On Line Application Form For Ph.D. Course

Application Form For:
Subject Name:
Student Name:
Father Name:
Mother Name:
Date Of Birth:
Sex:
Domicile:
Category:
Blood Group:
Stream Of Weightage:
Mailing Address:
Permanent Address:
Email:
Mobile no:
EDUCATIONAL QUALIFICATION:

High School:

High School Roll Number:
Year Of Passing:
Board/University:
Subject:
Total Marks:
Obtained Marks:

Intermediate:

Intermediate Roll Number:
Year Of Passing:
Board/University:
Subject:
Total Marks:
Obtained Marks:

Graduation:

Year Of Passing:
Board/University:
Subject:
Total Marks:
Obtained Marks:

Post Graduation:

Year Of Passing:
Board/University:
Subject:
Total Marks:
Obtained Marks:

Do You Qualify Net Exam: Passing Year:
Do You Qualify JRF Exam: Passing Year:

I hereby declare that the particulars furnished by me in this application form are
true to the best of my knowledge and belief. In case any information is found to
be incorrect, my candidature shall liable to be rejected.




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