KLE Technological University

Vidyanagar, Hubballi-580031

APPLICATION FORM FOR ADMISSION TO PhD PROGRAM FOR THE

ACADEMIC YEAR 2022-23

Paste passport size

Programme Applied for: Ph.D. Full time Part time
photograph ( do not
pin ) in this space
and get it attested
Faculty of Research: Engineering Management & Social Science Applied Science (Phy, Chem, Maths) by Principal / Head
of College /
University last
attended or a
Gazetted Officer

Category : GM SC ST CAT-I Physically Challenged Others

Male Female

Name: ……………………………………..……………………………….…..…. Date of Birth:..………………………………........

Father’s Name:……………………………………………………………..……………………… Aadhaar Number:..………………………………........

Academic Qualification:

Programme Degree University Regular Specialization % Marks obtained Year of

obtained /Distance with Class passing
UG
PG
Others if any

Years of experience: Teaching: Research: Industry:

Number of Research papers: Patents: Awards:

Application Fee Payment details:

Online Payment Details, UTR No: ___________________ Paid by(Name)_____________ Mode of Payment: GooglePay/
PhonePay/PayTM/Online Banking/ Mobile Banking/ NEFT by Bank / RTGS by BANK / Other. Dated __/__/2022. Mobile
No by which payment is done_______________________

Applicant’s Address for correspondence:

•
Information of the Supervisor

Contact No.: EMail_ID:

.
 KLE Technological University
Vidyanagar, Hubballi-580031

APPLICATION FORM FOR RESEARCH ENTRANCE TEST (RET-2022)

Note:
This Form should be filled by all the research scholars irrespective of their eligibility to be exempted from the RET,
exemption is subject to a scrutiny of supporting documents provided by the candidate along with this Application.

Programme Stream Applied for:

1. School of Civil and Environmental Engineering

2. School of Computer Science & Engineering
3. School of Electronics and Communication Engineering
4. School of Mechanical Engineering
5. School of Management Studies & Research
6. School of Architecture
7. Department of Electrical and Electronics Engineering
8. Department of Humanities & Social Science
9. Department of Biotechnology
10. Department of Automation & Robotics Engineering
11. Department of Physics
12. Department of Chemistry
13. Department of Mathematics
14. Center for Engineering Education and Research
Exemption from RET Yes No

The following categories of candidates will be exempted from appearing at the RET:
(a) Candidates qualified in UGC-CSIR JRF & SET/NET/RET
(b) Valid GATE score of 90 percentile within last THREE years

To be filled by candidates For Office Use only Paste ( do not pin )

Seat No.:
passport size
Name:……………………………………………… photograph in this
space and get it
attested by Principal
Address……………………………………………. / Head of College /
University last
……………………………………………… attended or a
Specify the status of VTU TAT: Cleared in July 2010 Cleared in Jan 2011 Cleared in July Gazetted
2011 Officer
Write ..…………………….....................................
the TAT Seat No.
National Test qualified with valid score ……………………………………………………………………………………….
Date of RET:
Are you a faculty under QIP/FIP:
Programme applied for:…………………… Yes No Test Centre:
Address for correspondence:
…………………………………………….. Reporting Time: Candidate’s Signature

Declaration by the Candidate

I ……………………………………………………………hereby acknowledge that all the information given by

me are true to the best of my knowledge. In the event of any information being found incorrect or misleading, my
candidature shall be liable to cancellation by the University at any time and I shall not be entitled for refund of any
fee paid by me to the University.

Date: Signature of the Candidate

 KLE Technological University
Vidyanagar, Hubballi-580031

Enclose attested copies of the following, before sending the application :

1. Detailed Bio-data

2. UG and PG degree Certificates and Marks cards (attested)

3. Xerox copy of Aadhar card

4. Category certificate of candidates belonging to SC/ST/Cat-I/ and any other, if applicable

5. Demand Draft of Rs.1500 drawn in favor of “Registrar KLE Technological University”, payable at Hubballi.

6. Any other additional Certificates supporting your claim for benefits like:
▪ Medical Certificate for the degree of disability in support of candidates claiming benefit
▪ Test Score Card along with Admission ticket in support of clearance of UGC-CSIR, JRF or GATE.
▪ The Equivalence Certificate issued by the Association of Indian Universities (AIU) in case candidate is having
degree from Foreign Universities.
▪ Passport with Visa for Foreign candidates.

No Objection Certificate of the Organization

It is to certify that Mr./ Ms./ Mrs. .................................................................................. who is applying for RET –
2022 for admission to PhD programme at KLE Technological University, Hubbalii on Part Time / Full Time basis is
employed with our organization as............................ in the department of .......................................... since
..........................till date.
This Institution has no objection to Mr./ Ms./ Mrs. .........................................................to join PhD programme at
the research center, ....................................................... at KLE Technological University from the year 2022 in case
of his/her selection for PhD.
We shall give him/her leave for a minimum of 60 days on the KLE Tech University Campus every year till the
submission of his/her thesis. The information provided by the candidate is found correct as per our records.

Signature of the Principal / Head of the Organization (with Seal)