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Applications are invited from Indian citizens for admission to Ph.D. Program scheduled to commence from
July’ 2010 in the following schools of basic sciences at NISER, Bhubaneswar:
Eligibility
1. Age: Not more than 28 years on June 30, 2010 (Born on/after June 30, 1982)
Selection Procedure
Candidates who meet the eligibility criterion given above can apply. Each school may set additional criteria
as it deems necessary and will have its own selection process.
Based on the academic record and the performance of the candidates in the selection process, the
selection committee of the school will recommend candidates to the Chairman, Academic Council for
admission to the Ph.D. program.
How to Apply
The application form is available free of cost and can be downloaded from http://niser.ac.in
Else, the form can be obtained by post, or in person, from the academic section, NISER Bhubaneswar, (for
postal address see below). In case of request by post, please enclose a self-addressed envelope (A4 size,
21 cm X 30 cm) affixed with postage stamps of Rs. 25/-
Candidates intending to apply for more than one program should use separate application
form for each program with appropriate enclosures.
• Fill-in the application form completely. Incomplete application form will be rejected. The
application form can either be typed or hand-written.
• Send only attested copies of all supporting documents (mark sheets, certificates, age
proof, caste certificate, etc.)
• Enclose two letters of reference.
• Enclose a demand draft of Rs. 500/‐ for candidates in General/OBC/PWD and Rs. 250/‐
for SC/ST drawn in the name of Director, NISER, payable at Bhubaneswar.
• Send the filled-in application forms with all enclosures to the address mentioned below or e-mail
the scanned copies of complete application form dully filled in all respect to dean_aa@niser.ac.in
Administrative Officer-III
Academic & Student Affairs
National Institute of Science Education and Research
Institute of Physics Campus
P.O. Sainik School
Bhubaneswar – 751005
NATIONAL INSTITUTE OF
Paste your latest
SCIENCE EDUCATION AND RESEARCH
colour photograph
Application Form for Admission to Ph.D. Programme
(See instructions overleaf for filling up the form)
1. Full Name : ________________________________________________________________
2. Date of Birth : ______________________ 3. Place of Birth : ______________________ 4. Sex : (put a check)
5. Marital Status : _____________________ 6. Nationality : ________________________ M F
7. Father’s Name : ____________________________________________________________
8. Address for Correspondence : ___________________________________
______________________________________________________________
Codes for items 11‐14 are given overleaf
______________________________________________________________
___________________ State :____________________PIN : ____________ 11. School/Programme
9. If available, please provide:
12. Category
Phone :________________________ FAX :_________________________
E‐mail ID : ___________________________________________________ 13. Financial Status
10. Details of Demand Draft:
a) Amount Rs.________ DD No.____________ Date____________ 14. Physically Disabled
b) Name and branch of the bank : ___________________________________________________________________
15. Academic Record
A. GATE, CSIR‐UGC, other fellowship exam details (*)
GATE marks and score
Name of Exam. Discipline Year
(with Regn. No.)
B. Qualifying Degree (*) already obtained or in progress
Min. Pass
Institute/College University Degree Final results Overall % or
mark% or
(Name & Address) with Discipline expected by Grade Avg.
Grade Avg.
C. Other Degree (*) obtained after 10+2 (Do not include the degree listed in 15 B)
Institute/College Date of
University Degree Marks or CPI
(Name & Address) completion
D. Number of Technical Papers : Published in Journals ____________ Printed in Conferences __________
Provide details separately.
Photocopies of this form or copies downloaded from NISER website http://niser.ac.in are acceptable.
16. Areas of specialization to do Ph.D. (Consult the homepages of the faculties of NISER)
Preference‐1 _______________________________ Preference‐2 ____________________________________
Preference‐3 _______________________________ Preference‐4 ____________________________________
17. Names and addresses of two referees from whom letters of reference have been obtained.
1._________________________________________ 2. _____________________________________________
___________________________________________ _____________________________________________
___________________________________________ _____________________________________________
18. Declaration by the applicant:
Certified, that all information provided by me on this form is correct to the best of my knowledge and belief. I understand that
any wilful misrepresentation of facts will result in my dismissal from the institute. If admitted, I shall abide by all the rules and
regulations of the institute.
