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    PHD Form

    Uploaded by

    MAX PAYNE
    This document is an application for admission to a Ph.D program. It requests information such as the applicant's personal details, academic record, experience, publications, and whether they are sponsored. The applicant must declare that the information provided is correct and agree to abide by the institute's rules if admitted.

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    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd

    PHD Form

    Uploaded by

    MAX PAYNE
    21 views2 pages
    This document is an application for admission to a Ph.D program. It requests information such as the applicant's personal details, academic record, experience, publications, and whether they are sponsored. The applicant must declare that the information provided is correct and agree to abide by the institute's rules if admitted.

    Original Title

    PhD_form

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    This document is an application for admission to a Ph.D program. It requests information such as the applicant's personal details, academic record, experience, publications, and whether they are sponsored. The applicant must declare that the information provided is correct and agree to abide by the institute's rules if admitted.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    21 views2 pages

    PHD Form

    Uploaded by

    MAX PAYNE
    This document is an application for admission to a Ph.D program. It requests information such as the applicant's personal details, academic record, experience, publications, and whether they are sponsored. The applicant must declare that the information provided is correct and agree to abide by the institute's rules if admitted.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 2

    Registration No. ……………………………………. No.

    ………………………………………….

    SANT LONGOWAL INSTITUTE OF ENGINEERING &


    TECHNOLOGY,
    LONGOWAL (SANGRUR) – 148106

    APPLICATION FOR ADMISSION TO Ph. D PROGRAMME


    Paste your
    recent
    passport
    Semester ______________ size
    photograp
    Session ______________ h duly
    attested

    1. Category : Full time Regular with assistance Part time


    ship/ sponsored / self Institute
    financing employee/
    2. Department : __________________________________________

    3. Name of applicant : __________________________________________


    (in block letters)
    4. Father’s/Mother’s name : __________________________________________

    5. Date of birth :

    __________________________________________

    6. Complete postal address : __________________________________________

    __________________________________________

    7. Permanent Address :

    __________________________________________

    __________________________________________

    E-mail : ___________________________ Tel. No. _____________________________

    8. Details of academic record starting from Higher Secondary Examination :


    (Attested copies of the mark sheets/certificates to be enclosed)

    Examination Year Name of %age of marks/ Division Branch/subjec


    Passed university / CGPA obtained t studied
    institution

    9. Whether SC/ST? : YES/NO


    (attested copy of certificate to be furnished)

    1
    10.Performance in GATE/NET

    Name of Discipline Year of Score percentile


    Examination examination

    11.Experience, if any of service and/or research including present position held:

    Name & Date of Total Designati Nature Salary Remarks


    address joining period on held of work drawn
    of upto
    employin date
    g
    organizati
    on

    12.Publication, if any: ______________________________________________________

    13.Whether the applicant is sponsored by any organization? : YES/NO

    14.If “YES” the name and address of sponsoring organization:

    __________________________

    ______________________________________________________________________________

    15.Consent of the competent authority sponsoring the candidate:

    __________________

    ______________________________________________________________________________

    16.Declaration of the applicant:

    I hereby declare that all the particulars furnished are correct. I understand
    that my association direct or indirect with any unlawful organization and any
    incorrect information may lead to cancellation of my admission/ selection. If
    selected for admission, I promise to abide by the rules and regulations of the
    institute. I am not registered for Ph.D degree at any other University/Institute.

    Date: ____________________ ______________________________


    (Signature of the candidate with
    name)

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