/ INDIAN INSTITUTE OF SCIENCE, BANGALORE
Application for Position of Librarian
Advertisement No. R1(A)308-1/2013

1. Name in Full:

2.Marital status: Married Single

Gender: Male Female

Pin code

3.Address:

Present

Email id: ______Mobile No. ______Fax No.______

Pin code

Permanent

4.Date of Birth: 5. Nationality:

6.Present Employment:

Designation
Organization
Date of Joining
PB,GP/Scale of pay
Present Pay
Total monthly emoluments

7.Category:SC ST OBC PH GN

(For SC/ST/PH/OBC- non creamy layer category pl. attach self attested copy of certificate.)

8.Educational Qualification (Starting with Matriculation):

(Attach a separate sheet if necessary)

Course / School/College/University/ Institution / Year of Joining / Year of Leaving / Percentage of marks / Class/ Division

9. Professional Training [ if any (not leading to a degree)]:

Name of Institution / Nature of Training / Year / Duration

10 (a).Nature of duties and accomplishments: (attach separate sheet to provide details)

Name and Address of Organization / Designation / Dates / Period (MM-YY) / Pay Scale/Last salary drawn / Nature of Duties
From / To

10 (b).Details of experience in the use and management ICT tools and applications for library services and management.

11. Additional information:

11 (a) Details of publication:

(i) Books

(ii) Articles

12.Awards (if any):

13.Membership of Professional Bodies.

14.National/International Committee work:

15.Names and Addresses of three Referees:

Name
Occupation or Position
Address
Phone No.
Mobile No.
E-mail
Fax No.

16.A brief write-up describing your understanding of the scope of work and your credentials to undertake the job and successfully accomplish it. In particular the write- up should cover the following aspects in detail:

(i) your understanding of the requirements of the job

(ii) how your qualifications, past experience and accomplishments qualify you

to meet the technical and administrative responsibilities of your job

(iii) specific contributions you propose to make to grow the library into a strategic

Information service and resource leveraging current technology trends.

I hereby declare that I have carefully read and understood all the instructions attached to the advertisement No.R(1A)308-1/2013 as available on IISc, Bangalore web site and that all entries in this form as well as the attachments are true to the best of my knowledge and belief.

Date : ______

Place : ______

(Signature of Applicant)

List of Attachments: (Please tick mark against attached documents)

Self attested photo copies of certificates/ testimonials in proof of

Y / N
Y / N
Y / N
Y / N
Y / N

(i)Date of Birth

(ii)Non-General Category

(iii)Qualification

(iv)Experience

(v)Through proper channel

Note: Incomplete and/ or erroneous application is likely to be summarily rejected. If any query is not applicable to you, please write NA against it.

The application with all relevant enclosures should reach on or before 12th July, 2013. Registrar, Indian Institute of Science, Bangalore-560 012, Karnataka