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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.
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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.
8/3/2019 Application Form 2010 Direct Selection
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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.
8/3/2019 Application Form 2010 Direct Selection
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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
8/3/2019 Application Form 2010 Direct Selection
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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
8/3/2019 Application Form 2010 Direct Selection
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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
8/3/2019 Application Form 2010 Direct Selection
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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 :
8/3/2019 Application Form 2010 Direct Selection
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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 :
8/3/2019 Application Form 2010 Direct Selection
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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/
MarksoxZ@Js.kh@ 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/CommercializationisVsaV@iathdj.k@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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