Application Form January 2016

7/26/2019 Application Form January 2016

1/4

Full Time/Part Time

2. Gender : Male Female

Indian Foreign

Landline No.:

Mobile :

PLEASE AFFIX YOUR

SIGNED PHOTOGRAPH

HERE

Application No.

For Office Use only

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5.Nationality : North-East Indian

State

E -mail Address

for Correspondance :

1.Name of the candidate as per Std. 12 marksheet (In Block Letters)

3.Date of Birth :Transgender

Application Form for Admission in Ph.D. Programme

Ph.D. Admission January 2016 : PDPU

day Month Year

PIN Code

City/Town

STD Code

PANDIT DEENDAYAL PETROLEUM UNIVERSITY(Recognized By UGC)

Raisan, Gandhinagar - 382007. Gujarat, India.

Phone :+91 - 79-23275060 Fax : + 91 -79-23275030

www.pdpu.ac.in

Sub: An application for Ph.D. Admission January 2016 in the School of _____________________________________________

(Technology/Liberal Studies/Petroleum Technology/ Petroleum Management) in the

relevant areaof ____________________________________________________ (Please refer the admission policy on the Website)

Sir,

With reference to your advertisement published in recent for Ph.D. Admission, I hereby would like to apply for the same as per the following

details :

4.Physically Challenged :

Phone No.

To

The RegistrarPandit Deendayal Petroleum University

P.B.No. 3, Raisan, Gandhinagar - 382007

Correspondence

Address

(Tick wherever applicable.)

Country


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Landline No.:

Qualified with *

Year of PassingPrinciple SubjectsUniversity/Board

STD Code

Subject/s Taken

Type of work Period

Master Degee

Any Other

Permanent

Address


Phone No.

Academics

Examination Degree

Valid up to Score

Position held

Test

Country PIN Code

Bachelor

Degree

Professional Experience (Teaching/Research/Industrial), if any

Name of Organization

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A) (If you are qualified with * UGC NET/JRF/GATE/CAT/XAT/MAT/CSIR or such other examination, please provide hereunder

the information)

Date of Qualifying

Percentage/

CGPA

SSC

City/Town State

HSC


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Explain your research interest/area (Statement of Purpose) in 150 words

Issuing Bank (with Address)

How you come to know the admission announcement:________________________________

Phone No.Designation & Address E-mail ID

(iii) The selected candidates who wish to pursue interdisciplinary research will be registered in a department of School of Technologyrelevant to the area of their qualifying PG degree.

Name and address of the candidate is to be written at the back of the DD and the envelope must be superscribed as "Ph.D.

Admission January 2016".

Application Fee :

Name

References

Declaration

( i ) The duly filled in application form is to be sent by registered/ Speed Post/DTDC Courier along with Demand Draft of Rs.2000/-

(Non Refundable)in favor of "Pandit Deendayal Petroleum University" payable at Ahmedabad, to the University on or before the

prescribed last date, alongwith the self attested photocopy of all necessary testimonials.

I hereby declare that the information provided in this application form are correct to the best of my knowledge and understanding. In case of

any information furnished by me if found to be incorrect and/or to be not in compliance to the rules of the University, the University has the

right to take any action it deems fit, including the cancellation of the admission at any point of time. If selected for admission, I promise to

abide by the ruies and regulations of the University in force from time to time. I also assure hereby that I shall not indulge into ragging in any

form. I have read the admission policy-procedure on the website, to which I abide to fol low.

Date :

Place :

Signature of the Candidate

( ii )

Demand Draft No.


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Note :


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__________________________ __________________________

Date of Admission test: 18th December 2015

------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

Date of Admission test: 18th December 2015

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Paste passport

size photograph

For Office Use

PANDIT DEENDAYAL PETROLEUM UNIVERSITY

Ph.D. ADMISSION JANUARY 2016

ADMIT CARD Part-B

Paste passport

size photograph

Candidates Name:

Parents /Guardians Name:

Address:

Signature of the Candidate

Signature of the Candidate( To be signed by the applicant in presence of the

Invigilator at the time of appearing for the test.)

Signature of the InvigilatorFor Office use only.

(To be signed by Invigilator present at Test Centre after identity

verification.)

Candidates Name:

Parents /Guardians Name:

Address:

To be retained by the candidate & to be produced while appearing at the examination

To be filled by the Candidate and be submitted alongwith the Application Form

PANDIT DEENDAYAL PETROLEUM UNIVERSITY

Ph.D. ADMISSION JANUARY 2016

ADMIT CARD Part-A

Application Form January 2016

Documents

Transcript of Application Form January 2016