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Application Form For Ph.D. Programme

This document is an application form for admission to the Ph.D. program at the Centre for Research Studies. The form requests personal details such as name, date of birth, contact information, as well as academic details including degrees earned and subjects studied. It also asks for information on research experience such as publications, conferences attended, proposed research area and reasons for interest in the program. The applicant must declare that the information provided is true and agree to abide by the institution's rules and regulations regarding admission and programs if selected.

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UdayMatla
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12 views

Application Form For Ph.D. Programme

This document is an application form for admission to the Ph.D. program at the Centre for Research Studies. The form requests personal details such as name, date of birth, contact information, as well as academic details including degrees earned and subjects studied. It also asks for information on research experience such as publications, conferences attended, proposed research area and reasons for interest in the program. The applicant must declare that the information provided is true and agree to abide by the institution's rules and regulations regarding admission and programs if selected.

Uploaded by

UdayMatla
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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CENTRE FOR RESEARCH STUDIES

APPLICATION FORM FOR ADMISSION TO Ph. D. PROGRAMME


(Incomplete forms will not be considered)

Form No: __________

Recent
Coloured
Passport Size
Photograph

Registration No. (for office use only) __________________________________________________


Date of Admission (for office use only)_________________________________________________

-----------------------------------------------------------------------------------------------------------------Full Name: ____________________________________________________________________________________________


Fathers Name: _________________________________________________________________________________________
Mothers Name: ________________________________________________________________________________________
Date of Birth: ______ /____/__________ Married/ Unmarried: ___________________ Nationality: ________________________
Correspondence Address: ________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
Phone No.: (off.) _________________________ (Res./Mobile) ______________________Fax No.: _______________________
E-mail: _______________________________________________________________________________________________
A. Academic Record (Attach attested photocopies)
Examination
Name of the
Institution

Board/University

Year of
Passing

Marks
(%)/
CGPA

Subject(s)/ Specialization

Secondary(X)
Senior Secondary(XII)
Graduate Degree
Post Graduate Degree
Professional Degree
Any Other

B. Academic/Professional Awards/ Medals/ Prizes/ Scholarships/ Certificates/ Honors etc.


___________________________________________________________________________________________________________
___________________________________________________________________________________________________________

C. Employed/ Unemployed (Please Tick)


(If employed, attach details of Institution(s)/Organization(s) served and No objection certificate from the employer)
In Case of Teachers: Teaching Experience of UG_________________________PG___________________________________

D. Research Papers/Articles published


1. ________________________________________________________________________________________________________
2. _________________________________________________________________________________________________________

E. Research Conferences /Seminar Attended


1. ________________________________________________________________________________________________________
2. _________________________________________________________________________________________________________
F. Area of Research Interest
1. ____________________________________________________________________________________________________
2. ________________________________________________________________________________________________________

G. Please write a brief note on the proposed area of research that you would like to take-up for in-depth study and reasons for
your choice
H. Describe briefly how do you consider this programme to help you in achieving your career plans?
I. Give 3 reasons that you consider should weigh in your favour for admission
J.

Declaration
a)

I declare that all the information given by me in this application form is correct to the best of my knowledge and belief and I
understand that false or incomplete information would cause invalidation of the application.

b)

I shall abide by the decision of BIMTECH in all matters pertaining to admission and administration of the program. The
Institutes decision shall be final and binding on me.

c)

I shall abide by the rules and regulations of BIMTECH, if selected.

d)

For all legal actions, suits and proceedings, the jurisdiction of a court of law shall be deemed to lie exclusively at the place at
which the institution is situated and at no other court or place.

e)

I understand the contents of this form and particularly this declaration being made here.

Place:

Date:
Signature of the Applicant
* Attach separate sheet where needed

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