NGRI

Application Form

Course Name
Seismological Data Analysis and its Applications [January 04-16, 2021]
Groundwater Exploration Techniques (GET) [January 19-30, 2021]
Name of the Participant
Father/Husband's Name
Date of Birth
Age
Gender Male Female Transgender
Category General OBC SC ST
Nationality
Designation/Present Status
Area of Research/Interest

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How this training program will affect your scientific carrier

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Mailing Address
Email id
Mobile Number +91

Educational Qualifications (Graduation Onwards)

Course College/University Subject % of marks Year of Study

Experience

Employer Name Date of Joining Date of Leaving Post Held

Any training program attended at NGRI
(if Yes, Please provide the details) 		Yes NO
Any other relevant information

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Category of Participation (Please tick)
Diploma Graduate Student Master's Student
Ph.D. Student Faculty Industry
Accommodation required at the time of training program
( please see the applicable charges) 		Yes No
Please Select Latest Passport Photgraph, Pl check this space before submitting Application(PHOTO Maximum Size should be 50 KB)
Pl check this space before submitting Application(SIGNATURE Maximum Size should be 20 KB)
Upload Certificates:

Certificates to be uploaded:
(in the order of whichever is applicable)		 (as a single PDF file not more than 15 MB)

1. Proof of age
2. A copy of last examination passed
3. ID & Address proof
4. No objection certificate from Institute/employer
I hereby declare that, all the particulars made in the application are true to the best of my knowledge and belief. In the event of any information being found false at any stage, my candidature is liable to be rejected.
For Further Details

Dr. A.R. Bansal, Principal Scientist, Ph: 040-27012332 I e-mail: skills@ngri.res.in
Mr. T. Hema Sundar, TA, Ph: 040-27012317, Email: hrd@ngri.res.in

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