APPLICATION FORM for Physics Training and Talent Search (PTTS) 2019 LEVEL -II

Name (in BLOCK LETTERS):

Date of Birth (MM/DD/YYYY) :

Gender :

Contact number :

Email ID :

Parent’s/Guardian’s Name :

Parent’s/Guardian’s contact number :

Parent’s/Guardian’s email ID :

Home address :

Address of the present institution :

Academic profile* (include marks of B.Sc. and Class 12) :

XII marks in percentage:

BSc Grades(percentage/grades):

MSc Grades(Percentage) till now:

Please list participation in any course and programme related to Physics, or science in general.

Please list marks/performance in any science examinations, such as NGPE, NTSE, KVPY,etc.

REFERENCE DETAILS:

Name of your teacher along with her/his designation, contact number ( optional), and email id.

Declaration by the candidate:

I hereby declare that information provided by me is correct to the best of my knowledge. I will obey the
rules and regulations of the program as well as that of the host institute.

Signature of the applicant with date:

INSTRUCTIONS :

To the student: Please scan and send this form along with the answer to the question sent to you,by email
to pttsindia@gmail.com with the subject heading: “Level-II , Your name.”. Alternatively, you may send it
by speed post (No private couriers) mentioning on the top of the cover ”Application for PTTS 2019-Level II
– Your name“ to

“ Dr. M. Sivaraman ,Department of Physics,

Gandhigram Rural Institute - Deemed to be University (GRI),

Gandhigram 624302,

Dindigul District, Tamil Nadu”

To the teacher: Please also fill out the Letter of Reference for the student and scan and send it by email
to pttsindia@gmail.com with the subject heading: “Reference Letter for Student’s name- Level II “.
Alternatively, you may send it by speed post (No private courier) mentioning on top of the cover
``Reference Letter for PTTS 2016 Level II – Student’s name“ to

Dr. M. Sivaraman, Department of Physics,

Gandhigram Rural Institute - Deemed to be University (GRI),

Gandhigram 624302,

Dindigul District, Tamil Nadu

The last date for applications and reference letters to reach (via email to pttsindia@gmail.com or
through speed post) is March-17, 2019.