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    (Please Fill in Block Capital Letters) : Application For PHD Programme

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    hemacrc
    This 5-page document is an application for a PhD programme. It requests personal details from the applicant, including name, contact information, citizenship status, and date of birth. It also asks for the applicant's research interests, academic qualifications including degrees and grades, any publications or other achievements, and employment history. Recommendations from educational institutions or employers can be included. The applicant must sign to confirm the accuracy of the information provided.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    (Please Fill in Block Capital Letters) : Application For PHD Programme

    Uploaded by

    hemacrc
    30 views5 pages
    This 5-page document is an application for a PhD programme. It requests personal details from the applicant, including name, contact information, citizenship status, and date of birth. It also asks for the applicant's research interests, academic qualifications including degrees and grades, any publications or other achievements, and employment history. Recommendations from educational institutions or employers can be included. The applicant must sign to confirm the accuracy of the information provided.

    Original Title

    phd_registration_application

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    This 5-page document is an application for a PhD programme. It requests personal details from the applicant, including name, contact information, citizenship status, and date of birth. It also asks for the applicant's research interests, academic qualifications including degrees and grades, any publications or other achievements, and employment history. Recommendations from educational institutions or employers can be included. The applicant must sign to confirm the accuracy of the information provided.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    30 views5 pages

    (Please Fill in Block Capital Letters) : Application For PHD Programme

    Uploaded by

    hemacrc
    This 5-page document is an application for a PhD programme. It requests personal details from the applicant, including name, contact information, citizenship status, and date of birth. It also asks for the applicant's research interests, academic qualifications including degrees and grades, any publications or other achievements, and employment history. Recommendations from educational institutions or employers can be included. The applicant must sign to confirm the accuracy of the information provided.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 5

    Application for PhD Programme

    (PLEASE FILL IN BLOCK CAPITAL LETTERS)


    Specialisation: IT MANAGEMENT

    Interested discipline:

    A. PERSONAL DETAILS

    1. Name in Full:
    Please underline the Surname

    2. Title
    Rev./Dr./ Mr./Mrs./Miss
    3. Postal Address:

    4. Email Address:

    5. Contact Number (Mobile)


    AND
    Contact Number (alternative)

    6. Date of Birth:

    7. Passport Number:
    8. NIC number:

    9. Civil Status:
    10. Nationality:
    (state whether by descent or by
    registration: if by registration,
    give reference number & date of
    certificate of citizenship)

    Page 1 of 5
    B. RESEARCH INTEREST

    11. Subject specialisation/s:

    12. Explain your reasons for wanting to read for the PhD, and justify why ESOFT should give you the
    opportunity:

    Page 2 of 5
    C. ACADEMIC QUALIFICATIONS

    13. Undergraduate qualification/s: (Degree/ Diploma/ Equivalent)


    (Please use separate sheet if required)
    University/ Awarding From To Course completed Achievement/s
    institution (with subjects) (Class or Grade)

    14. Postgraduate qualification/s:


    University/ Awarding From To Course completed Achievement/s
    institution (respective (Class or Grade)
    specialisation)

    Page 3 of 5
    15. Any other academic
    achievements
    (Scholarships, Medals, Prizes, etc.)
    Please indicate awarding institution/
    establishment

    16. Research publications:


    (Please use separate sheet if required)

    D. EMPLOYMENT RECORDS

    17. Current:
    Job title, Employer and Date of
    appointment:

    18. Previous appointments (if any):


    Job title, Employer and Duration of
    service

    Page 4 of 5
    E. RECOMMENDATIONS
    (Applicable ONLY for candidates from Private Higher Educational Institutions, Public Universities,
    Government Departments and Government Corporations)

    I recommend the application of (candidate’s name) __________________________________________


    for the above PhD program

    Name:
    Signature:
    Date:

    F. DECLARATION

    I hereby certify that the particulars submitted by me in this application are true and accurate.

    Candidate’s Signature:
    Date:

    Page 5 of 5

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