Central Silk Board, Bangalore has asserted a Notification to hire candidates for the post of Director. Apply here- http://recruitmentinbox.in/central-silk-board-recruitment/15857/

1. Central Silk Board Recruitment 2015-2016 Application Form Format
Affix your
latest passport
size
photograph
Application Form
(To be filled in by the candidate)
Post Applied for
Advertisement Number
1 Name of the candidate
(in Block Letters)
2 Sex Male / Female
3 Marital Status Married / Unmarried
4 Date of birth (Date-Month-Year)
5 Age as on closing date for receipt of
application
in India (Years/Months/Days)
6 Father’s Name
7 Designation of the candidate, if employed
8 Name of the Office/Institution/Organization,
if employed.
9 Present place of posting
10(a) Full postal address for correspondence with
pin Code
10(b) Permanent address
10(c) Contact details Mobile
No.
Tel.
No.
Fax No.
E-mail
ID
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2. 11 Are you a citizen of India by birth / domicile?
12 a) Category (SC/ST/OBC/General)
b) whether belongs to Minority Community? Yes / No
c) Whether belongs to Persons with Disabilities Yes / No
category,
If Yes, please indicate whether OH VH HH Percentage
d) Whether Departmental / Other Govt./ Departmental / Other Govt. / External
External
13 Have you ever been convicted by a court of
law for any offence? If so, give details thereof.
14 Have you ever been punished or debarred
from service of G ovt . or ot h e r
organizations.
If so, details thereof.
15 Whether any disciplinary case is pending
against you? Has any major/minor penalty
been imposed on you?
16 If s e l e c t e d , a r e y o u p r e p a r e d t o
accept the minimum initial pay offered?
If not, state the lowest initial pay that you
would accept.
17. Academic Qualifications
Level Degree Institute/ Year Subject(s) Fellowship/ Class/ Rank/
University with Scholar- Divi- Medal/
ship sion/ Award
major
Grade/
field
Marks
Graduation
Masters
Ph.D*
Post-Doc
Others
Title of Ph.D Thesis :
Note : Please enclose self-attested photocopies of (i) Date of Birth Certificate / Matriculation Marks Sheet
(ii) B.Sc. degree
(iii)M.Sc. / M.Phil. / Ph.D degree.
* Date of completion of Ph.D
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3. 18. Employment Record & Experience in Relevant Field
i (a) Employment Record (Starting from the present position)
Designa- Pay Nature of Organization Place of Period Actual
tion Scale/ Work posting (From-To) Duration
Pay (Years &
Band Months)
with
Grade
Pay
(b) Training attended in the relevant field of specialization in India/abroad
Title Duration Institution Year
(i) TRAINING
IN INDIA
(ii) TRAINING
ABORAD

4. (d) Experience in Relevant Field/Contributions
Details of 5 most significant contributions (in bullet form) relating to the relevant field
of specialization (MAXIMUM 200 WORDS) .
ii. Service in Remote Areas
Designation Name of the Institution and Location Period Duration
(From - To) (Years,Of the remote Area
Months)

5. iii. Recognitions & Awards/Special Attainments &
Achievements of Practical Importance
(a) Recognitions
Items of Recognition Year Organization Individual/ Collaborative
(National/International,
Institutional/Professional
Society/Academy)
(b) Awards
Items of Awards Year Awarding Organization Individual/ Collaborative
(National/International,
Institutional/Professional
Society/Academy)
(c)Special Attainments & Achievements of Practical Importance
(i) patents Commercialized
Category Title Year Individual/ Additional Details/Information
Collaborative
(ii) Technologies, Varieties, products, concepts, methodologies etc.
Category Title Year Individual/ Additional Details/Information
Collaborative
iv. Symposia/Conference etc.
Name of the Function(s) Title Year Duration
programme organized/ performed
attended

6. v. International Recognitions
Country Type of Recognition Year Duration
19. Publications including papers in refereed journals:
(a) Publications – International(Indicate only 20 best publications
Authors Year Title with full reference* Journal
with
volume &
page
number
(b) Publications – National(Indicate only 20 best publications
*Publications will not be considered if references (information furnished above) are incomplete

7. (c ) Other Publications
Item Year Details Publisher Pages
i) Books Published
Books Authored
ii) Books Edited
iii) Book Chapters/Manuals
iv) Conference Proceeding Papers, Popular Articles, Bulletins, Short Communications,
Research Notes, Abstracts

8. 20. Institution Building
Item Details of Activity Level of Involvement
a) Infrastructure
& Farm
Development
b)Laboratory
Development
c) Structural
changes in
research and
management
d) Administration
and financial
reforms
e) Others
21. Any other specific information in support of outstanding contribution if not
covered earlier. (Do not attach annexure or supporting documents)
I hereby declare that the statements made in the application are true
Date :
Place : Candidate’s Signature

9. Certificate of Verification by the Employer
1.The entries made in the application of Dr. .................................................................................. who has
applied for the post of Director under Central Silk Board have b een ve rified and are co rre ct.
2.There is no vigilance / disciplinary case pending against him / her.
3.Details of the Minor / Major penalties imposed during the last ten years, if any (furnish details).
4.Certified that the work and conduct of Dr. .................................................................................. is above
average for the last five years.
The gist of APAR / ACR gradings / ratings for the preceding five years is as follows:-
Year →
Grading/Rating by Reporting Officer →
Grading/Rating by Reviewing Officer →
Office File/Ref No.
Signature
Name
Designation with office seal
Office Seal Date
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