Iitr ph d_appln_form_2010

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Iitr ph d_appln_form_2010

  1. 1. APPLICATION FORM FOR ADMISSION TO Ph.D. PROGRAMME Affix Recent Passport Size INDIAN INSTITUTE OF TECHNOLOGY ROPAR PhotoDepartmentArea of ResearchPersonal Details Full Name (In Capital) Date of Birth Age (DD/MM/YY) Marital Status Married/Unmarried Gender Male/Female Nationality Address for Communication Permanent Address Mobile/Phone no. E-mailDetails of School/University/Institute Studied (From Matriculation Onward) S. No. Degree Discipline University/ Regular/ Year % Division College Part time Marks/CGPA 1 2 3 4 5 6.Additional Qualifying Examination (GATE/CSIR/UGC/NET/NBHM/Others) Qualifying Examination Branch Year Valid up to Percentile All India RankProfessional Experiences (Teaching/Research/Industrial) if any Name of Organization Designation Period Nature of Work From To
  2. 2. List of Enclosure: -Tick all that applyAttested copy of semester wise mark sheet/grade cards ( )Attested copy of GATE/CSIR/UGC/NET etc. ( )List of Publications/Patent ( )Note:(i) Those who want to apply to more than one department should apply separately for each department.(ii) Academic Profile includes the following information: (a) Details of publications/Conference papers (b) Awards, patents, prizes etc., (c) Other activities(iii) If the candidate is employed, relief certificate from the employer should be produced at the time ofadmission. DECLARATIONI hereby declare that I have carefully read the instructions and particulars supplied to me and thatthe entries made in this application form are correct to the best of my knowledge and belief. Ifselected for admission, I promise to abide by the rules and discipline of the Institute.I note that the decision of the Institute is final in regard to selection for admission and assignmentto a particular Department and field of study. The Institute shall have the right to expel me fromthe Institute at any time after my admission, provided it is satisfied that I was admitted on falseparticulars furnished by me or my antecedents prove that my continuance in the Institute is notdesirable. I agree that I shall abide by the decision of the Institute, which shall be final.Place :……………Date : ………… Signature of Applicant :
  3. 3. HOW TO APPLY (a) If a candidate desires to apply for admission to more than one department, he/ she should use separate application form for each department. (b) He/She should indicate clearly the Department and area of research in the space provided in the application form. (c) Application from candidates who are currently employed must be routed through their employers. The following documents are to be sent along with completed application form: (a) Attested Copy of SSLC first page / 10th class or Matriculation certificate. (b) Attested copies of semester-wise mark sheets / grade cards, degree certificates beginning from first degree towards proof of qualification. [Original certificates should not be enclosed]. (c) Attested copy of GATE score or NET (UGC-JRF/Lectureship/CSIR/ DAE-JEST) or other fellowship award. (d) A complete and duly filled application form should also be sent to the following addresses specifying “Ph.D. Application” in the subject field. Dr. Rajendra Srivastva, Ph.D. Coordinator Indian Institute of Technology Ropar Nangal Road Rupnagar-140001 Punjab

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