICAR/Government of

    India from time to time.

    10. All communications, in respect of applications

    for recruitment against the posts advertised by the

    ASRB, should be addressed to the Secretary,

    Agricultural Scientists Recruitment Board, KAB I,

    Pusa, New Delhi -110012, and should contain the

    following particulars:

    A. Advertisement no. and Item no.

    B. Name of the post applied for.

    C. Applicants name and address for

    correspondence as given in the

    application form.

    Communications not giving these

    particulars are liable to be ignored

    11. Signatures (with date and place) of the

    candidate are essentially required at appropriate

    places in both Part- A and Part-B of the

    Application Form. The ASRB in anycircumstances will not consider unsigned

    application.

    12. A separate application with separate

    application fee is required for each post.

    Applications for two different posts should

    not be tagged together.

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    13-vkosnu&i= esa fdlh Hkh izdkjdh xyrlwpuk nsusijbl izdkj dh xyrlwpuk ds fy, izR;k'kh dks mRrjnk;h ekuktk;sxk vkSj,sls izR;k'kh ds fo#) mfprvko';d dkjZokbZ dh tk,xhA

    14- vkosnu ds ewY;kadu o vkosnd@izR;kkh }kjk vkosnu ds lkFk Hksts x,

    fooj.k@nLrkostksa ds vk/kkj ij fdlhvkosnd@izR;kkh dh ;ksX;rk ;k vU;Fkk ds laca/k essa eaMy( d`- oS- p- ea-)fu.kZ;vafre gksxk rFkk eaMy bl laca/k esavlQy vkosndksa@izR;kfk;ksa ls i=kpkjugha djsxk A

    vkosnu&i= ds Hkkx&[k dk sHkjus l lacaf/kr vuns'kd- Hkkx&[k Hkjusdsfy, izR;kf'k;ksa dks ijke'kZ

    fn;ktkrk gS fd os in ls lacf/kr LdksjdkMZ o ^^izR;kf'k;ksa ds fy, lwpuk** dks/;ku ls ius dhvko';drk gSA

    [k-Hkkx&[kesaof.kZrizR;sd ekun.Mdsfy, vadksa dh

    dq N Hkkfjrk nh xbZ gS A LhfuaxdesVhewY;kadu gsrqvkosnuksa dhtkapdjsxhAvr% izR;kf'k;ksadksfunsZ'kfn;ktkrk gS fd leLr lwpukvklkuhls i

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    df"koSKkfud p;u eaMydf"k vuqla/kku Hkou-I] iwlk] ubZ fnYyh&110012

    AGRICULTURAL SCIENTISTS RECRUITMENT BOARDKRISHI ANUSANDHAN BHAVAN-I, PUSA, NEW DELHI 110012

    Certificate of Verification by the Employer *fu;ksDrk }kjk tkp izek.ki=*

    1. The entries made in the application of Dr./Sh./Smt./Km. .................................................................................... for

    the post of .........................................................................................have been verified and are correct.

    MkW-@Jh@Jherh@dqekjh ............................................................................ ds ...................................................

    ................................................................ inds vkosnu&i= esamfYyf[kr fooj.k tkp fy;s x;s gSa vkSj lgh gaSA

    2. There are no circumstances rendering him/her unsuitable for appointment to the post applied for.

    ,slhdksbZ ifjfLFkfr ugha gS tksmUgsa vkosfnr inij fu;qfDr ds fy, v;ksX; Bgjkrh gksA

    3. There is no vigilance/disciplinary case pending against him/her.

    buds fo#) dksbZ HkhlrdZrk@vuq'kklu laca/kh ekeyk yfEcrughajgk gSA

    4. Details of the Minor/Major penalties imposed during the last ten years, if any, are enclosed.

    fiNys nl o"kks ds nkSjku yx s cM+k@y?kq naM ] ;fn dksbZ yxk g k s ] d h t k ud k j h ]rks layXu gSA

    5. Certified that the work and conduct of Dr./Shri/Smt./Ms................................................................................... isabove average for the last five years.

    izekf.kr fd;k tkrk gS fd fiNys ikp o"kks ds nkSjku Mk-@Jh@Jherh@dqekjh------------------------------------------------------ -------------------------------------- dkdk;ZrFkkO;ogkjvkSlrls ijjgkgSA

