PhD Application Form

PhD Application Form
1) Course Applied for
2) PhD Specialization
3) Candidate's Name (BLOCK LETTERS only)
As per the 10th Marksheet
4) (Father's/Guardian's/Husband's) Name (BLOCK LETTERS)
As per the 10th Marksheet
Date of Birth

DayMonthYear
Date
Gender

MaleFemale
5) Nationality
Category*

GeneralSCSTOBCPHDefence
6) Permanent Address

House no. / Flat no. / Building no.

Road / Road no./ Sector

CityState / Province

Pin Code
7) City*
Other City*
9) PIN Code
10)State*
11) Correspondence Address is SAME as above?*
Correspondence Address (if different from above)*
PIN Code (if different)*
12) Mobile Number*
ONLY 10 DIGIT mobile number
13) Email Id (if any)
example@example.com
noreply email
apchetan2001@gmail.com
(NET/JRF/SLET) Details
14) NET / JRF / SLET
Upload the copy of the certificate of (NET / JRF / SLET)*

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(NET/JRF/SLET) Roll No.*
(NET/JRF/SLET) Rank*
(NET/JRF/SLET) Score*
(NET/JRF/SLET) Year and Month*
Example:- June 2018
10th
10th board
10th School Name
10th % marks
10th Year of Passing
(12th / Diploma / ITI)
Board (12th / Diploma / ITI)
(12th / Diploma / ITI) Year of Passing
12th School Name
12th % marks
12th Major Subject
Bachelors Degree
Bachelor Degree University
(Bachelor Degree) Year of Passing
Bachelor Degree % marks
Master Degree
(Master Degree) Year of Passing
Master Degree University
Masters Degree % marks
15) Are you Employed ?*
Nature of Organization*
Name of Organization*
NOC required to be attached or deposited before provisional Registration If candidate is employed after registration, this fact must be brought to the notice of the University immediately.
Amount Paid in Rs. (digits only)
Amount in Words
Demand Draft No.
Name of Bank & Branch
Upload Payment Screenshot (if any)

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1. Terms and Conditions
  No applicant who has been convicted of an offense involving moral turpitude shall be given admission and if already admitted, his / her admission shall be cancelled immediately after the facts of the cases are known.
2. Where it is discovered that an applicant has been punished on account of using unfair means in any examination or has been expelled from any educational institution, he / she shall not be admitted.
3. Cancellation of Admission: The University reserves its right to cancel the admission of successful Candidate under any of the following circumstances: a) If the fee is not deposited by the stipulated date. b) If the candidate does not join the particular programme by the stipulated date even though the Fee has been deposited. c) If the candidate fails to furnish the proof of the stipulated minimum qualifications.
4. The Competent Authority of the University reserves the right to alter or modify the structure of any of the programs to attain the objective of excellence.
5. The University reserves its right to change the existing fee structure without any prior information
6. Payment by a student of any dues shall not establish a claim to admission or re-admission.
7. For all purposes, decision of the admission Committee shall be final and binding on each applicant.
8. All fess once paid are not refundable for any reason whatsoever. Only Security Deposit will be refunded after necessary adjustments as required.
9. The University reserves its right to modify. alter and / or include any other terms and conditions that may be deemed necessary in the interest of the student.
10. Jurisdiction: Any dispute pertaining to admission, or any matter as a student or alumnus of NIILM University shall be subjected to the jurisdiction of Kaithal courts only.
11. Limitation case: No dispute shall be raised after the expiry of 30 days from the date on which the process of admission/ or selection is completed.
12. Agreement Clause: All successful candidates shall be bound by above mentioned terms and conditions of NIILM University Act.
1. Academic Documents Required.
2. Degree/ Mark Sheet of qualifying examination
3. Degree/ Mark Sheet of graduation examination
4. Certificate & Mark Sheet of 10th and 12th
5. Original Migration Certificate.
6. Identity Proof (Attach self attested copies of any one of Ration card, Driving License, Voter Card, Passport, PAN Card, Aadhar Card)
7. Caste Certificate (Attach self attested copies, if applicant belongs to any other than General)
8. Passport size color photos (5)
9. Original NOC(if employeed)
Attach ID Proof any ONE (Ration card, Driving License, Voter Card, Passport, PAN Card, Aadhar Card)

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10th

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12th / Diploma / ITI

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Bachelor Degree

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Master Degree

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Place
Date

DayMonthYear
Date
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Signature

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PhD Application Form

(NET/JRF/SLET) Details