Application for Admission to the

Doctor of Philosophy (Ph.D.) Program

(To be filled in by the candidate) Recent

Passport-Sized
Admission in the School of Photograph

Department (if applicable)

1. Name of the candidate

(in block letters)

2. Father’s/Husband’s name

3. Permanent address (in full)

4. Postal address (for communication)

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5. Date of birth (DD/MM/YYYY): Day Month Year

6. Contact Details

a. Mobile:

b. Phone: ( R)
(O)

c. E- Ma il:

7. Nationality: _________________ 7.1 Aadhar No._______________________________

8. Category (SC/ST/OBC/General): ---------------------

9. Gender (Please tick √): Male Female Other

10. Category of Registration (Please tick √): Full Time Program

Part Time Program

11. Educational Qualifications bachelor’s degree onward (enclose attested copies):

Sr. Name of Degree Year of University Percentage/ Div./Class Subject/

No. award Grade/Points Specialization

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 12. Experience Details (Most recent/ current at the top):

Sr. Name of the Organization Designation Duration Remarks

No. From To Total (If any)

13. Research Publications: Please enclose photocopies of papers duly certified by the applicant (use
additional sheets if required)
Sr. Title of Paper Name of Journal Vol./Year/
No. Page No.

14. Proposed Research Title (attach the proposal):

15. Exemption from the RKU Research Aptitude Test claimed: Yes* No

*Provide details of the entrance test [NET/SLET (GSET)/SET/GATE/GPAT/RKU's RAT] given (attach
the corresponding proof):
Name: Score:

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 16. Name of the preferred research guide (if known):

17. Specialized training (if any):

18. Scholarship/fellowship awarded for research (if any):

19. A ‘No Objection Certificate’ from the present employer must be attached along with
the application form. P l e a s e attach a ‘Work Permission Letter’ of the Head of the research
institute from where the research work is going to be carried out (both may be combined, if
issued by the same authority/institute).

20. Payment Details:

Instructions:

The application fees of INR 2,000 must be paid through ‘Demand Draft/At par Cheque’ drawn in
favor of the ‘Faculty of Doctoral Studies & Research, RK University.’ Or e payment with A/C
No.: 9511633547 ; Type: Savings; Bank: Kotak Mahindra Bank; IFSC: KKBK0002791

Cheque/Draft No./UTR/Ref No: Date & Time: Amount:

Name of the Bank:

Declaration

I certify that the information given above is correct/true to the best of my knowledge. I understand that
if any of the provided information is found to be incorrect or deliberately falsified , my admission wil l
sta nd cancelled. If admitted, I shall abide by all the rules and regulations of RK University.
Date:

Place: Signature of the Candidate

Application form along with the ‘Demand Draft/Payment Details’ must be marked ‘PhD
Admissions’ and should be sent to:

Dean RK Physiotherapy Centre,

Faculty of Doctoral Studies & Research Near Bhaktinagar Circle,
OR
RK University, Rajkot-Bhavnagar Opp. Meghani Rang Bhavan,
Highway, Kasturbadham, Rajkot Rajkot 360 002
3 60020 Gujarat, India Gujarat, India

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Instructions -
1. Please fill in all the details mentioned in the application form and enclose all the specified documents.
2. Checkl ist of documents (self-attested photocopies) t o b e a t t a c h e d without which application
shall not be accepted:
 Bachelor’s Mark sheet
 Bachelor’s Degree Certificate
 Master’s Mark sheet
 Master’ Degree Certificate (if available)
 Proof for RAT exemption (if applicable)
 Course equivalence certificate from AIU (for foreign degrees or distance education/part time
courses)
 CGPA or grade equivalence certificate (for percentage calculation).
 Proof of employment (if applicable)
 Aadhaar card (photocopy)
 Valid photo identification (Driving license, Election Card, Pan Card, etc.)

3. Please leave ‘Proposed Title of Research’ blank, if the research proposal has not been finalized.
4. 'NOC’ a n d ‘ Work Permission Letter’ can be submitted before the orientation program, if not available
at the time of application.
5. A candidate, who has cleared NET/GATE/SLET/GPAT/CMAT/GATE/GPAT or an equivalent test
(provided the score is valid on the date of the entrance examination) or has acquired M.Phil.
qualification, is eligible for exemption from RKUs Research Aptitude Test (RAT), but not from the
personal interview.
6. All applications & documents will be verified at the time of submission of application.
7. All applications and the corresponding documents will be sent to the concerned D ean, RK University
for eligibility verification.
8. A clearance certificate will be issued by RK University to the applicant only after the verification of all
documents and after becoming eligible for PhD admission. Please attach 1 extra photograph ( for the
clearance certificate) along with the application form.
9. The applicant will be allowed to appear for RKU's RAT only after presenting the clearance certificate
at the time of the examination.
10. Once submitted, the application fee of INR 2,000 will be not be refunded under any circumstances.
11. The list of eligible applicants (for the entrance exam) will be posted on RKU website within 1 5
days of the last date of application.
12. All candidates must submit their respective Migration Certificate (Not now, but at the time of
admission/Orientation Program).

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