    The gist of AAR/ACR gradings/ratings for the last five years is as follows:-fiNys ikWap o"kksdh ,-,-vkj-@,-lh-vkj- xzsfMax@fu/kkZj.k uhps nh xbZ gS %

    Yearo"kZ

    Grading/Rating by Reporting Officerizfrosnu vf/kdkjh dh xzsfMax@fu/kkZj.k

    Grading/Rating by Reviewing OfficeriqufoZyksdu vf/kdkjh dh xzsfMax@fu/kkZj.k

    Office File Ref No. ................................................. Signature gLrk{kjdk;kZy; Qkbyla-

    Name uke

    Designation with office seal

    Dk;kZy; dh eskgjlfgr inuke

    Office Seal dk;kZy; dh eksgj Date fnukad

    __--------------------------------------------------------------------------------------------------------* 1. In-service candidate should get the above endorsement signed by his/her present Forwarding Authority.

    tks izR;k'kh lsokjr gSa mUgsa mijksDr i"Bkadu vius orZeku vxzs"k.k izkf/kdkjh ls gLrk{kfjr djokuk pkfg,A

    2. Those applying under 'Alternate Qualification' should bring duly endorsed 'No Objection Certificate' (NOC) from theirpresent employer.tks ^oSdfYid ;ksX;rk* ds varZxr vkosnudj jgs gSa os orZeku fu;ksDrk ls ^vukifk izek.ki=* ,uvkslh fof/kori"Bkafdrdjok ds yk;saA

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    df"koSKkfud p;u eaMydf"k vuqla/kku Hkou-I , iwlk] ubZ fnYyh&110012

    AGRICULTURAL SCIENTISTS RECRUITMENT BOARDKRISHI ANUSANDHAN BHAVAN-I, PUSA, NEW DELHI 110012

    Please affix your latest

    passport size self attested

    photograph

    di;k viuk uohureikliksVZ vkdkj dkLolR;kfir QksVksXZxzkkQ yxk,a

    Application Form 2010 for Direct Selectionlh/kh HkrhZ ds fy, vkonu i= & 2010To be filled in by the candidate

    iz R ; k k h }kjk Hkjk tk,Post applied for vkosfnrin

    Advertisement No. foKkiula-

    Item No. enla-

    Demand Draft No. & Date of

    IssuefMekaM MkV dhla-vkSj fnukad

    Name of the Issuing Banktkjh djusokys cSad dkuke

    Amount of fee remittedtek dhxbZ 'kqYd dhjk'kh

    (Name & signature of the candidates)

    izR;k'kh dk uke o gLrk{kj

    For Official Use Onlyds oy dk;kZy;ds mi;ksxds fy,

    Date of receipt of the application vkosnu izkIr gksus dhrkjh[k :

    Checked by tkapdrkZ Dealing Assistantlacaf/krlgk;d Section Officer vuqHkkxvf/kdkjh

    Remarks, if any fVIi.kh] ;fn dksbZ gS A

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    d f" k oSKkfud p;u ea M y PART-Ad f "k vuqla/kku H k o uI , iwlk] u bZ fnYyh&110012

    AGRICULTURAL SCIENTISTS RECRUITMENT BOARD

    KRISHI ANUSANDHAN BHAWAN-I, PUSA, NEW DELHI-110012

    PART-A OF APPLICATION FORM (TO BE FILLED IN DUPLICATE)

    vkosnu&i= dk QkeZ&d izR;kkh}kjk MqIyhdsV esa Hkjktk,

    1 Name of the candidate (in Block Letters) First name-middle name-

    Surname.iwjkuke (cM s + v{kjksaesa izFkeuke&e/; uke&miuke

    2 Sex (1 for Male, 2 for Female)fyax (iq#"kds fy, 1 o efgyk dsfy, 2)

    3 Date of birth (Day-Month-Year)tUe&frfFk (fnu-ekg-o"k@Z)

    4 Age as on closing date in India (Years/Months/Days)

    vkosnu izkfIr dh vafre frfFkij vk;q (o"k@Z ekg@fnu)

