Admission Form PHD 2012
Admission Form PHD 2012
Admission Form PHD 2012
APPLICATION FORM FOR ADMISSION TO THE Ph.D. PROGRAMME 2012-2013 Full-time /Part-Time Sponsored (Please tick
Application No.
Last date for receipt of application form is 08th May, 2012. Submit the completed Application to the Joint Registrar (Admin.), Delhi Technological University, Shahbad Daulatpur, Bawana Road, Delhi110042.
Paste (do not pin) your recent passport size photograph duly attested by a Gazetted Officer / Director of College last attended
3.
Contact Details Telephone No. Mobile No. 5. a) Sex(M/F) Year 7.Marital Status
Agg. Marks Obtained % age Subject
4.
6. Category (Please tick ST OBC GEN 8. Particulars of School and College Attended and Examination passed.
Examination a) b) c) d) e) f) g) High School SSCE or Equivalent B.Sc. or Equivalent B.Sc. Engg. / B.Tech./ B.E. or Equivalent AMIE or Equivalent M.Sc./ M.Tech or Equivalent Any other Board/University School/College Year of Passing
9. Details of Paper/Publications published(Attach separate sheet if required); S.No. Title/Topic of Research Name of the Single/Joint Published Journal Publication
10. Have you been employed, if so give the following particulars (Attach separate sheet if required);
Name of the Organization and Address Post Held Nature of Duties From Period To
11.Present employment Status (Employed/Not Employed) _________________________ 12. Father's / Husband's Name 13. Mothers Name
15. Whether candidate is opting for exemption from entrance exam. (If yes, please support the claim with relevant documents.) photocopies to be submitted at this stage).
(a) Mark-Sheet / Degree Certificate of all examinations passed. (b) Conversion formula if Result was in the form of Grades / C.G.P.A. (c) Proof of Date of Birth. (d) Certificate for SC / ST / OBC Candidates only. NOTE : Your Application will not be considered if not accompanied by appropriate certificate and documents.
Yes/No
16. Indicate the list of enclosures attached encircling the appropriate ones. (only attested / self attested
Yes/No Yes/No Yes/No Yes/No
Date......../........../2012