MPCST Opportunities

Phone : EPBX - (0755)2671610;12 Ext.-120 Fax : 0755 - 2671602; website www.mpcost.nic.in

Print generated form after submit and submitted back to us with required documents at the time of Interview

Application for JRF, RA, Computer Operator & Field Assistant

Note: All fields are mandatory

Post Applied for :

Name in Full :

Gender

Date Of Birth :

Place Of Birth :

Nationality

Domicile State :

Father's / Spouse Name :

Address for Correspondence :
(In block letters)

Permanent Address :

Telephone (With STD code) :

STD Code
Tel No.

Mobile :

E-Mail Address :

Specify Category :

Educational/Professional Qualification :

S.No.	Examination Passed	University / Board	Year of Passing/Award	Division/Grade	% of Marks	Subject Taken
1.	Ph. D
2.	M. Phil.
3.	Post Graduation
4.	Graduation
5.	HSSC(XII)
6.	High School/HSC (X)

* Percent conversion of grade should be specified and the proof of conversion factor should be shown at the time of interview

Qualification and Experience related to Remote Sensing & GIS.

S.No.	RS & GIS Course Passed/Experience gained	Institution / Organization	Duration of the Course	Year of Completion	Proficiency in ARC/GIS, ERDAS or any other RS&GIS Software
1.
2.
3.
4.

Details of Previous / Present Employment held, if any in Chronological Order Starting from Present Position Backwards.

S.No.	Name of the Employer with full address	Post held	Salary Drawn	Period of Service	Nature of Duties
1.
2.
3.
4.

If selected, minimum time required for joining the post:

Days

References (Minimum Two) Name, Designation, Institution Address, Tel./Mob. No. and Email id of Referees:

Reference (I)

Reference (II)

Any other relevant information.

Declaration:

I affirm that the information given in this application is true and correct. I also fully understand that if at any stage it is discovered that an attempt has been made by me to willfully conceal or misrepresent the facts, my candidature may be summarily rejected or my employment terminated.