    5 Fathers Name firk dk uke

    6 Designation of the candidate where employedizR;k'kh dk inuke tgka ogdk;Zjr gS

    7 Name of the Institution/Organization where employedizR;k'khtgka dk;Zjr gS] mllaLFkku@laxBudkuke

    8 Actual place of postingokLrfod rSukrh LFky9 Full postal address for correspondence with pin code

    fiu dksM lfgr i=kpkj dk iwjkirk

    10 Permanent address LFkk;hirk

    11 Contact details : Telephone with area code and Mobile No., Fax

    No. with area code and e-mail IDlEidZ fooj.k% di;k { k s = dksM lfgr VsyhQksu ua- ]eksckby ua-] QSDl ua- vkSj bZ&esy vkbZMh nsa A

    Mobile No.eksckby ua-

    Tel. No. VsyhQksuua-

    Fax No. QSDlua-

    E-mail IDbZ&esyvkbZMh

    12 Do you belong to Agricultural Research Service (ARS) of ICAR?

    If so, state the discipline. D;k vki Hkk-d-v-i- dh d`f"k oSKkfudlsok ,vkj,l esa gSa\

    13 Are you a citizen of India by birth/domicile? D;k vki tUels@vf/koklh:ils Hkkjrdsukxfjd gSa

    14 Community (SC/ST/OBC/General)leqnk; vuq-tkfr@v-t-tk-@v-fi-oxZ@lkekU; A

    15 Have you ever been convicted by a court of law for any offence? If

    so, details thereof. D;k vkidksdHkh fdlh vijk/kds fy, fdlhvnkyr ls dksbZltkgqbZgS\ ;fn gka]rks mldkfooj.k nsaA

    16 Have you ever been punished or debarred from service of Govt. or

    other organizations/ICAR etc.? If so, details thereof.

    D;k vkidks dHkh ljdkjh lsok] vU; laxBu] Hkk-d`-v-i-vkfn ls nafMr fd;k x;k vFkok v;ksX; ?kksf"kr fd;k x;k gS\

    ;fn gka] rks mldk fooj.k nsaA

    17Whether any disciplinary case is pending against you? If anymajor/minor penalty has been imposed on you? D;k vkids

    fo#) dksbZ vuq'kklfud dkjZokbZyafcr gS\ D;k fiNysnlo"kks esa dksbZ y?kq@nh?kZ naM vkids ij yxk;k

    18 Indicate, if you possess (a) Essential and (b) Desirably

    Qualifications. crk,a fd d D;k vki vfuok;Z rFkk [kokafNr ;ksX;rk j[krsgSa\

    19 If selected, are you prepared to accept the minimum initial pay

    offered? If not, state the lowest pay that you would accept.pqustkusijD;k vki vkWQj fd, tkus okys U;wure vkjafHkdosru dksLohdkj djusdsfy, rS;kjgSa\ ;fn ugha] rkscrk,afd de ls de fdruk vkjafHkdosru Lohdkjdjsaxs\

    Signature of the candidate izR;k'kh ds gLrk{kj% :Date and Place fnukad vkj LFkku :

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    d f" k oSKkfud p;u ea M y PART-Ad f "k vuqla/kku H k o uI , iwlk] u bZ fnYyh&110012

    AGRICULTURAL SCIENTISTS RECRUITMENT BOARD

    KRISHI ANUSANDHAN BHAWAN-I, PUSA, NEW DELHI-110012

    PART-A OF APPLICATION FORM (TO BE FILLED IN DUPLICATE)

    vkosnu&i= dk QkeZ&d izR;kkh}kjk MqIyhdsV esa Hkjktk,

    1 Name of the candidate (in Block Letters) First name-middle name-

    Surname.iwjkuke (cM s + v{kjksaesa izFkeuke&e/; uke&miuke

    2 Sex (1 for Male, 2 for Female)fyax (iq#"kds fy, 1 o efgyk dsfy, 2)

    3 Date of birth (Day-Month-Year)tUe&frfFk (fnu-ekg-o"k@Z)

    4 Age as on closing date in India (Years/Months/Days)

    vkosnu izkfIr dh vafre frfFkij vk;q (o"k@Z ekg@fnu)

