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I.
sr.No.:...0.$.g
- LINGAYA'S UNIVERSITY
TINGAYAS Nachauli,Old Faridabad- JasanaRoad,Faridabad- 121002
UNIYERSITY (DeemedUniversityu/s3 of UGC Act 1956)
c h o o r aa ol n o v

{) lU|/vnD. APPLrcArroNFORM
l. Separateapplicationform should be usedfor eachdepartmentif applying for more than
one department.
2. Encloseself attestedcopiesof relevant certificates.Bring original certificatesat the time of Paste
interview. selfattested
latest
3. Last datefor receiptofapplication : 15thJuly photograph
4. Interviewdate: Will be communicated.
5. Tick (/1 the relevantentry whereverprovided.

in which admissionis being sought:


Any other departmentto which applicationhasbeenmade

Category(For statisticsonly)

PermanentAddress

Addressfor
borrespondence

Qualifying Examination

Anyotherqualification
e.g.M.PhilNET/GMAT/etc.
AcademicPerformance
(in chronological
Experience: with yourmostrecentorganization)
order,strarting
Sr. Organizatlon Designetion From To
f,to.

No. of PapersPublished
(Attach list giving details)

Awards& Scholarships
.

Any other relevant information

@yourbroadarelofresearchandgivereasonswhy,inyouropinion,theapplicationshould
be consideredfor Ph.D. research.

ContactNo.
Refereeswith address

ContactNo.
Undertaking
s/D/wo
do here by state that the factual information given above is correct to the best of my knowledge and belief. If at any time
informationprovided by me is found to be incorrect,my admissionmay be cancelled.

Signatureof applicant

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