Application FORM PH - D-2015
Application FORM PH - D-2015
Application FORM PH - D-2015
1. PERSONAL
NAME
FATHER'S NAME
MOTHER'S NAME
AGE
DOB
Female
Male
Date
Category
PGRI Programme
Ph.D. Programme
Month
General
Backward
No
Year
Scheduled
Caste
Please go through
guidelines before
filling this form.
Please affix your
self-attested
recent photograph
Scheduled
Tribe
PERMANENT ADDRESS
COMMUNICATION ADDRESS
PIN
STATE
with area code
Mobile
4. Whether Qualified
If Qualified
Discipline
UGC NET
SLET
M.Phil
ICRA Test
I affirm that all entries in application and the appended documents ARE TRUE IN ALL ASPECTS and that the
STUDY PROPOSAL HAS BEEN PREPARED BY MYSELF. I understand that any information/document if found
to be false, shall automatically cancel my candidature and render me liable for such action as the University may
deem proper.
Candidate's Signature :
Date :
5. ACADEMIC RECORD Please encloses self attested copies of mark-sheets & Degree Certificate.
CLASS10th
YEAR OF
PASSING
CLASS12th
INSTITUTION
Science
Art
Commerce
YEAR OF
PASSING
BACHELOR'S
(SPECIFY)
DISCIPLINE
YEAR OF
PASSING
MASTER'S
(SPECIFY)
DISCIPLINE
YEAR OF
PASSING
M.Phil.
CBSE
ICSE
STATE BOARD
% of marks
Marks Obtained
Maximum Total
INSTITUTION
CBSE
ICSE
STATE BOARD
% of marks
Marks Obtained
Maximum Total
INSTITUTION
UNIVERSITY
% of marks
Marks Obtained
Maximum Total
INSTITUTION
UNIVERSITY
% of marks
Marks Obtained
DISCIPLINE
YEAR OF
PASSING
UNIVERSITY
INSTITUTION
% of marks
Marks Obtained
POSITION
JOB DESCRIPTION
Co Author if any
Own Institute
Internet
CHECKLIST OF ENCLOSURES
Signature of Candidate
i. Research Proposal
Date :
MEWAR UNIVERSITY
Ph.D. Entrance Examination 2015-16
ADMIT CARD (Office Copy)
Ph.D. Programme
PGRI Programme
NAME : ...........................................................................................................................................
FATHER'S NAME : ........................................................................................................................
Address for Correspondence : .........................................................................................................
..........................................................................................................................................................
..........................................................................................................................................................
..........................................................................................................................................................
Contact No. : (M) .......................................................... (R) ...........................................................
Last Qualification with percentage : ................................................................................................
Choice of Examination Center :
Chittorgarh (RAJ.)
Ghaziabad (U.P.)
Lusaka
Candidate's Signature :
Cashier
MEWAR UNIVERSITY
Ph.D. Entrance Examination 2015-16
ADMIT CARD (Student's Copy)
Ph.D. Programme
PGRI Programme
NAME : ...........................................................................................................................................
FATHER'S NAME : ........................................................................................................................
Discipline of Research : ..................................................................................................................
Subject in Post Graduation : ............................................................................................................
Chittorgarh (RAJ.)
Ghaziabad (U.P.)
Lusaka
University
Seal with
Signature