    5 Fathers Name

    6 Designation of the candidate where employedizR;k'kh dk inuke tgka ogdk;Zjr gS

    7 Name of the Institution/Organization where employedizR;k'khtgka dk;Zjr gS] mllaLFkku@laxBudkuke

    8 Actual place of postingokLrfod rSukrh LFky9 Full postal address for correspondence with pin code

    fiu dksM lfgr i=kpkj dk iwjkirk

    10 Permanent address LFkk;hirk

    11 Contact details : Telephone with area code and Mobile No., Fax No.

    with area code and e-mail IDlEidZ fooj.k% di;k { k s = dksM lfgr VsyhQksu ua- ]eksckby ua-] QSDl ua- vkSj bZ&esy vkbZMh nsa A

    Mobile No.eksckby ua-

    Tel. No. VsyhQksuua-

    Fax No. QSDlua-

    E-mail IDbZ&esyvkbZMh

    12 Do you belong to Agricultural Research Service (ARS) of ICAR? If

    so, state the discipline.D;k vki Hkk-d-v-i- dh d`f"k oSKkfudlsok,vkj,l esa gSa\

    13 Are you a citizen of India by birth/domicile? D;k vki tUels@vf/koklh:ils Hkkjrdsukxfjd gSa

    14 Community (SC/ST/OBC/General)leqnk; vuq-tkfr@v-t-tk-@v-fi-oxZ@lkekU; A

    15 Have you ever been convicted by a court of law for any offence? If

    so, details thereof. D;k vkidksdHkh fdlh vijk/k ds fy, fdlhvnkyr ls dksbZltkgqbZgS\ ;fn gka]rks mldkfooj.k nsaA

    16 Have you ever been punished or debarred from service of Govt. or

    other organizations/ICAR etc.? If so, details thereof. D;k vkidks dHkh ljdkjh lsok] vU; laxBu] Hkk-d`-v-i-vkfn ls nafMr fd;k x;k vFkok v;ksX; ?kksf"kr fd;k x;k gS\

    ;fn gka] rks mldk fooj.k nsaA

    17 Whether any disciplinary case is pending against you? If any

    major/minor penalty has been imposed on you? D;k vkids fo#)dksbZ vuq'kklfud dkjZokbZyafcr gS\ D;k fiNysnl o"kks esa dksbZy?kq@nh?kZ naM vkids ij yxk;k

    18 Indicate, if you possess (a) Essential and (b) Desirably

    Qualifications. crk,a fd d D;k vki vfuok;Z rFkk [kokafNr ;ksX;rk j[krs gSa\

    19 If selected, are you prepared to accept the minimum initial pay

    offered? If not, state the lowest pay that you would accept.pqustkusijD;k vkivkWQj fd, tkus okysU;wure vkjafHkdosrudks Lohdkj djus dsfy, rS;kjgSa\ ;fn ugha] rks crk,afd de lsde fdruk vkjafHkdosru Lohdkjdjsaxs\

    Signature of the candidate izR;k'kh ds gLrk{kj% :Date and Place fnukad vkj LFkku :

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    d f" k oSKkfud p;u e M y PART-Bd f "k vuqla/kku H k o u-I] iwlk] u bZ fnYyh&110012

    AGRICULTURAL SCIENTISTS RECRUITMENT BOARD

    KRISHI ANUSANDHAN BHAWAN-I, PUSA, NEW DELHI-110012

    Please affix your latest

    passport size self attested

    photograph

    di;k viuk uohureikliksVZ vkdkj dkLolR;kfir QksVksXZxzkkQ yxk,a

    PART-B OF APPLICATION FORMvkosnu&i= dk H k k x & [ kName uke Date of Birth

    (Date/Month/Year)tUefrfFk (fnukad@ekg@o"kZ )

    Designation

    inuke

    Age as on Closing date in

    India [Year/Month(s)/Day(s)]H k k j r es vkonu iz k f I r dh vfre fr fF ijvk; q (o"k@ ekg@fnu)

    Present Pay Scale/Band,

    Gross SalaryorZekuosrueku] ewyosru]ldyosru

    Post applied forvkosfnr in

    Advt. No.foKkiula-

    Item No. en la-

    A. Academic Qualifications d- 'kS{kf.kd ;ksX;rkLevel

    LrjDegree

    fMxzhInstitute/

    UniversitylaLFkk@fo'ofo|ky;

