INDIAN INSTITUTE OF TECHNOLOGY GANDHINAGAR

Application Form for Admission to Doctoral Programme

Ph.D. Program in:

Disciplines: Chemical Engineering, Chemistry, Civil Engineering, Cognitive Science, Paste passport
Computer Science and Engineering, Electrical Engineering, English, Mechanical Engineering, size photograph
Materials Science & Engineering, Mathematics, Physics, Philosophy, Psychology, Sociology

Research Areas of Interest: (Please refer to Faculty Research Profiles at www.iitgn.ac.in/phd.htm)

Name (as in qualifying degree certificate)

First Name

Middle Name

Last Name

Contact details
Address for communication: Permanent Address:

Pin Pin
City: City:
Code Code
State: State:
Telephone Number Mobile Number Email Address:
Alternate Email Address:
Date of Birth Nationality Gender Category: GN/OBC/SC/ST/PD

Category under which you want to apply (Please check appropriate box)
Regular (RR): Start Early (RR): External (ET): Candidates Faculty Development
Fulltime residential Fulltime residential serving in research Program (FDP): Candidates
researcher researcher institution/Industry** serving in educational
candidate candidate* Institutions only**
*All Start early (RR) applications must include signed letter/certificate from head of department indicating rank of the candidate at the end of 6
semesters
**All ET/FDP applications must include employer’s support/sponsorship letter

Rank in your discipline after 6 semesters in BTech/BE programme (For Start Early (RR) category)

Must be supported by a signed letter/certificate from the head of the department stating the rank of the candidate

GATE/UGC-NET/CSIR-UGC performance
Name of Examination Year Score Percentile All India Rank
(AIR)
Details of academic record (From 12th onwards for Start early (RR) and Bachelors onwards for Regular (RR), ET and FDP)

Degree Subject College University/ Year of Class/ % of Marks/Grade

Institute Passing Division /CGPA

Details of Any Research/Professional Experience or Publication

Details of any past employment

Duration
Organization Designation
From To

Declaration:
1. I have carefully read the web-advertisement and the faculty research profiles uploaded on the web
2. The SOP submitted with the application form was written only by me.
3. I hereby declare that the information given above is correct to the best of my knowledge and belief. I am also aware
that providing incorrect information in the application form can result in the cancellation of my admission at any stage.

Place:
Date: Signature of the Applicant

Please send the completed application form to the following address with “PhD Application” written on the envelop

Assistant Registrar (Academics)

Indian Institute of Technology Gandhinagar
VGEC Campus, Chandkheda
Ahmedabad – 382424
Phone: 09328474222, Fax: 07923972324
E-mail: academics@iitgn.ac.in
Check List for Enclosures:
Copy of Mark sheets / Grade cards (From 12th onwards for start early and Bachelors onwards for RR,ET
and FDP)
Statement of purpose
Copy of GATE score/UGC-NET/CSIR-UGC (if applicable)
Copy of Certificate of SC/ST/OBC (if applicable)
Signed letter/certificate from head of department indicating rank of the candidate at the end of 6
semesters (in case of Start early Program candidates)
Employer’s support/sponsorship letter (in case of External/Faculty Development Program candidates)