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    PHD Form 2011

    Uploaded by

    Mukesh Sharma
    This document is an application form for the Ph.D. program in Science Education for 2011 at the Homi Bhabha Centre for Science Education. The form requests information such as the applicant's name, address, educational background, competitive exam results, relevant experience, reference contacts, and preferred test center location. The applicant must sign and attach photographs to complete the form.

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    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd

    PHD Form 2011

    Uploaded by

    Mukesh Sharma
    38 views2 pages
    This document is an application form for the Ph.D. program in Science Education for 2011 at the Homi Bhabha Centre for Science Education. The form requests information such as the applicant's name, address, educational background, competitive exam results, relevant experience, reference contacts, and preferred test center location. The applicant must sign and attach photographs to complete the form.

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    phd-form-2011

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    This document is an application form for the Ph.D. program in Science Education for 2011 at the Homi Bhabha Centre for Science Education. The form requests information such as the applicant's name, address, educational background, competitive exam results, relevant experience, reference contacts, and preferred test center location. The applicant must sign and attach photographs to complete the form.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    38 views2 pages

    PHD Form 2011

    Uploaded by

    Mukesh Sharma
    This document is an application form for the Ph.D. program in Science Education for 2011 at the Homi Bhabha Centre for Science Education. The form requests information such as the applicant's name, address, educational background, competitive exam results, relevant experience, reference contacts, and preferred test center location. The applicant must sign and attach photographs to complete the form.

    Copyright:

    Attribution Non-Commercial (BY-NC)
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    You are on page 1of 2

    HOMI BHABHA CENTRE FOR SCIENCE EDUCATION

    TATA INSTITUTE OF FUNDAMENTAL RESEARCH


    (A Deemed University)
    National Centre of the Government of India for Nuclear Science and Mathematics
    V. N. Purav Marg, Mankhurd, Mumbai - 400 088.

    APPLICATION FORM

    Application for Ph.D. programme in Science Education 2011


    *Affix one
    Advt/ Notice No.--- Photograph here

    1 Full Name - Mr./ Ms.

    (In block letters)

    2 Address for Correspondence

    2 a) e-mail address :

    2 b) Res. Telephone No. :

    2 c) Mobile No.

    3 Permanent Address

    4 Nationality

    5 Date of Birth
    d d m m y y y y
    6 Educational Qualifications:
    Begin with S.S.C. Examination or equivalent. For Bachelors and Masters degree mention the subject area
    Sr.No. Degree/Diploma Board/University/Institute Year of % of marks/ Remarks
    Passing class/grade

    contd. on page 2
    2

    7 Mention any competitive examinations (CSIR-UGC-NET, NET, GATE, SET, etc.) that you have
    passed and results that you obtained.

    8 Do you have any experience in (Tick Yes or No)


    (a) teaching at any level Yes/ No
    (b) writing science-based books/materials Yes/ No
    (c) laboratory development Yes/ No

    9 Names of two persons familiar with your academic capabilities. Do not attach testimonials here. If called
    for an Interview you may bring the testimonials with you.
    1

    10 Tick ONE AND ONLY ONE Centre of your choice for the written test
    (a) Bangalore (b) Chennai (c ) Delhi (d) Mumbai (e) Pune (f) Kolkata

    11 Any other relevant information :

    12 Details of Demand Draft : D. D. No. Drawee Bank Amount

    I hereby declare that the statements made in the application are true, complete and correct to the best of
    my knowledge and belief.

    Date :

    Place : Signature of the Candidate

    (Please attach two photographs with the application. One to be pasted in space provided on the application and one to be stapled).

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