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MAULANA AZAD
NATIONAL INSTITUTE OF TECHNOLOGY ( Deemed University) University) BHOPAL - 462007 (M. P.) INDIA ADVERTISEMENT ADVERTISEME NT NO. – MANIT/Ph.D./06/ MANIT/Ph.D./06/
Dated : …………….
REGISTRATION FOR Ph.D ADMISSION Forms are available for Ph.D. admission in following departments of the institution. institution.
Fellowship : The advertised seats for PT/FT Ph.D. admission is without
fellowship. However few fellowship in certain department/area may be awarded as per availability. Eligibility : Master Degree in relevant field of research and should have passed Eligibility in atleast second class or minimum of 55% marks (CGPA 6.0) or equivalent from a recognized university. Selection Procedure : Shortlisted candidates will be called for test/Interview. test/Interview. The selected candidates are to take course works and give seminars to fulfill the course credit requirements as per norms of Ph.D. ordinance. ordinance. Application Form : Application : Application on prescribed form which could be downl downloaded oaded www.manit.ac.in or from website www.manit.ac.in or can be collected from MANIT by paying Rs. 50/-- through IPO/Bank draft to payable to MANIT Bhopal or by post sending a 50/ self addressed A4 size envelope with IPO/Bank draft. draft. 07--06 with a cross The complete forms can be submitted upto 13-07 IPO/Bank draft of Rs. 750/- payable to “MANIT Bhopal” to OS (Admission) 4620 07. Application Application received after due date are likely to A - 106, MANIT Bhopal – 462007. be rejected. DIRECTOR
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MAULANA AZAD AZAD NATIONAL INSTITUTE OF TECHNOLOGY, BHOPAL BHOPAL Application Applicatio n Form for Admission to Ph.D. Programme, Session starting from July 2006
Paste your Aattested Photograph Photograph
Please read the instruction given in the Information Brochure & on the website www.manit.ac.in before you fill up the form, Tick ( ) the relevant box wherever www.manit.ac.in before provided.. Attach attested copies of certificates/marks provided certificates/marks sheets in support of following information
Full Time Part Time
Branch/Subject: At graduation …………………….., ……………… Self Supporting At Post Post graduation ……………… Department: Applied for: for: ……………………………………………… ……………………………………………… Interdisciplinary (If yes, Name other Deptt)……………………………. Deptt)……………………………. (Fill separate forms for each Department, In case of Interdisciplinary, form should be filled in main deptt. only.) Proposed R esearch esearch Area (Broad Area) ………………………………………………….. ………………………………………………….. (Enclose Brief description of proposed work …………………………………………. …………………………………………. in 500 words on a separate sheet) ……………………………………… ………………………………………
Name (in CAPITAL) CAPITAL) Gender / D.O.B. D.O.B. L A N O S R E P
Sponsored
Male
Female
DateDate- of - Birth (dd/mm/yyyy) (dd/mm/yyyy)
Father’s Name Name Mother’s Name Name Address for Correspondence Correspondence PIN Email : Tel No. with STD Code :
Mobile Mobile
Permanent Address Address PIN Email : Tel No. with STD Code : :
Category to which you belong PH
Gen
SC
ST
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Attach a crossed DD/IPO of Rs. 750/750/- payable to MANIT, T N E M Y A P
E E R G E D G N I Y F I L A U Q
For official use use
Bhopal
Payment details Drawn on :
Bank Draft No. Amount Rs.
Draft received received Date :
Reg. No. No. Sign.
Qualifying Exam ……………………………………………….(Attach copy of degree) Discipline ……………………… ……………Duration of the course (Years) …………… …………… Name of University / Institute : …………………………………Year of Passing ……… ……… Aggregate % Max. Marks /CGPA (Mention Point scale also) Obtained CGPA/ Marks Marks Obtained Obtained degree in qualifying qualifying degree (MBA/M.Tech/MCA (MBA/M.Tech/MCA /M.sc./M.Arch. etc. etc. …………………. ………………….
Details of Marks secured in the Examinations other than qualifyin qualifying g examination examination . Exam / Degree Degree d a c . A c 10+2/Equivalent 10+2/Equivalent . e V R B.Sc. E B.Tech R B.Tech P Any other
Y N A F I . P X E
Specilisation Specilisation
Experience (From date to date) date)
Designation Designation
Institute / University University
Year of Passing Passing
% Marks / CGPA CGPA
Organization Organization
Have you ever studied and discontinued your studies at NIT Bhopal …………………………… (If Yes, give particulars of the programme earlier attended and the reason for discontinuation.) discontinuation.) Names and and addresses addresses of two referees who are familiar familiar with your academic background. background.
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Name
Name
Address
Address Address
PIN
Email
PIN
Email Email
Declaration Declaration a) I declare that all the information given by me in this application form is correct to the best of my knowledge and belief, and I understand that false of incomplete information would cause invalidation of the application. b) I shall abide by the decision of Maulana Azad National Institute of Technology, Bhopal in all matters pertaining to admissions. The decision of the institute shall be final and binding on me. c) I shall abide by the rules and regulations of the Institution. d) For all legal actions, suits and proceedings, the jurisdiction of court of law shall be deemed to lie exclusively at Bhopal. e) I understand the contents of this form and, particularly, this declaration being made here. f) I shall abide by the rules & Regulation as per Ph.D. advertisement and subsequent notification if any.
UNDERTAKING I, …………………………………… S/oD/o ……………………………………………. State that I am aware that ragging in any form is banned in MANIT, Bhopal and do hereby undertake not to indulge in any form of ragging during the course of my study at MANIT, Bhopal. Date : ___________________ Signature of the Candidate I am aware that ragging in any form is banned in MANIT, Bhopal and that I agree to abide by the t he punishment meted out to my ward in case he/she is found guilty of ragging. Date : ___________________ parent/Guardian parent/Guardian
Signature of
Certificate and Forwarding Note by the Head of the Institution Forwarded and recommended that Shri/Ms./Mrs. ………………………………………………………………… is working in this Institution/Organization as ………………………… Since …………………………….. in a permanent perman ent / tempor temporary ary capacity.
The Institution/ Organization has no objection to sponsor him/her for Ph.D. programme, if selected. The applicant will be will be permitted/relieved to under take the Comprehensive/Course work as per the requirement of the statute for Ph.D. in Maulana Azad National Institute of Technology, Bhopal. Place : Date : Institution
Seal & Signature of Head of
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FOR OFFICE USE (Recommendations/ Observations of the office) The candidate may be provisionally admitted/ not admitted subject to the following : (i) Production of attested copies of the qualifying degree certificate and marks sheet showing the required % of marks/ CGPA by ________________ (ii) Production of proof from the University/ Head of the Institution of having appeared/ passed in the qualifying Degree Examination by _______________ (iii) Production of relieving certificate sponsorship from Employer by __________________ (iv) Production SC/ST certificate by ____________________ (v) Production of sponsorship certificate __________________________________ (vi) ____________ ______ _____________ _____________ ____________ ____________ _____________ _____________ ____________ ____________ ________ __