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Sardar Patel University of Police, Security and Criminal Justice Mathania Road, Daijer, Jodhpur - 342304 (Raj)

Sardar Patel University of Police, Security and Criminal Justice

Mathania Road, Daijer, Jodhpur - 342304 (Raj)

Ph. No.: 0291-3062029, 3062035, 3062030 Fax: 3062036, E-mail: registrar@policeuniversity.ac.in

Part Time* / Full Time Ph.D. APPLICATION FORM

Details of fees payment: Rs……… Name of Bank: …………………….……

..….….

..

DD No. …………..………… Date: …………………….

Ph.D. Programme applied for in the field of: -

Faculty …………………………………. ……………………….

Subject …………………………………. ……………………….

  • I. PERSONALS DETAILS OF THE CANDIDATE

    • 1. Name of the Applicant:

Affix Latest Photograph
Affix Latest
Photograph

(As per mark-sheet in Block Letters) …………………………

...

……………………………………………

  • 2. Father’s Name: ………………………………………………………………………………….

  • 3. Mother's Name: ………………………………………………………………………………….

  • 4. Date of Birth (DD/MM/YY): ………………

...

5. Gender (M/F) ………………………………

  • 6. Address (in English) ……………………………………………………………………………

…………………………………………………………………………………………………… ..

……………………………………… District …………………… Pin Code: ………………… ..

  • 7. Mobile No. (I) ………………………………. (II) ……………………………………………

  • 8. .. 10. Category: (GEN/OBC/SC/ST) …………………

..

E-mail: ………………………………………

9. Aadhar No.: ………………………………

11. Minority (Yes / No) ………………….

12. *Serving Professionals from Police, CISF, BSF, Paramilitary and related domains with

minimum 10 years of service: Tick Yes / No

If Yes Designation ………………..…………….

II.

ACADEMIC ACHIEVEMENTS (Attach Self attested copy of Marksheet)

S.

     

% of Marks &

No.

Name of Degree & Year of Passing

 

University / Board

Subject

Division

1

Secondary

     

2

Sr. Secondary

     

3

Graduation …

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

…………………

.....

     

4

Post-Graduation ………………………… ..

     

5

Additional Qualification ………………….

     

6

Other …………………………………

       

III. Whether Qualified in UGC NET / SLET: ………………

...

If yes, (Enclosed copy of Pass Certificate)

DECLARATION

I hereby declare that I have carefully read the instructions and that the entries made in this application form are correct to the best of my knowledge and belief. If selected for admission, I promise to abide by the rules and discipline of the University. I note that I fulfill all qualification which is necessary for Ph.D. as per notification the decision of the University shall be final in regard to selection for admission and assignment to a particular Department and field of study. The University shall have the right to cancel my admission at any time after my admission, provided it is satisfied that I was admitted on false particulars furnished by me or my antecedents prove that my continuance in the University is not desirable. I agree that I shall abide by the decision of the University, which shall be final.

Place ………………….

Date ………………… ..

List of Enclosure: - Tick all that apply

1.

4.

Demand Draft (

)

2. Self Attested Copy of Aadhar Card( )

Self Attested copy of UGC/NET/SLET etc. (

)

Signature of the candidate

3. Self Attested copy of all mark sheets/grade cards (

5. Self Attested copy of Caste Certificate (

)

)