APPLICATION FORM

SAHA INSTITUTE OF NUCLEAR PHYSICS, CALCUTTA

UNDERGRADUATE ASSOCIATESHIP IN PHYSICS/BIOPHYSICAL SCIENCES

Provide all known details (marks/grades and rank)

NAME:

ADDRESS:

ELECTRONIC ADDRESS:
CONTACT PHONE NUMBER:

PRESENT INSTITUTION:

COURSE OF STUDY:

INDICATE YOUR PREFERENCE:
(PHYSICS OR BIOPHYSICAL SCIENCES)

SECONDARY EXAM- 
BOARD:                    YEAR:       TOTAL MARKS(%):                   RANK:

HIGHER SECONDARY EXAM- 
BOARD:                    YEAR:       TOTAL     MARKS(%):               RANK:
                                      PHYSICS   MARKS(%):               
                                      CHEMISTRY MARKS(%):
                                      MATHS     MARKS(%):  
                                      BIOLOGY   MARKS(%):
            
COLLEGE ADMISSION TEST -        MARKS(%):               RANK:

IIT-JEE (MAIN) -                                        RANK:

NTS (NCERT):                                          QUALIFIED/NO
MATH OLYMPIAD (NATIONAL):                             QUALIFIED/NO
PHYSICS OLYMPIAD (NATIONAL):                          QUALIFIED/NO

OTHERS (PLEASE SPECIFY):

BRIEFLY STATE WHY ARE YOU INTERESTED IN PHYSICS/BIOPHYSICAL SCIENCES
(WITHIN 100 WORDS):


											SIGNATURE

Applications, including copies of supporting documents and a letter of recommendation, should reach the Undergraduate Associateship Programme in Physics/Biophysical Sciences,
Saha Institute of Nuclear Physics, 1/AF Bidhannagar, Kolkata- 700064 by September 7, 2011.