Phd Admission

Indian Institute of Science Education and Research Bhopal

APPLICATION FORM FOR ADMISSION INTO THE Ph.D. PROGRAMME

Programme

Discipline

Ph.D.

Biological Sciences Chemistry Earth and Environmental Sciences Mathematics Physics

Personal Information

1. Full Name

2. Father’s Name

3. Date of Birth 4. Place of Birth

5. Nationality 6. Gender

7. (b) Minority (a) Religion

10. Address forCorrespondence

11. PermanentAddress

Mobile Landline E-mail

Academic Record/Work Experience

Paste Your

Recent Photograph

Here

13. [a] Qualifying degree already obtained or in progress (Attach self attested copies of all semester marksheets/certificates)

Institute/College/University Discipline Degree Exam Date Marks %

or

Marks % or CPI/GPA

Sem I. Sem. II Sem. III Sem. IV Overall Marks % or CPI/GPA

(If Degree Completed) Sem. V Sem. VI Sem. VII Sem. VIII

(Month-Year)

Completion/ Expected

Completion Date CPI/GPA(Month-Year)

13.

CSIR-JRFDBT-JRFUGC-JRFGATEICMR-JRFJESTNBHM-JRFOthers, Please specify

Valid uptoValid uptoValid uptoValid upto

Valid uptoValid uptoValid upto

RankRankRankRank

RankRankRank

SubjectSubjectSubject

Subject

Financial Status

Valid uptoRank

[b] National level qualifying examination (Tick the relevant box only if you have qualified the exam)

(Attach self attested copies of scorecard/certificates)

12. Contact

8. Category 9.Physical Disability

CSIR-JRF

DBT-JRFUGC-JRF

GATEICMR-JRFJESTNBHM-JRFOthers, Please specify

CSIR-JRFDBT-JRFUGC-JRFGATEICMR-JRFJESTNBHM-JRFOthers, Please specify



13.

Examination SubjectsDegree/Diploma

(eg. B.Sc./M.Tech.)

% of Mark

CPI/GPA

13. [d] Work Experience

(A candidate presently working (including those on projects) mu

Employer Position

13. [e] Number of publications (Enclose only the title page of ea

Published in journals

Name of Board/University

Secondary

Higher Secondary

Bachelors Degree

Others, if any

Remarks/ Distinction/

14. Describe briefly your research experience during or after

15. Attach as a separate sheet, a Statement of Purpose (SOhow your research interests match with the research areasat IISER Bhopal

[c] Details of academic record (Do not include the degree listed in 13.[a])

Year of Passing

Obtained

st provide a “No Objection/Relieving certificate” from the employer)

From Date To Date Nature of Work

ch journal publication)

Presented at conferences

Pref. 1:

Division

the Masters degree, if any:

P) not exceeding 150 words. The SOP should describe currently represented in the discipline you have applied to



17. Contact details of the referees (Letters of recommendation should be provided in the specified format)

Referee 1 Referee 2Name Designation Affiliation/AddressContact No. E-mail Address

18. Declaration by the applicantCertified, that all information provided by me in this form is correct to the best of my knowledge and belief.I understand that any willful misrepresentation of facts will result in my dismissal from the Institute. If admitted,I shall abide by all the rules and regulations of the Institute.

16. Preferred area of specialization in the programme/discipline

Broad research areaSub-areas, if applicable



Preference 1

Preference 2

Preference 3

Date: Click Here Applicant’s Signature

Place:

Fill the entries on the form neatly (Either TYPE or WRITE in Block Letters)

Options:

7 (a). Religion: e.g., Hindu, Islam, Christian, Sikh etc.7 (b). Minority: Yes/No

8. Category: SC- Scheduled Caste/ST- Scheduled Tribe/OBC- Other Backward Class/GN - General

9. Physical disability: Yes/No

13.[b] Financial Status: Sponsored (Having external fellowship e.g. CSIR-JRF)/Institute assistantship requested

Checklist (circle the enclosed documents). Send self attested copies (not originals) for item no. 1 to 6:

1. Date of Birth (DOB) certificate or high school (Class X) certificate with DOB (required for all applicants)

2. SC/ST/OBC (non-creamy layer) certificate, if applicable

3. Certificate of physical disability, with type of disability, to be attached, if applicable

4. GATE/CSIR/UGC/others. Eligibility/sponsorship certificate/score-card, or copy of result with your roll number

highlighted (required for all applicants)

5. Copies of mark/grade sheets (required for all applicants)

6. No Objection/relieving certificate from employer (only for employed applicants)

7. Two letters of recommendation in the specified format, if not sent via e-mail.

Note:Recommendation letters may be sent with the application packet in hardcopy in sealed envelopes, superscribed "Letter

of Recommendation for <Applicant's Name> to Ph.D. Program in <Discipline Name>" at below mentioned address or via E-mail with subject "Recommendation letter for <Applicant's Name> to Ph.D. Program in <Discipline

Name>" to coordinator ([BIO]-"[email protected]"/ [CHM]-"[email protected]"/[EES]- "[email protected]"/ [MTH]-"[email protected]"/[PHY]- "[email protected]") of

the discipline to which the applicant has applied.

Letter of recommendation not sent via email or in a sealed envelope will not be accepted.

Hard copy of application along with all enclosures must be sent to:

The Coordinator, Academic Affairs


Indore By-pass Road, Bhauri, Bhopal - 462 066Madhya Pradesh, India

NOTE: PLEASE SUPERSCRIBE YOUR ENVELOPE WITH “APPLICATION FOR Ph.D. IN (DEPARTMENT NAME)”

For example, if you are applying to the Ph.D. programme in Physics, please superscribe your envelope with“Application for Ph.D. in PHYSICS”.

Separate application must be sent for each programme.

Minimum Qualifications:

M.Sc./M.Tech. Degree (minimum 60% marks) or CGPA 7.0 with a valid GATE/UGC/CSIR/NEST/ICMR/DBT/NBHM or any other recognized score.

Reservation:

As per Government of India rules.

INSTRUCTIONS FOR FILLING THIS FORM

Phd Admission

Documents

Transcript of Phd Admission