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  • PH D Applicationform-2011

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    Ashalata Mane
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    This document contains an application form for the All India Entrance Test for the Ph.D. program in 2011 at Dr. D. Y. Patil Vidyapeeth University in Pune, India. The form requests information such as the applicant's name, date of birth, educational background, publications, teaching and work experience, proposed research topic, and a declaration agreeing to abide by the university's rules. If admitted, the applicant must submit 8 copies of a research outline as specified in Appendix A.

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    PH.D.APPLICATIONFORM-2011

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    This document contains an application form for the All India Entrance Test for the Ph.D. program in 2011 at Dr. D. Y. Patil Vidyapeeth University in Pune, India. The form requests information such as the applicant's name, date of birth, educational background, publications, teaching and work experience, proposed research topic, and a declaration agreeing to abide by the university's rules. If admitted, the applicant must submit 8 copies of a research outline as specified in Appendix A.

    Copyright:

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    Download as PDF, TXT or read online from Scribd
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    8 views3 pages

    PH D Applicationform-2011

    Uploaded by

    Ashalata Mane
    This document contains an application form for the All India Entrance Test for the Ph.D. program in 2011 at Dr. D. Y. Patil Vidyapeeth University in Pune, India. The form requests information such as the applicant's name, date of birth, educational background, publications, teaching and work experience, proposed research topic, and a declaration agreeing to abide by the university's rules. If admitted, the applicant must submit 8 copies of a research outline as specified in Appendix A.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    of 3

    Dr. D. Y.

    PATIL VIDYAPEETH, PUNE


    (DEEMED UNIVERSITY)

    Photograph

    (Accredited by NAAC With A grade) APPLICATION FORM FOR ALL INDIA ENTRANCE TEST 2011 FOR Ph. D. PROGRAMME 1. Specialization : 2. Faculty:

    3. Name of the Candidate in full (in Capital Letters)

    (Surname) 4. Date of Birth 6. Nationality


    7. Permanent Address

    (Name)

    ( Fathers/Husbands Name ) 5. Gender (Male/Female)

    8. Address for Correspondence

    PIN 9. Mobile No. 10. Landline No.(with STD Code) 11. E-mail ID

    PIN

    12. Whether belonging to SC/ST/DT(A)/NT(B)/NT(C)/NT(D)/OBC/SBC Categories (Strike out whichever is not applicable) 13. Details of Fee Payment : D. D./ Cash (Strike out whichever is not applicable) D. D. No. Amount in Rs. Date of Issue

    Yes / No

    14. Name of the Bank

    15. Educational Background (attach attested copies of statement of marks and certificates):
    Degree University Year of Passing Specialization Class/ Grade Percentage / Grade Points Average

    16. Details of the following Exams if applicable


    Sr. No. 1 2 3 NET SET/SLET GATE Examination Passed Year of Passing Grade

    17. Title of M. Phil Dissertation, if applicable

    18. Is the Proposed topic of Doctoral Research related to or an extension of the M. Phil. Dissertation? (Strike out whichever is not applicable)

    Yes

    No

    19. Particulars of Publications in Peer reviewed/ Indexed National/ International Journals: (Please attach additional sheet, if required)
    Sr. No. 1 2 3 4 Title of the Paper / Book Name of the Journal/ Publisher Details of the publication Volume Issue Year

    20. Details of Teaching Experience:


    Name of the College Subject(s) Taught From Period To

    21. Details of Work Experience: Sr. No. 1 2 3 4 Name of the Organisation Designation From Period To

    22. Present Employment Details Name & Address of the Employer :

    23. Eight Copies of Research Outline (As per Appendix A) to be attached

    24. Declaration :

    a) I hereby declare that the above information is true and complete to the best of my knowledge. I am aware that if any information herein is found to be incorrect or incomplete, my application form will be rejected/ admission will be cancelled. b) If admitted to Dr. D. Y. Patil Vidyapeeth, Pune, I shall abide by its Rules and Regulations. c) I have read and understood all the provisions contained in the brochure and hereby agree provisions. to abide by these

    Signature of the Candidate

    Place : Date:

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