INTEGRATED TEST RANGE, CHANDIPUR (Defence Research & Development Organization) Chandipur-756025 TH FORM FOR ADVT. IRD/AT) L. Advertisement No. : ITR/ARD/AT/04/2018, Self attested recent colour passport size photograph NATS User Id : 2. Post applied for 3. Name 4, Father's Name : 5. Nationality : 6, Date of Birth 7, Category (UR/SC/ST/OBC/PH) 8, E-mail address 9. Ph. No/Mob. No. : 10. Correspondence : Address 11, Permanent Address: 12, Educational Qualifications :( In chronological order) SLNo | Examination’ Board ‘Subject Year of [Class/ | % Marks Degree _ | passing | Division | or CGPA T 1 TH13. If you are related to any DRDO employee, please give details thereof: Name of the employee Designation Lab//Institute in ‘Your relation with the which working employee Tunderstand that the post applied for, by me is purely a temaporary one and hereby declare that the statements made and information furnished in the application are true, complete and correct to the best of my knowledge & belief. Date: (Signature of Candidate) ment