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*

Application for the post*

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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*

Applying under: UR/SC/ST/OBC/EWS*

Are you Physically handicapped*

Address for communication with pin code

Door No*

Street/Area*

Village

Post

State*

City/District*

Pin code*

Communication Details

Mobile / Phone Number*

Email ID*

Educational Qualifications (Starting from the recent)*

Experience (Starting from the recent)

Details of ICMR Work Experience (To avail age relaxation)

Do you have work experience in ICMR?*

Total Year of Experience*

Are you currently working at ICMR-NIE, if yes please give details

Whether any relative is employed in ICMR, if Yes, please give details *

Publications

Books/Chapter

Projects

Awards

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.