Other Details

Other Activities / Reponsibilities(if any not more than 500 words)
Options should not be left blank. Please select the option.
Have you ever been punished for Gender / Caste related offences or convicted by a court of law? If yes, give details.
No Yes
Were you at any time declared medically unfit or asked to submit your resignation or discharged or dismissed? If yes, give details
No Yes
Do you have any criminal case pending against you in a court of law? If yes, give details.
No Yes
Two References familiar with your academic work
Sl.No. Full Name Institutional Affiliation (Present/Former) Designation Address Mobile / Phone No. Email