Research and Training Form Final

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SPACE APPLICATIONS CENTRE, ISRO

Ahmedabad, Gujarat-380058

Application for Scientific Research and Training


(Website: www.sac.gov.in/Vyom/srtd/)

कृपया टाइप करें अथवा साफ अक्षर ों में लिखें


Please type or write in CAPITAL Letters

For Office Use only


Please paste recent
Application No. passport size photograph
duly attested by the Head
Date of Receipt of Institute

1. Personal Details

नाम Name श्री/सुश्री Mr./Ms.


जन्म लिलथ (लिलथ/माह/वर्ष)
Date of Birth (DD/MM/YYYY)

लिोंग Gender(Tick appropriately) पुरुर्/मलहिा Male / Female

Nationality (Indian/Foreign/Dual)

स्थायी पिा Permanent Address:

Communication Address

आधार कार्ष सों. Aadhar Card No.

फ न Phone No.

ईमे ि आईर्ी Email ID

2. Do you have any relative among the staff of SAC/ISRO (Yes/No)? ………………..
If yes, please give the following particulars:

__________________________ _________________________ _______________________


Name of the Relative Relationship with the Candidate Designation

Website: www.sac.gov.in/Vyom/srtd/
3. शैलक्षक अहष िा Education Qualification:

उत्तीर्ष ह ने
लवर्य यूलनवलसषटी, शहर िथा राज्य %/सीजीपीए/रैं क
पाठ्यक्रम का वर्ष %/CGPA/Rank
Specialization/ Thesis University/Institution with city
Course Year of if any
Title and state name
Passing
पीएच.र्ी PhD
स्नािक त्तर
Postgraduate
पू वष स्नािक
Undergraduate
4. Mention prior research experience (if any)

5. आपकी य ग्यिा/अनुभव Mention your core technical skills/competencies (Analytical etc.)

6. प्रस्तालवि अनुसोंधान का शीर्षक/Proposed Research Topic

7. Brief Description of Research

8. कायष अवलध…(10+ ……….. ) सप्ताह और कायषप्रारम्भ की लिलथ...../....../........


Research duration (10+ …….. )weeks with starting Date....../....../........

मुहर और दिनांक के सार्थ प्रभाग प्रधान/संस्र्थान/प्राचार्य की दसफाररश


अभ्यर्थी के हस्ताक्षर तर्था दिनाकं
Recommendation by Head of Department/Institution/Principal
Signature of the applicant with Date
with seal and date

9. Emergency Contact Details

आपदा की स्स्थलि में सोंपकष लकए जाने हे िु लवभाग-प्रधान/कायाष िय/पररवार का ई-मे ि एवों फ न
Contact E-mail & Phone of HOD / Office / Family in case of Emergency

Website: www.sac.gov.in/Vyom/srtd/
Instructions to the Candidate

 Candidate shall submit duly filled, signed and scanned PDF copy with name
ShortName_Degree_Subject_Duration_ProposedJoiningDate_UniversityShortName_UniversityCity.pdf of
this form to [email protected] with subject as YourShortName_SRTD_Application_MobileNo
A copy of email to Head of Institute/Placement office of institute, in case of submission
through e-mail. Incomplete form, in any aspect, shall be rejected.

Exp: Mail-subject should be like Arvind_SRTD_Application_9999999999


Exp: File-Name should be like Arvind_Mtech_Mech_20Weeks_10Aug2022_CSAU_Kanpur.pdf

 It is advised to submit your Application well in advance, typically 1 month prior to expected
date of start of training, to enable due processing of the application.

 Candidate shall carry following documents at the time of reporting.


- Passport size photograph (2 Nos.)
- Bonafide Certificate (Original and 1 Copy)
- University/Institute ID Card (2 Copies)
- Aadhar Card, if available (2 Copies)

Terms & Conditions


 SAC (ISRO) reserves the right to ask for original documents, for verification purpose only.

 No Fee is charged to the Candidate for Research/Training project.

 No stipend or any other form of monetary compensation is provided to the Candidate.

 Candidate shall not undertake any parallel assignment during the period of search/training
at SAC (ISRO).

 Candidate, during the research/training period, shall abide by extant policies and guidelines
of DOS/ISRO, as applicable.

 SAC (ISRO) reserves the right to terminate the research/training project, at any point, if the
candidate is found in violation of any of the rules and regulations of SAC (ISRO)

I hereby declare that all details furnished by me in this application are true, complete and
correct to the best of my knowledge and belief. I understand that in the event of any
information being found false, incomplete or incorrect, my candidature is liable to be
cancelled.

I have read above instructions and accept terms & conditions mentioned in this form.

दिनांक के सार्थ अभ्यर्थी के हस्ताक्षर


Signature of the applicant with date

Website: www.sac.gov.in/Vyom/srtd/

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