Govt. of N.C.T.

of Delhi DELHI TECHNOLOGICAL UNIVERSITY

(Formerly Delhi College of Engineering)
Shahbad Daulatpur,Main Bawana Road, Delhi-42 APPLICATION FORM FOR ADMISSION TO
TEACHING CUM RESEARCH FELLOWSHIPS(TRFs) AND THE POST- DOCTROAL FELLOWSHIPS(PDFs) 2013-2014

Last date for receipt of application 23 May, 2013. Submit the completed Application to the Application No.
Joint Registrar (Admin.), Delhi Technological University, Shahbad Daulatpur, Bawana Road, Delhi110042.

Area of research in order of preference (i) (ii) (iii) 1. 2.

Applicant's Name (in BLOCK LETTER) Postal Address

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

Email address b) Religion c)Nationality

4.

Date of Birth Day Month

6. Category (Please tick ) SC ST OBC GEN 8. Particulars of School and College Attended and Examination passed.
Examination a) b) c) d) e) f) g) i) 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 Ph.D. Any Other Board/University School/College Year of Passing

9. Title of the Ph.D Thesis

10. Details of Papers/Publications published.(Attach separate sheet if required) S.No. Title/Topic of Research Name of the Single/Joint Published Journal Publication

Month Year of Publication

11. 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

12.Present employment Status (Employed/Not Employed) _________________________ 13. Father's / Husband's Name

14. Mothers Name

15. Permanent Address

PIN 16. Indicate the list of enclosures attached encircling the appropriate ones. (only attested / self attested 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 Yes/No Yes/No Yes/No

UNDERTAKING BY THE CANDIDATE

(a) I hereby certify that the foregoing particulars are correct and I agree that admission may be granted to me on the terms, condition, rules and the calendar of the Delhi Technological University or such modifications thereof as may be made by authorities concerned from time to time. I understand that my admission may be cancelled and tuition fee paid by me forfeited if any of the particulars given by me in this application are subsequently found to be wrong. (b) I agree that Vice-Chancellor's decision in all matters concerning my admission, studies, discipline and conduct will be final and binding on me. (c) On admission I undertake to submit myself to the disciplinary jurisdiction of the Vice-Chancellor and the authorities of the University. (d) I understand that my association, active or passive, with any unlawful organization is forbidden. (e) I certify that I am not registered as a provisional student of any other University. (f) I agree that the University shall have the right to forfeit the security deposits inter alia on the ground of my failure to claim the refund within three years of the date of my ceasing to be on the rolls of the University.

Date......../........../2013

Signature of the Applicant

Details of Demand Draft(Attach D.D in original) :

Demand Draft No. :___________________________ Date of Issue:________________________________ for Rs.:__________________________ Bank Name__________________