    Yearo"kZ

    Subject(s)

    with

    major

    field {ks=lfgrfo"k;

    Fellow-

    ship/

    Scholar-

    shipv/;srkofk@ Nk=ofk

    Class/

    Division/

    Grade/

    [email protected]@ xzsM@vad

    Rank/

    Medal/

    AwardjSad@ind@iqjLdkj

    GraduationLukrd

    MastersLukrdkskj

    * Ph.Dih,p-Mh-

    Post-DociksLV MkWDVjsV

    OthervU;

    * Date of Registration of Ph.D ih-,p-Mh- ds iathdj.k dh frfFk

    * Date of Viva-voce/completion of Ph.D ekSf[kd ijh{kk@ih-,p-Mh- iwjh gksus dh frfFk

    Note : Please enclose self-attested photocopies of (i) Date of Birth Certificate (ii) M.Sc./M.E./M.Tech./Ph.D degreefVIi.kh% i;k 1- tUe&frfFk ds izek.k( 2- ,e-,llh-@,ebZ@,e-VSd fMxzh rFkk 3- ih,p-Mh- fMxzh dhLo% izekf.kr QksVks izfr;ka layXu djsaA

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    B. Employment Record & Experience (Starting from the present

    position) [k- jktxkj f j d k M Z rFkk v u q Hko o r Zek u in l v k j a Hk djs Designationinuke

    Pay Scale/Pay

    Bandosrueku@osrucaSM

    Nature of

    workdk;Z dhizdfr

    OrganizationlaxBu

    Institution &

    Place of postinglaLFkk@dk;Z dkLFky

    Period

    (From-To)vof/kls&rd

    * Duration

    (Year &

    Months)* vof/ko"kZ]ekg

    Note uksV : (1) While filling entries for this attribute, the candidates should give details about the servicerendered in a regular capacity only, and not about the service rendered in officiating capacity or in

    temporary capacity or as In charge. bl , dh ;kW a Hkjrs le; vkosndksa@izR;kfk;ksa dks muds }kjk dh xbZ

    fu;fer lsok dh tkudkjh gh nsuh gS ] vkSj LFkkukiUu ;k vLFkk;h {kerk esa ;k bapktZ ds rkSj dh xbZ lsok dh tkudkjh ugha ns uh A

    (2)Post-Doctoral work experience may also be included. iksLV&MkWDVjsV dk;kZuqHko dks Hkh lfEefyr fd;k tkukpkfg,A

    Consolidated duration of different positions in the following pay scale or equivalent scalefuEu os rueku ;k lerqY; osrueku esa fofHkUu inksa ij dk;Z djus dh dqy vof/k A

    From ls To rd

    Post-Doctorate ikLV-MkDVjVRs. 8,000-13500 (Pre-revised)8]000 #i;s & 13]500 #i;s iwoZ la'kksf/kr

    Rs.12,000-18,300 (Pre-revised)12]000 #i;s & 18]300 #i;s iwoZ la'kksf/kr

    Rs.16,400-20,000 (Pre-revised)16]400 #i;s & 20]000 #i;s iwoZ la'kksf/kr

    Rs.16,400-22,400 (Pre-revised)16]400 #i;s & 22]400 #i;s iwoZ la'kksf/kr

    Rs.25,000 Fixed (Pre-revised)25]000 #i;s fu/kkZfjr iwoZ la'kksf/kr

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    C. Service in relevant fieild x-lEc) {ks= esa vuqHko

    Research papers in the relevant field of specialization (Mention total number & serial

    numbers as mentioned in publication list) fo'ks"kKrk dslEc) {ks= esa vuqla/kku i= izdk'ku lwph esamfYyf[krfooj.k ds vuq lkj dqyla[;kvkSj -la- nsa

    Training(s) attended in the relevant field of specialization (Mention Title, Duration,

    Institution, location etc.) fo'ks"kKrk dslEc) {ks= esa izkIr izf'k{k.k 'kh"kZd] vof/k] laLFkku] LFkku vkfn crk,a

