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    PHD - Application - Form - July To DC 2020

    Uploaded by

    debasish
    This document is an application form for admission to the Ph.D. program at the National Institute of Technology Silchar. It requests information such as the applicant's name, gender, address, date of birth, caste category, department and specialization applying to, educational history, professional qualifications, experience, publications, employment details, and list of enclosures. The form also includes declarations by the applicant and spaces for recommendation by admission committees.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    PHD - Application - Form - July To DC 2020

    Uploaded by

    debasish
    16 views8 pages
    This document is an application form for admission to the Ph.D. program at the National Institute of Technology Silchar. It requests information such as the applicant's name, gender, address, date of birth, caste category, department and specialization applying to, educational history, professional qualifications, experience, publications, employment details, and list of enclosures. The form also includes declarations by the applicant and spaces for recommendation by admission committees.

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    PhD_Application_Form_July to Dc 2020

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    This document is an application form for admission to the Ph.D. program at the National Institute of Technology Silchar. It requests information such as the applicant's name, gender, address, date of birth, caste category, department and specialization applying to, educational history, professional qualifications, experience, publications, employment details, and list of enclosures. The form also includes declarations by the applicant and spaces for recommendation by admission committees.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    16 views8 pages

    PHD - Application - Form - July To DC 2020

    Uploaded by

    debasish
    This document is an application form for admission to the Ph.D. program at the National Institute of Technology Silchar. It requests information such as the applicant's name, gender, address, date of birth, caste category, department and specialization applying to, educational history, professional qualifications, experience, publications, employment details, and list of enclosures. The form also includes declarations by the applicant and spaces for recommendation by admission committees.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 8

    NATIONAL INSTITUTE OF TECHNOLOGY SILCHAR

    SILCHAR 788 010, ASSAM

    Application Form for Admission into Ph.D. Programme

    1. Name:…………………………………….……….……………………...
    Affix recent
    ...…….………………………………………........……………… passport size
    distinct colored
    2. Male/Female:……………........................................................................ photograph
    3. Father’s/Spouse’s name:………………………….……….…………….
    4. Mother’s name:………………………………………….………………
    5. Addresses:
    (a) For communication (b)Permanent

    Dist: State: Dist: State:

    PIN: PIN:

    (c) Email id: (d) Phone no:


    6. (a) SBCollect Reference No: DU……………… (b) Date….……… (c) Amount: Rs.…………..
    7. (a) Date of Birth: …………………………… (b) Marital Status:.……………………
    (c) Age on 26.06.2020:………………….. (d) Nationality:……………………….
    (e) Caste Category (OP/EWS/OBC/ SC/ST/ PwD/):……………………….
    (if other than open category (OP), a category certificate must be enclosed)
    (f) Specify if you belong to any other Backward Class:…………………………………
    (g) Mother Tongue: ………..…………………. (h) Religion: ………..………………..
    8. (a) Department to which admission is sought: ………………………………………….
    (b) Specialization to which admission is sought:………………………………………
    (c) Are you also applying to any other Department?(Yes/No):
    If yes, list the other Department(s):
    (i)……………………………………………
    (ii)……………………………………………
    (iii)……………………………………………
    (iv)……………………………………………
    (d) Category of Admission Sought Group-A (with fellowship)
    (Tick appropriate one): Group-B (without fellowship)
    (e) If Group-B (only applicable for applicant without fellowship) (Tick appropriate one)

    Regular Sponsored Part-time

    Institute Employee Project Staff Sponsored (External Registration)

    9. Details of Universities/Institutions attended (from 10th Standard onwards) (Attested


    copies of certificates and mark sheets/grade cards must be attached)

    University/College/ Degree obtained % Marks/ Class Obtained


    Year Subjects taken
    Board (with discipline) CGPA/CPI (if applicable)

    10. (a) Professional Qualifying Examination Passed (attested copy of certificate must be attached):

    GATE UGC/ CSIR NET

    Subject Score Valid upto Subject Score Valid upto

    (b) Any other source for fellowship/scholarship, if any:


    11. (a) Professional Experience (Teaching/Research/Industrial), if any (proof to be attached).
    Period
    Name of organization Position held Type of work From To

    (i)
    (ii)

    (c) Give the details of “Journal Papers in SCI/Scopus (if any):

    Title of the Name of the Publication details (Vol., Year,


    Sl. No. List of Authors
    Paper Journal pp., DOI)
    (i)

    (ii)

    12. (a) If employed, name of the present employer:


    ……………………………………………………………………………………..
    (b) Whether employer’s permission obtained? (Yes/No):………

    (c) If yes, NOC in form-I/II-A/II-B/III/IV enclosed:………..


    13. List of Enclosures:

    (a) (c)

    (b) (d)

    Declaration

    I hereby declare that the entries made in this application form are correct to the best of my knowledge
    and belief. If selected for admission, I promise to abide by the rules and regulations of the Institute as
    amended from time to time.

