Online Application for Ph.D. Admission, NIT Raipur https://phdadmission.nitrr.ac.in/view_dtls_get_data.php?appl_no=PHD...

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Phone: +91771
2254200
NATIONAL INSTITUTE OF TECHNOLOGY RAIPUR Fax:
(Institute of National Importance) +917712254600
Email:
G.E. Road Raipur-492010,Chhattisgarh,INDIA [email protected]
Website:
www.nitrr.ac.in

Application for Ph.D Admission in the Department Mechanical Engineering Application

Number (PHD2024_WIN5332ME), Applied on (25-11-2024)

Note 1: There is no need to send hardcopy/softcopy of the application form to NIT Raipur.
Note 2: Please keep the printout of the application form for verification at the time of interview.
Personal Details
Name: Hariom Khare

Date of Birth : 14-07-1989

Gender : Male

Father/Husband Name : RAJENDRA KUMAR KHARE

Marital Status : Married

Preferred area of research, If

THERMAL ENGINEERING,
any:

Aadhar UID : 993299596090

No
Are you regular employee of NIT
Not Applicable (If Yes, please enter the date
Raipur ? :
of completion of probation period.)
Are you UGC/CSIR(JRF)/NET/
Teacher Fellowship holder/M.Phil. No
Passed candidate ? :
Do you wish to avail exemption
No
from appearing in written
(Refer clause 2.3 of information bulletin.)
examination ? :
Applicant Category : UR
Divyangjan/Person with special
No
ability (PH/PwD):
State : Madhya Pradesh
City : katni
109, BAKAL,BAHORIBANDH , KATNI 483331
Postal Address
MADHYA PRADESH
Mobile Number : 9584591896
Email ID : [email protected]
109, BAKAL,BAHORIBANDH , KATNI 483331
Permanent Address :
MADHYA PRADESH

Educational Qualification
Marks/ Total
S. Examination Examination Board/ Passing
Discipline CGPA Marks/ Division
No. Level Passed University Year
Obtained CGPA
1 SSC 10TH ALL MP 374 500 First 2004
2 HSC 12TH/11TH(Matric) MATHS CG 328 500 First 2006

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CSVTU
3 Graduation BE/BTECH MECHANICAL 4837 7000 First 2011
BHILAI
Post THERMAL CSVTU
4 ME/MTECH 2239 3000 First 2016
Graduation ENGINEERING BHILAI
Note: "In case you are appearing in post graduation, please enter the aggreate marks/CGPA upto the
last semester."

Professional experience in the descending chronological order

S. Type of Designation & Nature of
Name of Organization From To
No. experience Duties
JK INSTITUTE OF TECHNOLOGY
1 Teaching ASSISTANT PROFESSOR 01-07-0017 30-05-2020
BHILAI

Details of Journal Papers

S.No. Title Type Role No. of Co-Authors ISSN No. (ABCD-WXYZ) Journal Name Place Published On
X X X X X X X X X

Details of Research Papers published in Conferences

S.No. Title Level Type Role No. of Co-Authors Conference Name Place Published On
X X X X X X X X X

Payment Details
Mode of Payment Online
NIT Raipur Payment Reference No. PHD21415388721732548821
Payment Reference No. 241125208237290
Amount 1000
Transaction Date & Time 25-11-2024 21:05:59

Programme categoery in which Full Time with scholarship Sponsored Self Financed
insterested : Part Time

Checklist of copies of documents to be submitted at the time of verification

(date of verification shall be notified later in the website)

1. Aadhar card.
2. Recent Passport sized photograph.
3. Proof of UGC/CSIR(JRF)/NET/Teacher Fellowship holder/M. Phil. Qualification, if applicable.
4. Caste certificate and PH/PwD in prescribed Central Government format as given in Information
Bulletin, if applicable.
5. Certificates of educational qualifications.
6. Proof of professional experience, if any.
7. First page of publications, if any.

Data filled by the candidate will be verified from original before appearing in the interview (if candidate is
found eligible for interview).In case the data filled in cannot be verified from original then the candidate
will not be allowed to appear in the interview and his/her candidature may be cancelled. Sole

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Online Application for Ph.D. Admission, NIT Raipur https://phdadmission.nitrr.ac.in/view_dtls_get_data.php?appl_no=PHD...

responsibility of getting the data verified shall lie with the candidate.

Undertaking / Declaration by the candidate

1. I, hereby, declare that the information furnished in this application is true and correct to my
knowledge.
2. I have read and understood the rules and procedures given in the annexed information bulletin and
shall obey them.
3. I, hereby, undertake to abide by the rules of the institute.
4. I have noted that, if my application is incomplete in any respect and/or if any information furnished
in this application is proved wrong at any stage,then it may be rejected and the admission, if
offered/granted may be canceled.
5. I understand that the details pertaining to list of applications received, result of scrutiny, dates and
results of examination and interview, and results of selection will be displayed on NITRR website.
These may not be intimated individually to the applicants. Hence, I, undertake, to visit the NITRR
website regularly, on my own, to keep myself updated about the same.

Hariom Khare
(Signature of the Applicant's)
Date:

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