APPLICATION FORM FOR Ph. D. ENTRANCE EXAMINATION APPELLATION FORM NO APPLICATION FEE DETAIL (Faculty) (Subject Name) Passport Size naa Roll No, Photograph one aan + Use only BLACK Bal Point Pen to fill up the Form. + Fill the form In English using Capital letter except signature, + Donot staple or ciip the photograph. + Provide your full name and contact No. on the reverse side of demand draft NAME OF THE APPLICANT (IN CAPITAL LETTERS) FATHER'S NAME (IN CAPITAL LETTERS) MOTHER'S NAME (IN CAPITAL LETTER) DATE OF BIRTH SEX (TICK ONE) CATEGORY MOBILE NO. DATE MONTH YEARS MALE FEMALE GEN SC ST OBC E-MAIL ID. ADDRESS FOR CORRESPONDENCE PERMANENT ADDRESS ‘QUALIFYING EXAMINATION DETAILS (POST GRADUATE): [Attach attested photocopy for the same) STREAM: ie SUBIECT ane UNIVERSITY: YEAROF PASSING: [MARKS OBTAINED: MAX MARKS: PERCENTAGE/CGPA: DECLARATION:- | hereby declare that all the particulars stated In this Application Form are True to the best of my Knowledge and belief. have read and understood all provisions of admission and agree to abide by them. In event of submission of fraudulent. Incorrect & untrue information or suppression or distortion of any fact like educational qualification etc. | understand that my admission|s iableto becancelled. Place: Date: fenctosuREs: 1. HIGH SCHOOL CERTIFICATE / HIGHER SECONDARY |SELF ATTESTED), 2. UG/POST GRADUATION/AADHAR CARD (SELF ATTESTED) BANK DETAIL: NAME : Mansarovar Global University BANK NAME : AXIS BANK ACCOUNT NO, : 918020097678391, FSC CODE : UTi80001933 {SIGNATURE OF APPLICANT)\ I Ee BLOBAL UNIVERSIT ae i n BE Kemarka aU\e Me Faculty of Social Science & Humai Faculty of Pharmacy Faculty of Computer Science & Application Faculty of Commerce Faculty of Engineering and Technology : Faculty of Law Faculty of Agriculture Science & Technology Faculty of Management studies Faculty of Journalism and Mass Communication Faculty of Science Faculty of Library and Information Science Faculty of Nursing Science Last Date of Application :| 23.01.2022 Date of Entrance Examination :| 30.01.2022 The Application can be filled and submitted Online/Offline on www.mguindia.com, Hard Copy of completed and signed application along with copies of certificates, a passport size photograph and payment of Rs. 1,000/- drawn in favor of Mansarevar Global University, Bhopal (M.P) [Bank: Axis Bank Ltd. Account Name : Mansarovar Global University A/c No: 918020097678391 IFSC: UTIB0001933] Online Payment : one //rzp jodlienaubel Enero Co en re on] H af a i