ICMR-NATIONAL INSTITUTE OF EPIDEMIOLOGY
Second Main Road, TNHB, Ayapakkam, Chennai – 600 077
Note: Use Google chorme, Mozila Firefox, Internet Explore/Edge for submit the application
*
Details of Project / Post
Project
*
Select
ICMR Centre for Outbreak Science ICOS
Application for the post
*
Select
Advertisement No
Last Date of application
Personal Information
First Name
*
Father’s/Mother's/Last Name
*
Date of birth
*
Age as on closing date of application
*
Gender
*
Select
Male
Female
TG
Applying under: UR/SC/ST/OBC/EWS
*
Are you Physically handicapped
*
Select
Yes
No
Address for communication with pin code
Door No
*
Street/Area
*
Village
Post
State
*
Select
Andhra Pradesh
Arunachal Pradesh
Andaman and Nicobar Islands
Assam
Bihar
Chandigarh
Chhattisgarh
Daman & Diu
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jharkhand
Jammu & Kashmir
Karnataka
Kerala
Ladakh
Lakshadweep
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Punjab
Puducherry
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttarakhand
Uttar Pradesh
West Bengal
City/District
*
Pin code
*
Communication Details
Mobile / Phone Number
*
Email ID
*
Educational Qualifications (Starting from the recent)
*
Experience (Starting from the recent)
Select
Govt
Private
ICMR
Details of ICMR Work Experience (To avail age relaxation)
Do you have work experience in ICMR?
*
Select
Yes
No
Total Year of Experience
*
Are you currently working at ICMR-NIE, if yes please give details
NOC
Yes
No
Whether any relative is employed in ICMR, if Yes, please give details
*
Select
Yes
No
Publications
Select
First author
Co-author
Corresponding author
Books/Chapter
Select
Author
Editor
Other
Projects
Select
PI
Co-PI
Co-Investigator
Awards
Select
National
International
Others
Any other information
Documents to be uploaded
Photo
*
( jpg only & File size should be < 250kb )
Document for Age proof
*
( pdf only & File size should be < 250kb )
Community certificate
( pdf only & File size should be < 250kb )
Document for Physically handicapped
( pdf only & File size should be < 250kb )
Academic degrees certificates
*
( pdf only & File size should be < 400kb )
Experience certificates
( pdf only & File size should be < 400kb )
Upload NOC (For ICMR-NIE Candidates only: pdf only & File size should be < 100kb)
Candidate Signature
*
( jgp only & File size should be < 50kb )
*
*
*
I hereby declare that the information furnished above is true, complete and correct to the best of my knowledge and belief. I understand that in the event of any of the information provided by me are found false or incorrect at any stage, my candidature / appointment shall be liable for cancellation / termination without notice or any compensation in lieu thereof.
Submit Application