APPLICATION FORM
PhD Program at Bose Institute |
| *Name of the Applicant : |
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| *Date of Birth |
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*Category |
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Category certificate, if reserved category(PDF less than 1 MB) |
| *Postal Address : |
PIN:
| *Permanent Address : |
PIN:
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| *Contact(Mobile) No (preferred): |
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Contact No (alternate): |
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| *Email (preferred): |
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Email (alternate): |
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| * Confirm Email (preferred): |
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*Gender |
Male
Female
Others
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| *Photo-ID type |
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*Photo-ID No. |
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| *Academic Qualifications |
| *Examination / Degree |
*Univ./Board/College |
*Year(completed/expected) |
*CGPA & Basis /Marks(%)(overall)
Note: Either 1 or 2 is required, if 2 both (a) and (b) are required |
*Subjects (Hons/Main Subject) |
| *Matriculation/Equiv (Class 10) |
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1.Marks(%):
2(a).CGPA:
2(b).Basis:
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| *Higher Secondary/Equiv (10+2) |
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1.Marks(%):
2(a).CGPA:
2(b).Basis:
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| *Graduation |
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1.Marks(%):
2(a).CGPA:
2(b).Basis:
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| *Post Graduation
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*Result awaited
Yes
No
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1.Marks(%):
2(a).CGPA:
2(b).Basis:
*Note: In case result awaited, marks should be based on results upto 3rd Semester
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Specialization in Post Graduation
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*Field of Study for the PhD Programme (1st Preference):
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Field of Study for the PhD Programme (2nd Preference -optional):
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Field of Study for the PhD Programme (3rd Preference -optional):
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| *National Award of Fellowship |
*Whether fellowship has been previously activated
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*Date of Fellowship Award Letter
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*Valid till:
*Note: Refer to advertisement for validity requirement |
JRF Rank (if available): |
| *Professional Experience:
| *Summer Training/Dissertation/Master’s Thesis/Project experience. Mention publication, if any (within 400 words). If you have nothing to mention, please write ‘None’
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| *Other Information:
| *Any other Information relevant to your candidature as a PhD student at Bose Institute. If you have nothing to mention, please write ‘None’ (100 words)
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| Documents should be scanned at a high resolution to ensure readability. Please verify that the document is clear, properly lit, and free from blurriness before submitting |
| *Proof of Date of Birth (PDF less than 1 MB) |
| *Photo-ID Proof (PDF less than 1 MB) |
| *Mark sheet of the Matriculation/Equiv qualification (PDF less than 1 MB) |
| *Mark sheet of the Higher Secondary/Equiv qualification (PDF less than 1 MB) |
| *Mark sheet of the Graduation qualification (PDF less than 1 MB) |
| *Mark sheet of the Post Graduation qualification (PDF less than 1 MB) If final marksheet is awaited then submit the last semister marksheet |
| *National Award of Fellowship certificate/document (PDF less than 1 MB) |
*I hereby declare that the details furnished above are true and correct to the best of my knowledge and belief. In case any of the above information is found to be false or untrue or misleading or misrepresenting, I am aware that I may be held liable for it.
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Note:*Required field
Acknowledgement receipt will be generated after successful submission. Please take a printout of acknowledgement receipt for future reference
If called for interview this photo-id must be produced for verification
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