CSIR-INDIAN INSTITUTE OF PETROLEUM
(COUNCIL OF SCIENTIFIC & INDUSTRIAL RESEARCH)
P.O IIP MOHKAMPUR, HARIDWAR ROAD
DEHRADUN (UTTARAKHAND)-248005
FORM OF APPLICATION FOR APPOINTMENT BY SELECTION
Candidates belonging to category other than SC are required to apply for JSA(Gen) post only. Otherwise their application will be rejected.
Post Code
Select Post Code
JSA
Post Applied For (1st Preference)
Select Post
Second Preference (Valid only for SC category)
Select
Junior Secretariat Assistant(General)
Junior Secretariat Assistant(Finance & Accounts)
Personal Details
Full Name
Gender
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Male
Female
Other
Father's Name
Spouse Name
DOB
Place of Birth
Marital Status
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Single
Married
Divorced
Judicially Separated
Correspondence Address
Permanent Address
Email
Mobile
Aadhar
Religion
Nationality
Citizen By
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By Birth
By Domicile
Enter Qualifications
Exam
Board
Year
% Marks
Subjects
Action
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Enter Experience
Organisation
Type of Org. (Govt/PSU/Autonomous/Private)
Post Held
Nature of Employment (temporary/regular)
From Date
To Date
Salary
Action
×
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Are you Ex-Serviceman?
No
Yes
Total Period of Service in Armed Forces (in years)
Are you permanent Govt/Autonomous Bodies/Semi Govt./PSU employee?
No
Yes
Details of the Organisation
State Belong To
-- Select State --
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chhattisgarh
Goa
Gujarat
Haryana
Himachal Pradesh
Jharkhand
Karnataka
Kerala
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
Andaman and Nicobar Islands
Chandigarh
Dadra and Nagar Haveli and Daman and Diu
Delhi
Jammu and Kashmir
Ladakh
Lakshadweep
Puducherry
Category
Select Category
General
SC
ST
OBC
Whether you belong to EWS category
No
Yes
PWD?
No
Yes
Type of Disability
Select Type
VH (Visually Handicapped)
OH (Orthopedically Handicapped)
HH (Hearing Handicapped)
Other
% of Disability
Any Blood Relative in CSIR Lab/Instt?
No
Yes
Details
Typing Test Medium
Select Medium
English
Hindi
Fee Submission Ref No
Submit Fee - SB Collect
Date of Application Fee
Uploads
SB Receipt (
Max Size 100 KB, only pdf allowed
)
Support Document (
Max Size 5 MB, only PDF allowed
)
Photograph (
Max Size 50 KB, only jpg, jpeg, png allowed
)
Signature (
Max Size 30 KB, only jpg, jpeg, png allowed
)
Declaration
Declaration
I hereby declare that the statements made in the application are true, complete and correct to the best of my knowledge and belief and in the event if any of the information found false or incorrect or any ineligibility detected at any stage of the selection/appointment, my candidature is liable to be cancelled and penal action as per law initiated against me.
Place
Full Name
Security Code (CAPTCHA)
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