    Title'kh"k Zd

    Durationvof/k

    InstitutionlaLFkk

    Yearo"kZ

    Documents published in the relevant field of specialization (Thesis, Books, Synopsis,Reports, Compendium, Monographs etc.) fo'ks"kKrk ds lEc) {ks+= esa izdkf'kr nLrkost fFkfll] iqLrdsa] fjiksVs]dEisafM;e] eksuksxzkQ vkfn

    Title'kh"kZd

    Pagesi`"B

    Publisherizdk'kd

    Yearo"kZ

    Significant contributions related to the relevant field of specialization of the post

    advertised (Patents, technologies, varieties etc.) foKkfir in dh fo'ks"kKrk ds lEc) {ks= esa mYys[kuh;;ksxnku isVsaV] izkS|ksfxfd;ka] fdLesa vkfn

    Title'kh"kZd

    Details of

    Patent/Registration/[email protected]@O;olk;hdj.k dk fooj.k

    Yearo"kZ

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    Leadership initiatives for Research Management Positions (To be filled up by the

    candidates for RMP posts) vuqla/kku izca/k inksa ds fy, usrRo igy dsoy vkj,eih inksa ds izR;kf'k;ksa }kjk Hkjk tkuk gSExperience related to the post advertised

    (Designation) foKkfirinlslacaf/kr vuqHko inuke

    Durationvof/k

    Institution/OrganizationlaLFkk@laxBu

    Linkages establishedLFkkfir lEidZ

    Numberla[;k

    States/National/InternationaljkT;@jk"Vh;@varjjk"Vh;

    R & D Initiatives related to WTO/IPR etc.MCy;wVhvks@vkbZihvkj ls lacaf/kr vuqla/kku o fodkl igy

    Numberla[;k

    Projects/Technologies etc.ifj;kstuk,a@izk|ksfxfd;ka

    Initiation of Multi-disciplinary networking

    programmes cgq&fo"k;h usVofdZax dk;Zeksa dh igy

    Numberla[;k

    Outcomeifj.kke

    Funds attracted (Mention details)

    iz kIr fuf/k;ka fooj.knsa

    Lakh Rs.

    yk[k #-

    Contribution to growth in

    allocation vkcaVuof) esa ;ksxnku

    Services in SAUs, Central Institutes etc.

    (Mention programme details) jkT; f"kfo'ofo|ky;ks a] dsUnzh; laLFkkuks a vkfn esa lsok dk;Ze fooj.kn sa

    Funds

    fuf/k;kaSAUs & Organizations

    jkT; f"k fo'ofo|ky; vkSjlaxBu

    Bringing institutional and personal recognitionlaLFkk ds fy, rFkk O;fDrxr lEeku

    No. of

    AwardsiqjLdkjksa

    dhla[;k

    Detailsfooj.k

    D. Service in Remote Areas/Regional Centres?k- lqnwjorhZ {ks=ksa@{ks=h; dsUnzksa esa lsokDesignationinuke

    Name and Location ukerFkk fLFkfr Period (From- To)vof/k ls&rd

    Duration

    (Years, Months)vof/k o"kZ]ekg

    Remote ArealqnwjorhZ {ks=

    Regional Centre{ks=h; dsUnz

    E. In-service Awards/Recognition M- lsokdkyhu iqjLdkj@lEekuName of the Award/

    Recognition/Reviewerikfjrksf"kd@iqjLdkj@igpku@ iqufuZjh{kddk uke

    Awarding

    Organization

    (Place/Country)iqjLdkj nsus okyh laLFkkLFkku@ns'k

    Yearo"kZ

    National/International,

    Institutional/Profession

    al Societyjk"Vh;@varjjk"Vh;@laLFkkxr@O;kolkf;d lkslk;Vh

    Individual/coll-

    aborativeO;fDrxr@lg;ksxkRed

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    F. Teaching/Research /Extension/Monitoring and Research Co-

    ordination p- f'k{k.k@vuqla/kku@foLrkj@fuxjkuh ,oa vuqla/kku leUo;uIdentify one primary and one secondary area of work ,d izkFkfed vkSj,d xkS.k dk;Z {ks= dh igpku djsa

