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MAHATMA GANDHI UNIVERSITY


KOTTAYAM, KERALA
APPLICATION FOR WRITTEN APTITUDE TEST FOR ADMISSION TO Ph.D.
PROGRAMMES- 2015
Subject of Ph.D.
Registration.............................................................................................
......
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2

Name of the candidate as in S.S.L.C


(in block letters)
Age and date of birth

Permanent Home Address with


Telephone No.

Address to which communication


should be sent
Tel.No.

Mob.No.

e-mail:

Religion and Caste (candidates


belonging to SC/ST categories should
attach the copy of caste certificate)

Academic Qualifications:

Statement of marks secured in the Qualifying Examination (Attach attested copies of the
Mark lists/Certificates)
Name of
Maxi
Percen Year of

P.G.Degre
e
Examinati
on Passed

Name of the
University/Institu
tion

Marks/
CGPA
secured

Subject

mum
Mark
s

tage
of
marks
secure

passin
g and
Reg.N
o.

Details of Pay-in-Slip/Receipt for Registration Fee


Number

Date

SBT/University Cash
Counter/FRIENDS
Janasevana Kendram

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Attach true copies of documents in
the following order

Amount Rs.

1. Marklists and Certificate of


Qualifying Exam.
2. Pay-in-Slip/Receipt
3. Caste Certificate(SC/ST only)
4. Certificate from the Head of
Institution regarding PG
Degree final exam appearance
(for those awaiting PG results)

DECLARATION

I,...............................................................................

do

hereby

declare that the statements made in the application are true and the
documents attached herewith are the copies of the original in my
possession, which will be produced for verification when required. I have
read the Notification and I accept the terms and conditions mentioned
therein.

Place:
the Applicant

Signature of

Date:

DECLARATION BY P.G. DEGREE RESULT AWAITING STUDENTS

I, ............................................................................... declare that I


have

appeared

for

the

final

....................

Degree

Examination

on....................................................... 2014/2015. If I have not qualified


my P.G. Degree on or before 31.07.2015, I will not make any claim for
Ph.D. registration on the basis of this Aptitude Test.

Place:
the Applicant
Date

Signature of

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