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    Phdapp

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    Vipul Partap
    The document is an application form for admission to the Ph.D. program at Gandhigram Rural Institute. It requests information such as personal details, educational qualifications, research and work experience, publications, proposed area of research, and required documents. Applicants must submit the completed form along with documents by the listed deadline to be considered for admission into the full time, part time internal, or part time external Ph.D. programs.

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    Phdapp

    Uploaded by

    Vipul Partap
    29 views6 pages
    The document is an application form for admission to the Ph.D. program at Gandhigram Rural Institute. It requests information such as personal details, educational qualifications, research and work experience, publications, proposed area of research, and required documents. Applicants must submit the completed form along with documents by the listed deadline to be considered for admission into the full time, part time internal, or part time external Ph.D. programs.

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    The document is an application form for admission to the Ph.D. program at Gandhigram Rural Institute. It requests information such as personal details, educational qualifications, research and work experience, publications, proposed area of research, and required documents. Applicants must submit the completed form along with documents by the listed deadline to be considered for admission into the full time, part time internal, or part time external Ph.D. programs.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    29 views6 pages

    Phdapp

    Uploaded by

    Vipul Partap
    The document is an application form for admission to the Ph.D. program at Gandhigram Rural Institute. It requests information such as personal details, educational qualifications, research and work experience, publications, proposed area of research, and required documents. Applicants must submit the completed form along with documents by the listed deadline to be considered for admission into the full time, part time internal, or part time external Ph.D. programs.

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    THE GANDHIGRAM RURAL INSTITUTE DEEMED UNIVERSITY No. APPLICATION FOR ADMISSION TO Ph.D.

    . PROGRAMME (Incomplete applications will be summarily rejected)

    FULL TIME REGULAR

    PART TIME Teacher Internal External Non-Teacher Internal External

    Mode of Remittance of Registration Fee(DD)/Challan Name & Place of Bank

    Affix recent passport size photo

    Amount Rs.

    Date of Remittance

    1. Name 2. Date of Birth & Age 3. Sex 4. Community 5. Nationality

    : : : Male / Female : SC/ST/OBC/OC :

    Last date for receiving the filled in application: 31st January / 31st August Please read the Regulations of the Ph.D. Programme before filling up the application form. Tick wherever necessary

    6. Residential address:

    7.Address for Communication:

    PIN: Contact No.

    PIN: Contact No.

    8. Academic Qualifications:

    S.No. College/ Degree Month & University Obtained Year of passing with Regn.No.

    Subjects Class/ Mode % of Studied Grade/ Regular/ Marks Division Distance

    9. a) Have you passed JRF/NET/SLET/GATE/CSIR/ICAR/ICSSR : b) If yes, furnish the Date & Registration Number :

    Yes / No

    10. Teaching / Research / Extension / Administrative Experience:

    Position From

    Period of Service To Name of the Institution

    Nature of Duties

    Teaching Research Extension Administration (if any) Total Service (in years)

    11. a) Have you published any research papers?

    Yes/No

    b) Which of the above was/were published in refereed journal? : c) Attach reprints :

    12. Award / honours / recognitions received, if any : 13. Present position 14. Salary / Emoluments 15. Declaration of the candidate : : :

    I hereby declare that all the statements made above and information given in this application are true to the best of my knowledge and belief.

    Place : Date :

    Signature of the candidate

    16. No Objection Certificate from the Employer (for part time candidates only):

    We have no objection to permit Mr./Ms. ___________________________ to do his/her Ph.D. programme at Gandhigram Rural Institute (Deemed University) and to fulfill the 180 day residential requirement of research as per the G.R.I. regulations. Place: Date : Office seal Signature of the Employer `

    17. State the discipline / subject in which you propose to do your Ph.D. work

    18. Specify the field of your Ph.D. work

    Signature of the candidate

    For Office Use

    Name Department / Faculty Research Supervisor / Joint Research Supervisor

    : : :

    Date of joining

    Minimum period ends on

    Maximum period ends on

    Extension - I

    Extension - II

    Extension - III

    Re-registration on

    18 months over on

    2 years over on

    3 years over on

    Synopsis submitted on

    Thesis submitted on

    Check list

    (To be filled by the candidate and enclose the following enclosures )


    Session Name Pasted a passport size photograph in the application Part-Time / Full Time FT/PT (internal) /PT(External) Community : SC/ST/OBC/OC Qualification: a) Plus Two Mark statement b) UG Degree c) PG degree certificate with consolidated mark statement d) Percentage of marks obtained in PG degree e) Whether the PG degree passed in Regular/Distance Education f) M.Phil g)UGC JRF/NET/SLET/Lecturership/GATE/CSIR/ICAR/ICSSR/ any other fellowship examinations (copy of the fellowship award certificate) Whether the NOC is obtained in the format prescribed in the application Service Certificate if any Sponsorship certificate if any Research Proposal a research proposal (not exceeding 500 words) mentioning the broad area of investigation and its justification Copy of Publication(s), if any Research Area Whether the Research is Inter-disciplinary or not Department to which application is sent Pure/Inter-disciplinary January /August Remarks if any

    Yes / No

    Yes / No/ awaiting for results

    Yes/No Yes/No Yes/No Yes/No

    Yes / No

    Signature of the applicant

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