RA Online Application Form_BIRAC_2019-20
Ref. No: RES/DBT/EE/P0111/1819/0027
SmartWalk: Intelligent Sensor-fitted Shoes for Gait Monitoring and Rehabilitation in Neurological Disorders
First Name *
Your answer
Middle Name
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Last Name *
(Type in your First Name if there is no Last Name)
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Contact Details - Present Address
Line 1 *
Your answer
Line 2
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Land Mark *
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District *
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City/Town *
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State/Union Territory *
PIN Code *
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Mobile Number *
10 Digits (Avoid +91)
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Alternative Phone Number
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Email ID *
Please ensure that you have typed in the correct email ID.
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Confirm Email ID *
Enter your email ID here
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Skype ID
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Contact Details - Permanent Address
Line 1 (Permanent Address) *
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Line 2 (Permanent Address)
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Land Mark (Permanent Address) *
Your answer
District(Permanent Address) *
Your answer
City/Town *
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State/Union Territory *
PIN Code(Permanent Address) *
Your answer
Personal Details
Date of Birth *
(Select using the box)
MM
/
DD
/
YYYY
Category
Gender
Nationality
Academic Details
Class XII/Diploma
(You can fill either Percentage or CGPA/CPI as the case may be)
Exam *
Board *
Your answer
Year of Passing *
Your answer
Percentage
(Avoid percentage sign. Eg. If your scored 87%, enter 87)
Your answer
CGPA/CPI
Out of 10 (If you CGPA/CPI is out of some other number, convert it into out of 10 by direct division)
Your answer
Class *
Under Graduate
You can fill either Percentage or CGPA/CPI as the case may be.
Degree(UG) *
Specialization(UG) *
Your answer
Institute Name(UG) *
Your answer
University(UG) *
Your answer
Year of Passing(UG) *
Your answer
Percentage of Marks(UG) [Aggregate of all semesters]
(Avoid percentage sign. Eg. If your scored 87%, enter 87)
Your answer
CGPA/CPI (UG) [Aggregate of all semesters]
Out of 10 (If you CGPA/CPI is out of some other number, convert it into out of 10 by direct division)
Your answer
Class(UG) *
Post Graduate
You can fill either Percentage or CGPA/CPI as the case may be. The students in final year of their PG programmes must enter the information at the end of the pre-final year
Degree(PG)
Specialization(PG)
Your answer
Institute Name(PG)
Your answer
University(PG)
Your answer
Year of Passing(PG) *
Your answer
Percentage of Marks(PG) [Aggregate of all semesters]
(Avoid percentage sign. Eg. If your scored 87%, enter 87)
Your answer
CGPA/CPI (PG) [Aggregate of all semesters]
Out of 10 (If you CGPA/CPI is out of some other number, convert it into out of 10 by direct division)
Your answer
Class(PG)
PhD / MTech with three years of research experience *
Required
Status of PhD Degree
Specialization(PhD)/Title of the Thesis
Your answer
Institute Name(PhD)
Your answer
University(PhD)
Your answer
Year of PhD Award
Your answer
Paper published in SCI journal
Details of Any Research/Professional Experience or Publications
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Details of Any Past Employment
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Statement of Purpose *
Please write in less than 500 words the reason for your interest in applying to this JRF position. Statement of purpose will be evaluated and will be considered as one of the elements in shortlisting candidates for interview
Your answer
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