Ph D Programme - Application form Note: Before starting to fill the application form please keep ready the JPG files of your photo, all education related documents (Scanned or photo in Landscape mode) and referee details. * Invalid Input Invalid Input * Invalid Input * Invalid Input Photo (JPG or PNG format of size not more than 200KB)* Invalid Input *Address for Communication Permanent Address Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input If communication address is same as permanent address check here Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input * Invalid Input Invalid Input * Invalid Input Invalid Input *Please make sure that the mobile no. and e-mail ID are correct. *Highest Education Qualification Invalid Input Invalid Input Invalid Input Year and Month of completion (Passed or appeared or will appear) Invalid Input Invalid Input Invalid Input *Date and Place of Birth Date of Birth Invalid Input Invalid Input Invalid Input Invalid Input *Areas of Interest Invalid Input *Do you belong to ChooseSCSTOBCGeneralOther Invalid Input Upload Category Certificate Invalid Input Invalid Input *Are You Employed? SelectYesNo Invalid Input Invalid Input * Invalid Input * Are you a sponsored candidate ? SelectYesNo Invalid Input Attach NOC if you are a sponsored candidate(JPG/PNG file within 300KB)* Invalid Input *Have you applied for any programme before at this Centre? SelectYesNo Invalid Input * Please select applied programme SelectPhD ProgrammeR&D AssistantROIS Invalid Input * Please enter applied year Invalid Input Invalid Input *Name and Address of the Referees Referee 1 Invalid Input Invalid Input Invalid Input Invalid Input Have you informed your referee ? SelectYesNo Invalid Input Referee 2 Invalid Input Invalid Input Invalid Input Invalid Input Have you informed your referee ? SelectYesNo Invalid Input *Indicate the qualified exam(s)/ Fellowship CSIR-UGC NET (JRF only)GATEINSPIREJEST Invalid Input *Score or Marks obtained *Year of passing *Supporting documents (JPG with file size not more than 300KB) Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input GATE SUBJECT Invalid Input GATE - Year of Passing Invalid Input Supporting documents (JPG with file size not more than 300KB) Invalid Input All India Rank Invalid Input Number of Candidates appeared Invalid Input Career Sheet (in detail) Examination *Year of Passing *University or Institution *Subjects Taken *Marks or credit points *Percentage or grade *Supporting documents (JPG with file size not more than 300KB) Actually obtained Maximum obtainable SSLC / Equivalent Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input PUC / HSC / equivalent I Year Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input II Year Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input *B Sc or BE/BTech Grade System B ScBE/BTech Invalid Input B Sc Grade System SemesterAnnual Invalid Input B. Sc I Semester Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input II Semester Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input III Semester Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input IV Semester Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input V Semester Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input VI Semester Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input B. Sc I Year Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input II Year Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input III Year Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input BE/BTech I Semester Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input II Semester Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input III Semester Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input IV Semester Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input V Semester Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input VI Semester Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input VII Semester Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input VIII Semester Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input *MSc or MTech Grade System* MScMTech Invalid Input *M Sc Grade System SemesterAnnual Invalid Input M. Sc I Semester Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input II Semester Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input III Semester Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input IV Semester Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input M. Sc I Year Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input II Year Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input MTech I Semester Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input II Semester Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input III Semester Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input IV Semester Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input DECLARATION I hereby declare that I have carefully read the instructions and particulars supplied to me and that the entries made in this application form are correct to the best of my knowledge and belief. Captcha* Refresh Invalid Input