    I note that the decision of the Institute is final in regard to selection for admission and assignment to a
    particular department and field of study. The Institute shall have the right to take any action it deems
    fit, including expulsion, against me at any time after my admission, if it is found that information
    furnished by me are false or incorrect. I shall abide by the decision of the Institute, which shall be
    final.
    Place:
    Date:
    Signature of the applicant

    For office use only


    % of B.Sc./B.Tech. marks/Grade Performance of Selection Test
    % of M.Tech./M.Phil/M.Sc marks/ Grade Position in order of merit
    GATE/NET score Category(OP/SC/ST/PH)

    Recommended for admission:

    Signature of member Signature of member Signature of member

    Chairman,
    Departmental Ph.D. Admission Committee

    a. To be filled by Institute Ph.D. Admission Committee:

    (i) Verified and found suitable and recommended to Chairman, Senate for admission
    (ii) Not recommended for admission, with reason(s):………………………………

    (Signature of members):…………………………........ .......................


    b. Admitted on approval of Chairman, Senate.

    Date: 3 Dean (R &C)


    FORM I

    SPONSORSHIP LETTER FOR FULL-TIME PH.D. PROGRAM


    (Should be typed on the letter head of the sponsoring organization)
    Reference No.
    Date:
    To

    The Director
    National Institute of Technology Silchar
    Assam 788010

    Sub: Sponsoring an Employee for Ph.D. Program

    Dear Sir,

    We hereby sponsor the candidature of Mr./Ms./Mrs. ,Designation:


    who is a regular employee in our organization, for joining Ph.D. Program in the department
    of at your Institute as a full-time student.
    It is certified that he/she has completed two years of service in our organization as a regular employee. He/she
    has gained experience in the field(s) .

    If selected, we shall relieve him/her from his/her duties to join the program during the first three years of the
    Ph.D. Program.

    Signature and Seal of the Sponsoring Authority


    FORM II-A

    No Objection Certificate for Part-Time Students


    (Should be typed on the letter head of the sponsoring organization)
    Reference No.
    Date:
    To
    The Director
    National Institute of Technology Silchar
    Assam 788010

    Sub: No objection Certificate

    Dear Sir,

    We have no objection if Mr./Mrs/Ms. ,Designation:


    an employee/project staff in our organization is admitted to the Ph.D. Program in the department of
    at your Institute as a part-time student.
    It is certified that he/she has completed one year of service in our organization. If selected, we shall sanction
    him/her leave of absence to attend classes/research work at NIT Silchar during the Ph.D. program.

    Signature and Seal of the Sponsoring Authority


    NATIONAL INSTITUTE OF TECHNOLOGY SILCHAR

    FORM II-B

    No Objection Certificate for Admission into Ph.D. Program (Institute Employee)

    Reference No.
    Date:

    It is certified that we have no objection if Mr./Mrs/Ms. ,


    Designation: ____________________, a (regular/contractual) employee of this Institute, working in the department of
    , is admitted into the Ph.D. Program in the department of
    at this Institute as a part-time student.

    If selected, he/she shall be allowed to attend classes/research work without affecting normal duties assigned to
    him/her.

    Signature of Head Signature of Director


    (Department: )
    NATIONAL INSTITUTE OF TECHNOLOGY SILCHAR

    FORM III

    No Objection Certificate for Admission into Ph.D. Program (Project Staff)

    Reference No.
    Date:
    To
    The Director
    National Institute of Technology Silchar
    Assam 788010

    Sub: No objection Certificate

    Dear Sir,

    We have no objection if Mr./Mrs/Ms. , Designation:


    a project staff, under the project: (title of the project), Sanction letter no._ , in
    the department of , is admitted to the Ph.D. Program in the department of
    of NIT Silchar as a Regular (Group B) student. It is certified
    that the said project shall continue for two more years.
    If selected, we shall allow him/her to attend classes/research work under the said project at NIT Silchar
    during the Ph.D. program without affecting normal project work assigned to him/her.

    Signature of Project Investigator Signature of Dean (R & C)


    (Name)
    FORM IV
    Sponsorship Certificate for External Registration
    (This should be typed on the letter head of the sponsoring organization)
    Reference No.
    Date:
    To
    The Director
    National Institute of Technology Silchar
    Assam 788010

    Sub: Sponsoring an Employee for Ph.D. Program under external registration

    1. Name of the sponsoring organization:


    2. Address:
    3. Name of the Candidate:
    4. Designation of the applicant:
    5. Present status of the applicant:
    (regular/year of completed service)
    6. Department/Division/Center where research work is proposed to be done:
    7. Name of the Local (Joint Supervisor):
    (Bio-data of the Local supervisor (Joint Supervisor) to be enclosed giving details of designation, qualification,
    research experience etc.)
    8. Details of relevant facilities which will be made available to the candidate:
    9. Statement of Local supervisor (Joint Supervisor):
    Dear Sir,

    If Mr./Mrs./Ms. is admitted to the Ph.D. program at


    National Institute of Technology Silchar, I agree to supervise his/her research program jointly with the Supervisor
    from NIT Silchar.

    Signature of Local supervisor (Joint Supervisor)

    If Mr./Mrs./Ms. is admitted to the Ph.D.


    program, we agree to relieve him/her to reside at NIT Silchar/around NIT Silchar during one/two semester (s) of
    his/her Ph.D. program to complete his/her course work requirement.

    Mr./Mrs./Ms. will be
    permitted to carry out research at our organization under the guidance of Dr. leading to
    Ph.D. degree from NIT Silchar. Necessary facilities will be provided for this purpose.

    Signature and Seal of the Sponsoring Authority

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