Ph.D Registration Form 2020-21

Form. No.
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Name *
Father's Name *
Mother's Name *
Date of Birth *
 Place Of Birth
Aadhar Number * Nationality *
Marital Status Physically Challenged
Select Ph.D Subject *    
Address for Correspondence *
City *
State *
Mob. No *
E-Mail ID *
Permanent Address
Mob. No
E-Mail ID
Examination Qualified*        
Choice OF Examination Center*      
Academic Qualification
Exam Passed
(X onwards)
Branch/Subject Board/University Month/Year
Of Passing
Class/Division % of Marks Grade/CPI/CGPA
Present Employment Status :
Employment Details (after acquiring the degree):(In case, the candidate is employed, NO OBJECTION CERTIFICATE has to be submitted from employer.)
Total Duration (in Months)
Name and Address of the Organisation Designation Date
    From To
Declaration:  I certify that the information given above is correct, I am aware that I must submit self attested copies of my qualifying degree certificates and marksheet along with necessary documents before prescribed date, failing which, my admission will stand cancelled. I am also aware that providing incorrect information in the application form can result in the cancellation of my admission at any stage.
Place:                     Date: