M.Phil/Direct Ph.D Registration Form

Stream *
Department *
Name of Applicant *
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Date Of Birth *
          Age   Years
Gender *
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Nationality *
Religion *
Community *
Caste *
Sub Caste
Name of Guardian *
Communication Address *
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Permanent Address *
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Same as Communication Address
Landline Number *
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Mobile Number *
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E-mail ID *
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15.Mode of Payment *
Amount *
Chalan/DD Number *
Challan/DD Date *
Name of payment counter *
Payment counter place *

PG Result awaiting
Exam College/Institute University Main/Core Subjects Year Grade & Grade Point/Percentage of marks
Whether eligible for PH Reservation ?
Have you qualified the JRF of the UGC ?
Are you employed? If so furnish full details relating to employment such as designation of the post held, name of the office, N.O.C, etc.
Number of years of teaching experience in the case of College/High School Teachers/Employed persons
If Papers published, give title of the paper with reference to the publication
Additional information, if any
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