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CENTRAL UNIVERSITY OF KASHMIR
Nowgam Campus – II, Near Puhroo Crossing Nowgam Bypass, Srinagar – 190 015 (J&K)
P
hone: 0194-2315296, 2315290 Fax: 2315271 (Ext-220) Email: [email protected] Website: www.cukashmir.ac.inAPPLICATION FORM FOR PhD (Lateral Entry Mode)
Programme applied for……….……….
Discipline/Subject………..………...
Advt. No.………..………Date………..……….
A. General Information:
1. Name in Full………..……..
(IN BLOCK LETTERS)
2. Father’s Name………..
3. Date of Birth: Day ……….…..Month………Year………..
(As recorded in the Matriculation or equivalent certificate)
4. Sex: Male Female
5. Husband’s Name (in case of married Women)……….………
6. Category:
7. Whether Physically Challenged………... If yes, please mention the type of impairment………..
8. Permanent Address ………...
………..………..
PIN CODE……….……..Phone No………Cell ……….….
Address for correspondence ………....
………..……….PIN CODE……….…..………..
Email ID (Mandatory)………..………..………..
9. Fee Challan No……… Amount………
Dated………
B. Educational Qualifications:
Exam.
Passed University Year of Passing
Marks % of
marks
Class/Div/
Grade Subjects/Title Obtained Out of
Master’s Degree MPhil
Any Other Qualifications
I hereby declare that all entries made by me in this application are true, complete and correct to the best of my knowledge and belief. I understand that in the event of any information being found false my candidature is liable to be cancelled /terminated.
(Signature of the Applicant) Place……….…
Date ……….
PASTE HERE A SIGNED COPY OF
YOUR RECENT PASS-PORT SIZE
PHOTOGRAPH
OM OBC SC ST