Date : Signature :
Instructions for filling up this form
1.Either TYPE or PRINT the entries on the form neatly.
2.Go through the codes for Items 11‐14 given below, and fill them carefully in the boxes on Page 1.
3.You are required to send the attested copies of the documents for the items marked with an asterisk(*). PLEASE DO NOT SEND ORIGINALS.
4.The application fee of Rs. 500/‐ for candidates in General/OBC/PD and Rs. 250/‐ for SC/ST must be paid through demand draft
payable to Administrative Officer, Academic section, NISER, payable at Bhubaneswar.
CODES (FOR ITEMS 11‐14)
Item 11: Biological Sciences – BS, Chemical Sciences – CS, Mathematical Sciences – MS, Physical Sciences – PS
Item 12: Category: SC*=Scheduled Caste (certificate required); ST*=Scheduled Tribe (certificate required); OBC*=Other Backward Class
(Certificate of Non‐creamy layer required); GN=General
Item 13: Financial status: Institute Assistantship requested= IA, not needed= NA
Item 14: Physically Disabled= PD
CHECKLIST (CIRCLE THE ENCLOSED DOCUMENTS). SEND ONLY ATTESTED COPIES (NOT ORIGINALS).
1. Date of Birth (DOB) Certificate or High School (Class Ten) Certificate with DOB (Required for all candidates)
2. SC/ST/OBC Certificate if applicable (Item 12)
3. Certificate of Physical Status (Type of disability to be attached).
4. GATE/CSIR/UGC score card/certificate (Item 15 A)
5. Copies of mark/grade sheets (Items 15 B & 15C)
6. The Demand draft for the application fee of Rs. 500/‐ or Rs. 250/‐ as applicable
7. Two letters of reference (in a sealed cover)
8. Two self addressed envelopes of 23cm x 10cm.
The completed Application Form must reach on or before
May 03, 2010
Mailing Address for Submission of Applications:
Administrative Officer – III (Academics & Student Affairs)
National Institute of Science Education and Research
Institute of Physics Campus
P.O.‐ Sainik School
Bhubaneswar – 751 005
Orissa
NATIONAL INSTITUTE OF
SCIENCE EDUCATION AND RESEARCH
(Institute of Physics campus, Bhubaneswar – 751 005)
LETTER OF REFERENCE
NOTE TO THE REFEREE
This form is given to you by an applicant of the Ph.D. programme at NISER, Bhubaneswar. We would appreciate an
authentic and frank assessment of the candidate, as that would help us in evaluating him properly. We assure that
your report will be kept confidential.
1. I have known the applicant for the last ______________ years.
My knowledge of this student is based on: (check as many)
having him/her in one or more courses
knowing him/her personally
supervision of his/her thesis/project
inquiry and discussion with my colleagues
some other sources
2. Performance in my courses:
3. Overall ranking of the candidate among your students in the last three years :
A = top 5%, B = top 25%, C = below top 25%
4. Please indicate the levels of the candidate’s abilities with regard to the following.
A = Outstanding, B = High, C = Medium, D = Low
Knowledge of the subject Interest in experiments
Capacity of hard work Interest in theory
Capacity for independent thinking Communication skills
Motivation for research Ability to work in a team
5. Would you consider the applicant good enough to be your own Ph.D. student? Yes / No
6. Please give your remarks about the applicant (add an extra sheet, if necessary). In addition to your general
remarks, please address the following questions: Are the abilities of the candidate better than as indicated by
his/her marks/grades? What are, if any, the special strengths/aptitudes of the applicant in your opinion?
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
7. My recommendation :
I recommend him/her without any reservations
I recommend him/her
I do not recommend him/her
Name of the referee :_____________________________________
Designation/Position :_____________________________________
Signature with official seal
Date : _____________
Address : ___________________________________________________________________________________
___________________________________________________________________________________
_______________________________________________________ PIN : _______________________
E‐mail : _______________________________________ Phone :___________________ FAX : __________________
Please write “Ph.D. Reference Letter” on the envelope, seal the envelope and
hand it over to the applicant.