Application for Appointment of Research Staff/Faculty(Group A)

National Institute of Pharmaceutical Education and Research(NIPER) Ahmedabad

Opp. Airforce Station, Palaj, Gandhinagar -382355
Application form for Non Teaching Recruitment

Please complete the form below to apply for a position with us.

Enter Personal Detail
Upload Passport Size Photograph(Max Size 30 KB in JPG fromat)*

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Full Name*

First NameMiddle NameLast Name
Fathers/Husband's Name*

First NameMiddle NameLast Name
Marital Status *
Gender*
Address for Correspondence*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Permanent Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email Address*
example@example.com
Telephone(O)

Area CodePhone Number
Telephone(R)

Area CodePhone Number
Mobile Number (With Country Code)*
Birth Date(Age as on Date of Advertisement)*

MonthDayYear
Upload DOB Certificate(School LC or SSC Certificate,PDF max 70 KB)*

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Nationality

Enter Academic Record
Enter Academic Record starting with secondary education(Please attached self attested copy of certificates with hard copy form) *
Upload Academic certificates(PDF file Max Size 150 Kb, Multiple files allowed Max 15) *

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(For Deputation Position) Upload Advance copy of NOC (Prescribed Format) however at the time of interview candidate has to furnish the original documents, failing which candidate will not be permitted to attend the interview(PDF file Max Size 200 Kb, Multiple files allowed Max 15)

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Enter Employment Details(Particulars of your past position(s))
Enter Employment record in reverse chronology*
Upload Experience certificates(PDF file Max Size 70 Kb, Multiple files allowed Max 15) *

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Have you ever been discharged/suspended from any position? If yes Write the reasons

Name and Address of three References (at least one of them should be familiar with your recent work)
Refernce 1.
Name*

First NameLast Name
Occupation or Position*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Mobile Number*
Phone Number

Area CodePhone Number
E-mail*
Reference 2
Name*

First NameLast Name
Occupation or Position*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
Mobile Number*
Phone Number

Area CodePhone Number
Reference 3
Name*

First NameLast Name
Occupation or Position*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
Mobile Number*
Phone Number

Area CodePhone Number

Statement of Objectives
a. Please indicate as to why you wish to join NIPER-Ahmedabad

b. A short paragraph about how would you contribute in growth and devvelopment of Institute
Statement of Objectives*

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Form Preview and Submission
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National Institute of Pharmaceutical Education and Research(NIPER) Ahmedabad