Professional Documents
Culture Documents
Ministry of Education, Ethiopia AND Ministry of Innovation and Technology, Ethiopia
Ministry of Education, Ethiopia AND Ministry of Innovation and Technology, Ethiopia
AND
MINISTRY OF INNOVATION AND
TECHNOLOGY, ETHIOPIA
Joint Integrated PhD Programme- May 2023 Session
Website: http://www.ethiopiajointphd.org/ email: ethiopiajointphdprograms@gmail.com
1. Degree : Ph.D.
2. Name :
3. Date of Birth : Passport
size photo
4. Gender :
5. Marital Status :
6. E mail :
7. Mobile :
8. Passport No. :
9. Nationality :
10. Category : Full – Time
11. Faculty : Engineering / Maths / Statistics
12. Department :
13. UG Specialisation :
14. PG Specialisation :
15. University Employed :
16. Contact Details :
Mode
Medium
Regular/ Year of
SI.No Qualification Branch English University CGPA
Part- Passing
/ others
Time
1 UG:
2 PG:
3 12th
21. Professional Experience (Starting from the Present Employment)
Total
22. Publication Details
Year of Impact
SI.No Name of the Journal Paper Title ISSN / ISBN
Publication Factor
I hereby certify that the particulars given above are true, correct and complete to the best of my knowledge and
belief. I am aware that any wrong information or suppression of information and facts may result in punitive action in
addition to cancellation of Ph.D. program at any stage.
Place :
Date : (Signature of the Candidate)
Document to be Enclose:
(Along with Application all the document stated above should be scanned as a single file and that to be forward
to ethiopiajointphdprograms@gmail.com; cc: r.kraj009@gmail.com )