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Form No. Enrollment No.

Academic Year
20 ............. 20 ...........

Ph.D Programme Entrance Examination Form

APPLICATION FORM
Applied for Ph.D Programme in Subject ........................................
Applicant’s Name in (BLOCK LETTER)

Father’s Name (BLOCK LETTER)

Mother’s Name (BLOCK LETTER)

Adhar No.

Gender Category Date of Birth

Religion Nationality

Contact Details
Mobile No. Email

Academic Qualificaton
Exam University Year of Passing Subject % Marks
Graduation
Post - Graduation
M. Phill

Candidate is required to submit self attested copies of mark sheets of PG,


and Adhar Card.

Payment Details
By Cash : ....................................................................................................
DD No. : ....................................................................................................
DD Date : ....................................................................................................
Amount : ....................................................................................................
Bank : ....................................................................................................

I have gone through all the norms and rules of admission and undertake to abide by
them.

Date : ............................................ ...............................................


Applicant Signature

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