    Area of Workdk;Z dk {ks=

    Specify one primary and / or one secondary area

    ,d izkFkfed vkSj@vFkok,d xkS.k {ks=fof'k"V:ilscrk,a

    % of timeyxk, x,le;dk izfrkr %

    Teaching f'k{k.k

    Research vuqla/kku

    Extension foLrkj

    Monitoring and ResearchCo-ordination

    fuxjkuh ,oa vuqla/kkuleUo;u

    Research vuqla/kku

    Projects handled (Mention the type of projects such as Institutional, Sponsored, Contractual andConsultancy) ifj;kstuk,aifj;kstukvksadk izdkjcrk,a] tSls *laLFkkxr^] ^izk;ksftr^] *Bsds ij^ rFkk ^ijke'khZ Type of project

    ifj;kstukdkizdkj

    Details such as Title,PI/Co-PI, Allocation, etc.fooj.k] ;Fkk 'kh"kZd] ihvkbZ@dks&ihvkbZ]

    vkoaVuvkfn

    Duration

    vof/kAccomplishments

    miyfC/k;kaInitiation /

    Formulationigy@lw=.k

    Individual /CollaborativeO;fDrxr@lg;ksxk

    Red

    Teaching f'k{k.k

    Itemen Detailsfooj.k Year (s)o"kZ Individual / CollaborativeO;fDrxr@lg;ksxkRedCourses taughti

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    Involvement in Participatory Technology Development Hkkxhnkjh izkS|ksfxdh fodkl esa ;ksxnku

    Details of technology packagesizkS|ksfxdh iSdstksa d fooj.k

    Year(s)o"kZ

    AccomplishmentsmiyfC/k;ka

    National /International Research Assignments jk"Vh;@va rjk"Vh; vuqla/kku dk;Z

    Detailsfooj.k

    Year(s)o"kZ

    AccomplishmentsmiyfC/k;ka

    Individual/CollaborativeO;fDrxr@lg;ksxkRed

    Extension foLrkjPopularization of new technologies ubZ izkS|ksfxfd;ksa dk yksdfiz;dj.k

    Title of technology

    izkS|ksfxdh dk'kh"kZdMethods adopted

    viukbZ xbZ fof/k;kaImpact

    assessment

    izHkko ewY;kadu

    Individual / Collaborative

    O;fDrxr@lg;ksxkRed

    Innovation of newextension technologyubZ izlkjizkS|ksfxfd;ksa dkuohuhdj.k

    Collaborative extension programmes lg;ksxkRed foLrkj dk;Ze

    Trainings conducted (Title)vk;ksftrizf'k{k.k 'kh"kZd

    Year

    o"kZDuration

    vof/kNo. of beneficiaries

    ykHkizkIrdrkZvksa dh la[;kCo-ordinator/ associated

    leUo;d@lg;ksxh

    Note: Same course taught/training conducted/extension activities performed may be shown at one place

    only and number of repetitions may be shows in brackets. fVIi.kh% ,d gh izdkj ds i

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    Monitoring and Research Co-ordination fuxjkuh ,oavuqla/kkuleUo;uProject Management and Co-ordination ifj;kstuk izca/ku ,oaleUo;u

    Project Titleifj;kstuk 'kh"kZd

    Nature of Management/Co-ordinationizca/ku@leUo;udhizfr

    Project Monitoring ifj;kstuk fuxjkuhTargets vis--vis achievementsy{; cukemiyfC/k;ka

    Nature of Management/Co-ordination izca/ku@leUo;udhizfr

    Project Titleifj;kstuk 'kh"kZd

    Physical

    HkkSfrdScientific

    oSKkfudFiscal

    jktfoRrh;

    Preparation of Review Reports, Proceedings etc. (Mention authors, title, year ofpublication, name of publisher and page number)

    leh{kk fjiksVsZa@dk;Zok vkfn rS;kj djuk ys[ku] 'kh"kZd] izdk'kudko"kZ] izdk'kddkuke vkSj i"B la- nsaDetails

    fooj.kIndividual / Collaborative

    O;fDrxr@lg;ksxkRed

    Participation in Institutional activities la LFkkxr xfrfof/k;ksa esa Hkkxhnkjh

    Type of activity xfrfof/k dkizdkj Nature of participation Hkkxhnkjh dhizfr

    Innovation in monitoring & Coordinationfuxjkuh vkSj leUo;u esaubZ[kkst

    New methods introducedykxw dhxbZ ubZ fof/k;ka

    Nature of ParticipationHkkxhnkjh dhizfr

    Any other relevant contributionsnot covered elsewhere

    dksbZ vU; izklafxd;ksxnku]ftldk fooj.kdgha vU;= u gks

    Detailsfooj.k

    Nature of participationHkkxhnkjh dhizfr

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    G. Special Attainments N- fof'k"V miyfC/k;kCategoryJs.kh

