Registration For PH.D Admission
Registration For PH.D Admission
com
MAULANA AZAD
NATIONAL INSTITUTE OF TECHNOLOGY
(Deemed University)
BHOPAL - 462007 (M. P.) INDIA
ADVERTISEMENT NO. MANIT/Ph.D./06/
Dated : .
2. Civil Engg.
4. Electronics & Comm. Engg.
6. Architecture & Planning
8. Mathematics
10 Physics
12. MCA
MAULANA AZAD
NATIONAL INSTITUTE OF TECHNOLOGY, BHOPAL
Application Form for Admission to Ph.D. Programme,
Session starting from July 2006
Paste your
Aattested
Photograph
Please read the instruction given in the Information Brochure & on the website
www.manit.ac.in before you fill up the form, Tick ( ) the relevant box wherever
provided. Attach attested copies of certificates/marks sheets in support of
following information
Full Time
Part Time
Branch/Subject:
At graduation ..,
Self Supporting
At Post graduation
Department: Applied for:
Interdisciplinary (If yes, Name other Deptt).
(Fill separate forms for each Department, In case of Interdisciplinary, form should be
filled in main deptt. only.)
Proposed Research Area (Broad Area) ..
(Enclose Brief description of proposed work .
in 500 words on a separate sheet)
PERSONAL
Name (in
CAPITAL)
Gender /
D.O.B.
Sponsored
Male
Fathers Name
Mothers Name
Address for
Correspondence
PIN
Email :
Tel No. with STD Code :
Mobile
Permanent
Address
PIN
Email :
Tel No. with STD Code :
Gen
SC
ST
QUALIFYING DEGREE
PAYMENT
Bhopal
Payment details
Drawn on :
Draft received
Date :
Reg. No.
Sign.
PREV. Acad.
Rec.
Exam / Degree
EXP. IF ANY
Institute /
University
Year of
Passing
% Marks /
CGPA
10+2/Equivalent
B.Sc.
B.Tech
Any other
Designation
Organization
Have you ever studied and discontinued your studies at NIT Bhopal
(If Yes, give particulars of the programme earlier attended and the reason for
discontinuation.)
Names and addresses of two referees who are familiar with your academic background.
Name
Name
Address
Address
PIN
PIN
Declaration
a)
b)
c)
d)
e)
f)
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 of incomplete information would
cause invalidation of the application.
I shall abide by the decision of Maulana Azad National Institute of Technology, Bhopal in
all matters pertaining to admissions. The decision of the institute shall be final and binding
on me.
I shall abide by the rules and regulations of the Institution.
For all legal actions, suits and proceedings, the jurisdiction of court of law shall be deemed
to lie exclusively at Bhopal.
I understand the contents of this form and, particularly, this declaration being made here.
I shall abide by the rules & Regulation as per Ph.D. advertisement and subsequent
notification if any.
UNDERTAKING
I, S/oD/o . State that
I am aware that ragging in any form is banned in MANIT, Bhopal and do hereby undertake not to
indulge in any form of ragging during the course of my study at MANIT, Bhopal.
Date : ___________________
Signature of the
Candidate
I am aware that ragging in any form is banned in MANIT, Bhopal and that I agree to abide by the
punishment meted out to my ward in case he/she is found guilty of ragging.
Date : ___________________
parent/Guardian
Signature of