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Application Form

1. The document is an application form for NMIMS School of Science programs including Integrated M.Sc., Ph.D. in Chemical Sciences and Biological Sciences and M.Sc. Statistics Programme. 2. It requests personal details such as name, age, gender, category, nationality, academic qualifications and professional experience from applicants. 3. Fields include photo, contact information, educational history from 10th standard onwards including university names, years of passing, marks/grades obtained, work experience with organization names and designation.

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onlyvictory
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15 views

Application Form

1. The document is an application form for NMIMS School of Science programs including Integrated M.Sc., Ph.D. in Chemical Sciences and Biological Sciences and M.Sc. Statistics Programme. 2. It requests personal details such as name, age, gender, category, nationality, academic qualifications and professional experience from applicants. 3. Fields include photo, contact information, educational history from 10th standard onwards including university names, years of passing, marks/grades obtained, work experience with organization names and designation.

Uploaded by

onlyvictory
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as PDF, TXT or read online on Scribd
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SVKMs Narsee Monjee Institute of Management Studies (NMIMS)

(Declared as Deemed-to-be University under Section 3 of the UGC Act, 1956 vide Notification No.F.937/2001-U-3 dated 13th January, 2003 of the Government of India)
______________________________________________________________________________
V. L. Mehta Road., Vile-Parle (W), Mumbai 400 056. Tel: +91 - 22-2613 4577 / 2618 3688 / 42355555
Fax: +91-22-26114512 Email: [email protected] Visit us at: www.nmims.edu

SCHOOL OF SCIENCE
APPLICATION FORM
Affix Recent
Passport size
colour
Photograph

Integrated M.Sc., Ph.D. Chemical Sciences


Integrated M.Sc., Ph.D. Biological Sciences
M.Sc. Statistics Programme

A.1.

NAME : Mr./Ms. _______________________________________________________________


(In full Block letters)
Surname
Name
Fathers Name Mothers name

(B2 to B6 Mark
B.1.

or

AGE :

Yrs.

)
Months DATE OF BIRTH

D D

M M

Y Y

Y Y

(As on 31/05/2011)
B.2.

GENDER :

B.3.

MARITAL STATUS : Married

B.4.

CATEGORY :

B.5

NATIONALITY : Indian

B.6

UNIVERSITY : Mumbai

C.1.

ACADEMIC PERFORMANCE (Stages of Education)

Examination

Bachelors Degree
Course (Please
Specify)*
1st Yr. I Sem
II Sem
2nd Yr. III Sem
IV Sem
3rd Yr. V Sem
VI Sem
4th Yr. VII Sem

Male

Open

Degree Awarded

Female
Unmarried
SC

ST
Others

OBC

____________

(If Other, Specify) ________________

Other

University
/Board

Other

(If Other, Specify) _______________

Month &
Year of
Passing

Marks
Obtai
ned

Out
of

Perce
ntage

Class/
Grade

VIII Sem

12th / IB Diploma
10th
* If Final Year Result is not declared write result awaited.
* Mention Major & Minor Subjects at under graduation/Degree
E.1. PROFESSIONAL /WORK EXPERIENCE:
Organization

Designation

Period
From

To

Brief
description of
the nature of
job

F: PERSONAL DETAILS
F.1.

APPLICANTS ADDRESS : ______________________________________________________


________________________________________________________________________________

F.2.

Tel: ___________________________________ Mobile: _______________________________

F.3.

Email : ________________________________________________________________________

Place : ________________
Date : _________________

________________________
Signature of the Candidate

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