Scholarship Cell

Jamia Millia Islamia

New Delhi

Application form for the award of Fellowship to M. Phil. / Ph D. scholars under

UGC Scheme

1. Department / Centre: ………………………………………………………………

2. Course : M. Phil. / Ph. D.

3. Name : ………………………………………………………………

(in block letters)

4. Father’s / Husband’s name: ……………………………………………………….

5. Address for correspondence: ………………………………………………………

……………………………………………………………………………………..

6. Telephone Number:………………………. Mobile: ……………………………...

7. Category: General /Schedule Caste / Schedule Tribe

8. National test passed1: UGC NET / any other …………………………….

9. Date of test: ………………………………………………………………………

10. Particulars of Educational Qualifications2:

S.No. Examination Year University Subject Total Division/Grade

Marks
1 Masters
2 Bachelors

11. If employed, name of employer & place of work: ………………………………..

…………………………………………………………………………………….

1
Attach attested photocopy of the certificate
2
Attach attested photocopies of all transcripts
11. Date of Registration for M Phil / Ph. D.: …………………………………………….

12. Name & Designation of the Guide: …………………………………………………..

13. Topic of Research: ……………………………………………………………………

……………………………………………………………………………………….

14. Please attach a report on research Activities carried out so far (not more than two

pages) duly certified by the Guide and the Head of the Department as Annex-A.

15. Please attach a list of publications so far as Annex-B

16. Please attach a work plan of the work to be carried out in the coming academic year

duly certified by the Guide and the Head of the Department as Annex-C

17. Approximate time required for the completion of the M. Phil / Doctoral Dissertation:

………………………………………………………………………………………

18. Tentative date of submission: ………………………………………………………..

19. Assessment and comments of the Guide: ……………………………………………

……………………………………………………………………………………………
……………………………………………………………………………………………
……………………………………………………………………………………………

Signature of the Guide Signature of the Scholar

Recommendation of the Head of the Department

Forwarding remarks of the Dean of the Faculty