    Title'kh"k Zd

    Yearo"kZ

    Detailsfooj.k

    Individual/CollaborativeO;fDrxr@lg;ksxkRed iz;kl

    Additional InformationvfrfjDr tkudkjh

    H. Externally Funded Projects t- ckg~; foRrh; lgk;rk izkIr ifj;kstuk,aPl. or Co-Pl/Associated Scientistiz/kku vUos"kd@lg-

    iz-v-@lEc) oSKkfud

    Title of Project (s)ifj;kstukvksa dk 'kh"kZd

    Yearo"kZ

    Amountjkf'k

    Funding agencyfoRrh; lgk;rknsus okyh,tsalh

    I. Organization of Winter School/Summer School/ RefresherCourse/Seminar/Symposium

    >- 'kjndkyhu@xzh"edkyhu@iqu'p;kZ ikB~;e@lsfeukj@flEiksft+;e dk vk;kstuName of theprogramme organizedizk;ksftrdk;Ze dk uke

    Level of participationHkkxhnkjh dkLrj

    Title'kh"kZd

    Yearo"kZ

    Durationvof/k

    Funding agencyfoRrh; lgk;rknsus okyh,tsalh

    J. International Exposure - vaarjkZ"Vh; vuqHkoCountry

    ns'kPurpose/Subject title

    mn~ns';@fo"k; 'kh"kZdYear

    o"kZDurationvof/k

    Funding agencyfoRrh; lgk;rknsus okyh,tsalh

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    K. Publications Refereed Articles(Indicate only 10 best for Senior Scientist; 20 best for Principal Scientist, HOD, PC & NC and25 best for senior level RMP positions)

    V- izdk'ku& lanfHkZr ys[kofj"BoSKkfud in ds fy, loZJs"B 10] iz/kkuoSKkfud]laHkkxk/;{k] {ks=h; dsUnzds v/;{k] ifj;kstuk leUo;d rFkkjk"Vh; leUo;d dsfy, loZJs"B 20] rFkkofj"B Lrj ds vkj-,e-ih- inksa ds fy, loZJs"B 25

    Authorsys[kd

    Yearo"kZ

    Title'kh"kZd

    JournaltuZy

    NAAS Journal ID,u,,,l tuZyvkbZMh

    L. Other Publications B- vU; izdk'kuItemen

    Yearo"kZ

    Detailsfooj.k

    Publisherizdk'kd

    Pages No.i"B la-

    Books published izdkf'kriqLrdsaAuthored fy[kh xbZ

    Edited laikfnr

    Book Chapters /Manuals iq Lrd v/;k;@eSuqvy~l

    Conference proceeding papers, Popular articles, Bulletins, Short communicationslEesyu dk;Zok i=] yksdfiz; ys[k] cqysfVu] laf{kIrlapkjo`k

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    M. Institution Building Activities M- laLFkk fuekZ.k laca/kh f;kdyki

    Level of InvolvementHkkxhnkjh dkLrj

    N. Inter-Institutional Projects

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    **Any other post(s) applied in this Advertisement, if any

    ** bl foKkiu esa izdkf'kr vU; in] ;fn dksbZ gS] ftuds fy, vkosnu fd;k gSS. Noela-

    Name of the postin dkuke

    Advt. No. /Item No.foKkiu la-@enla-

    I hereby declare that the statements made in that application (Part-A & Part-B) are true.

    eS ,rn }kjk ?kk sf"kr djrk@djrh gw fd bl vkosnu i= Hk k x& d v k Sj Hkkx&[k es fn;k x;k fooj.k lgh gSA

    Date and Place Candidates Signature

    rkjh[krFkkLFkku izR;k'kh dsgLrk{kj

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