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Space for Office Use onlyApplication accepted/ RejectedRemarksDate of recommendation of the PhD Enrolment: …………………… and URC Meeting Item No……………………Advertisement No: AU/R&D/PhD/Adm/102020-SPR Date: 22nd October 2020ADAMAS UNIVERSITYApplication for Admission as a Research Student at Adamas Universityfor the degree of Doctor of PhilosophyI - Personal Details1Name of the applicant(as in the SSLC Book in Block letters)Affix a recent passportsize photo here2Date of Birth3Gender4Nationality5Name of the guardian and relationshipSpecimen Signature of the candidate6Religion & Caste Whether the applicant belongs to SC/ST, if yes name of the community7Permanent Address8Address for communicationE-mailTelephone No.Mobile No.II – Details of academic qualification and experience9Particulars of educational qualifications up to UG :Name of ExamUniversity/BoardCollege/InstitutionstudiedMain Subject of studyYear of PassingClass/Division% of Marks10th Level10+2th LevelDegree(Specify the name)10Details of Post Graduate Degree :Name of PGCourse/s(Specify the name)UniversityCollege/InstitutionstudiedMain Subjectof studyYear of PassingClass/Division% of MarksMode of Study (specify whether regular, distance, off campus etc.)Whether the P.G. recognized by AIU11Details of M.Phil. Degree if any :Main Subject of studyUniversityCollege/Institution studiedYear of PassingClass/Division% of MarksName of Thesis/Research WorkMode of the Study (State whether regular, distance, off campus etc.)Whether recognized by AIUIII – Employment Details12Whether employedIf so, Name of the InstitutionDesignationOffice Address with telephone number13No Objection Certificate from the Employer ( To be submitted during Enrolment after qualifying the RET examination) (In the case of applicants who are employed in College/Universities/Govt. Service/Industrial Establishments/Institutions etc.)Certified that Sri./Smt……………………………………………………………………………………….. is working as ………………………… ………………………………… ……………………...…. (Designation) in …………………………………… ………………………… ………………………….... and I have no objection to the Adamas University granting registration to him/ her for pursuing research for the Ph.D. Degree.StationDateSignature of the Registrar/Principal/Head of the Institution(Please specify designation)Office SealIV – Teaching/Research Experience(Certificate of experience to be attached for each claim)14Teaching ExperiencePost HeldNo. of yearsPeriodCollege/University/InstitutionGraduatePost GraduateFromTo15Research experience (Specify in detail)V – Details for admission16(a) Eligibility for admission (whether through RET / NET and/or equivalent)(b) In case of RET University Advertisement Notification no and date (c) Name of the Department and PhD Program Applied for(d) Whether qualified in UGC/CSIR NET/JRF, GATE etc. as per AU Ph.D. Regulations, give details, quote certificate number and issue date.17Whether intends to do Part-time or Full-time Research 18Topic of Research(A brief statement enunciating the hypothesis or the nature of the problem proposed for investigation, source material and its availability along with a notice on methodology and time schedule for the completion of work should be attached)19Online Admission Test application fees submission link of Attachments with application letter to be forwarded to the following address of the University :ToThe Office of the Dean (R&D)Adamas UniversityBarasat – Barrackpore Road Jagannathpur, 24 Parganas (North), Kolkata - 700 126,West Bengal, IndiaE-mail: office_rd@adamasuniversity.ac.in(Copies of all documents should be self-attested)Attested copies 10th examination Front Page and Mark List/ Equivalent CertificateAttested copies of Pre Degree /Higher Secondary/Equivalent Certificate/ Mark Lists.Attested copies of Degree Certificate and Mark List.Attested copies of PG Certificate and Mark Lists.Attested copy of any approved proof of identity (Election ID/Passport/ Aadhar card etc.).Attested copies of UGC NET/JRF/GATE etc.Attested copy of Transfer Certificate from the last institution of study.Attested copies of M.Phil. Degree Certificate and Mark list.Original NOC from the employer, if employed (during enrolment).Original Experience/Employment Certificate, specifying the post(s) held, date of entry into service, the scale of pay, etc, (during enrolment).Abstract of the proposed research work (name of the candidate should be given at the bottom).Original/attested copy of the fee receipts. ................
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