Application Form for Admission in Ph.D. Programmes-2018
Fields Mark With (*) are Mandatory
Course Details
Academic Session: 2018-19 Name Of the Programmes For Application:   Ph.D.
Name of the subject for Ph.D*
Subject for Entrance test*
Faculty*
Centre for Entrance test* University Teaching Department, Rewa
Applicant's Personal Details
First Name* Middle Name
Last Name* Name in Hindi*
(for typing in hindi use spacebar key stroke)
Date Of Birth(DD/MM/YYYY)* Gender*
Father's Name* Mother's Name*
Annual Income of Parents:Rs.* APS Univ. Enroll No(If Available)
Marital Status* Husband's Name
Blood Group* Aadhaar Number*
Category* Whether domicile of Madhya Pradesh *
Sub-Category
Nationality*
Applicant's Address

Permanent*

Address  
District* State
Pincode  
Copy To Correspondence Address

Correspondence *

Address  
District * State
Pincode
Phone Number(With STD Code) Mobile Number* Father/Husband's Mobile Number* Email Id*
Other Details
Are You UGC/CSIR NET with JRF Qualified?* Do You Have Teacher Fellowship for Research?*
Do You Have Govt/Foreign Research Fellowship?* Do You Have M.Phil. degree (as per UGC Regulation 2009 or amended thereafter)with course work?*
Teaching/Research Experience(In words)* Any Other Information*
Education Qualification
Class Name Of Degree/Certificate Board/University Passing Year Grade / % of Marks Division Subject
8th/10th *
11th/12th *
Graduation *
Post Graduation *
MPhil
Any Other
Photo & Signature *
(Click browse to upload your signature)/अपने हस्ताक्षर अपलोड करने के लिए ब्राउज़ क्लिक करें
Signature .jpg format मे हो तथा जिसका size 10 KB से 250 KB के मध्य हो संलग्न करे.* (AttachSignature in .jpg format and size between 10 KB to 250 KB)
*

घोषणा-पत्र:- मैं, घोषणा करता/करती हूँ कि मेरे द्वारा दी गई उपरोक्त जानकारी पूर्णतः सत्य है एवं मैं आवेदन हेतु निर्धारित शैक्षणिक योग्यता रखता/रखती हूँ। जानकारी असत्य पाये जाने की दशा में मेरा आवेदन-पत्र निरस्त किया जा सकेगा तथा मेरे विरूद्ध वैधानिक कार्यवाही की जा सकेगी।

Instructions
1)The candidate is advised to apply for admission only if he/she fulfill the eligibility requirements.
2)Those candidates who belong to Domicile of MP/SC/ST/OBC,(A Non Creamy Layer)/Differently-Abled,should provide documents for proof.
3)Hard Copy of Duly filled application form should be submitted to the Research Directrate, APS Univ. Rewa, along with self attested copies of all relevant documents till 28/07/2018
4)The candidate should keep photocopy of the application form with him/ her.
5)The candidate should bring his/ her valid photo ID along with online admit card for appearing in the entrance test.
6)Candidates having UGC/CSIR/NET with JRF / teacher fellowship for research / govt/foreign research fellowship /M.Phil degree(as per UGC regulation 2009 or amended thereafter) with course work should provide photocopy of the proof
Parents/Guardian Declaration

I,father/Mother/Guardian of ......................................................................................................................................................

who is seeking admission in Ph.D. at College/School/institute......................................................................................................................

declare that my ward will act as per rules of the University,Programme,Department etc. and will not involve in any antisocial activities/ragging etc...., We know that ragging is totally banned in the University.It is a cognizable offence.If my ward is found indulged in any type of ragging / in disciplinary activity,he/she will be punished by the Institute/School as per the rules of the University, I take complete responsibility of his/her overall conduct at the research centre and University.