Clinical Research Centre for Neuromodulation in Psychiatry - Application Summary Form
Go through the notification in NIMHANS website in detail before filling this form.
It is mandatory to email the full application along with copy of the relevant documents as a single pdf to neuromodulation.crc@gmail.com,  along with filling of this form.
Fill separate forms if you are applying for more than one position.
Email *
Position applied for: *
NAME *
DATE OF BIRTH *
MM
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DD
/
YYYY
GENDER *
ELIGIBLE QUALIFICATION *
QUALIFICATION(S) [Specify Post Graduation Degree(s)] *
Work Experience (Enlist the requisite experiences with duration as per the notification for the position you are applying) *
CONTACT NUMBER *
CONTACT ADDRESS *
ALTERNATE EMAIL ID *
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