Nominee Application Form PDF Details

Navigating through the process of becoming a nominee for the Institutional Animal Ethics Committees (IAECs) under the Committee for the Purpose of Control and Supervision of Experiments on Animals (CPCSEA) involves a comprehensive understanding and completion of the Nominee Application Form. This form serves as a key document, compiling necessary personal information such as the applicant's name, gender, date of birth, qualifications, professional background, and contact details, including telephone, fax, mobile, and email addresses. It also requires the applicants to detail their experiences in animal welfare activities and associations with animal welfare organizations. More than just a formality, the application includes a declaration where the applicant acknowledges their understanding of the duties and rules governing their potential role as a CPCSEA nominee. They must commit to acting in accordance with CPCSEA regulations, refrain from using the CPCSEA name for personal advantage or misrepresentation, and protect confidential information. The final step of the application process underscores the importance of accountability, as it reminds candidates that their nomination can be revoked at any time by the CPCSEA, emphasizing the significance of integrity and responsibility in their role. Accompanied by required documents, this form is to be submitted to the CPCSEA office, setting the path for individuals aiming to contribute to ethical animal treatment in scientific research.

QuestionAnswer
Form NameNominee Application Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesE-MAIL, CPCSEA, application for nomination, nominee application

Form Preview Example

CPCSEA NOMINEE APPLICATION FORM*

NAME OF THE APPLICANT

:

SEX/ DATE OF BIRTH

:

QUALIFICATION

:

PROFESSION

:

COMMUNICATION ADDRESS :

TELEPHONE:

FAX:

MOBILE:

E-MAIL:

Experience if any, in animal welfare activities And the animal welfare organization/s

With which associated

:

 

DECLARATION

PHOTO

1.I am fully aware of my duties and responsibilities as CPCSEA nominee representing the Institutional Animal Ethics Committees (IAEC’s)

2.I will carry out my responsibilities in accordance with the rules and regulations of CPCSEA and as per the instructions received from

CPCSEA.

3.I will not use the name of CPCSEA on personal letter heads or other communications.

4.I will not misuse the name and purpose of CPCSEA for any assistance or gain.

5.I will not disclose any confidential information of the institution /

CPCSEA.

6.I am aware that my nomination can be cancelled by CPCSEA, without assigning any reason.

Date

Signature of Applicant

*The filled in application Form alongwith above information / details / supporting documents should be sent to :-

The Member Secretary,

CPCSEA, Ministry of Environment & Forests, 8th floor, Jeevan Prakash Building,

25, Kasturba Gandhi Marg, New Delhi-110 001