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Doctor of Philosophy (PhD)

Joint Program

Application Form A

IIT Bombay

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Please read the following instructions carefully before completing this form(i) Applications for PhD candidature may be lodged at any time, although to be eligible for particular intake rounds, forms

need to be submitted by certain dates. Please review The Academy website for more information.

(ii) While we will make every effort to process PhD applications rapidly, assessment of applications may take (at times) twomonths or more.

(iii) This is an application form only and does not constitute an enrolment for any course in The IITB-Monash ResearchAcademy (The Academy) nor does it entitle an applicant to be classified as a student at The Academy.

(iv) An applicant accepted as a candidate by The Academy must enrol at both IITB and Monash by completing the officialenrolment forms. Enrolment procedure details will be sent to successful applicants with a letter offering candidature.

(v) Applicants should note that doctoral candidates may not be enrolled for any other degree, diploma or non-degreesubjects during their period of candidature.

(vi) All PhD applicants are admitted on a probationary basis for (at least) the first 6-12 months for full-time PhDs.

(vii) Candidates will need to abide by the additional employment conditions of each institution relating to full-time PhDs.

(viii) Please note that applications will not be processed unless full documentation is attached or supplied via the onlineapplication registration system.

(ix) All successful applicants to the program will receive a scholarship.

(x) Please check out the applications FAQ on the website at www.iitbmonash.org for additional information.

Documentation

Applicants must provide evidence of their qualifications. This should be an official academic record, showing all subjectsattempted, grades achieved (including failures) and an explanation of the grading system. The record must be an official

transcript or statement of record from the institution in which these studies were attempted.

Result notification slips will not be accepted.

Originals of documents must be sighted at the interview if you are called for interview. Scanned copies are permitted for theonline application part of the process but originals must be brought to interview, or the original document must be made availableupon request.

Applicants who submit documents in a language other than English must provide an officially certified translation at interview,together with the original documents. Translations supported by uncertified photocopies are unacceptable.

Applicants, whose first language is not English, must submit evidence of English language proficiency. See question 7 for detailson the evidence required.

All applicants are also required to provide a copy of their passport or other evidence of citizenship and provide original atinterview if selected.

Submitting your application form and beyond

STEP-1:All applicants should complete as many fields of this application form as possible.Applicants need to upload this form online as part of The Academys application process.Please also scan the following documents and upload these along with your application form:[D1]- scanned copies of your academic transcripts,[D2]- scanned copies of your publication record,[D3]- scanned copies of your GATE, TOEFL, GRE score sheet (if applicable),[D4]- any other supporting documentation like MTech, BTech thesis, etc.

File names of uploaded files should be meaningful.For example: MTech-Transcript.JPG or BirthCertificate.PDF and NOT p1.jpg, p2.pdf, etc.

IMPORTANT: Please ensure that the files you are attaching are of a low resolution. At present we are not acceptingfiles that are ZIPPED,(.zip) or .rar files. Feel free to upload as many documents in support of your application.If you do not have access to a scanner, please send email as soon as possible to students@iitb,monash.org

STEP-2:If selected for an interview you will be notified by email and are asked to bring with you the following documents:

Passport

Originals of all academic transcripts, ie., [D1]-[D4]...

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PhD Application Office Use Only Student ID: ________________

Section A - To be completed by the applicant

1. Personal details

Please place in appropriate boxes

Title: Mr Mrs Ms Dr Other

Family Name:

Given Names:

Gender: Male Female

Date of Birth: Day Month Year

PermanentAddress:

Address thatformal mail

should be sent toduring yourcandidature

Dates this address will be applicable for:

from: Day Month Year to: Day Month Year

Telephone No: Home: Work:

E-mail address:

Please indicate your citizenship status:

Indian citizen Australian or New Zealand citizenor Australian permanent resident

Other

If other, please state yourcountry of citizenship:

and passport number:

All applicants should attach a copy (scanned copy for email submission) of their passport, birth orcitizenship certificate, or of a document relating to their residency status.

2. Proposed enrolment details

2.1 Proposed candidature commencement date: Day Month Year

Please indicate the first date when you will be available to join.

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2.2 Project Choices: You will need to select up to 4 ProjectChoices online when submitting this form at TheAcademy Form A Online Application System (AFORS), which available at:http://www.iitbmonash.org/PhD_applications.html.

Please read these points carefully: It is not necessary that you have to choose 4 projects on the online system.

On the online system, each of the projects that you have selected will have a set of ideal or required capabilities. You will need toindicate how your background satisfies these required capabilities. If you are not able to demonstrate these capabilities, you may want tochoose another project.

There is likely to be a change to the list of projects provided on the Academy Internet website and the online system.

It is likely that none of the projects listed in the online system capture your interest completely.

In the case that none of the projects available on the online system is of direct interest to you, please suggest an Own Project below.

In suggesting your "Own Project" below, you have to identify a (few) supervisor(s) at Monash and one at IIT Bombay that you would like towork with.

Any "Own Project" description that does not have potential supervisor(s) identified will be considered invalid.

2.3 Summary of Candidates Own Project (not mandatory):Please write below or attach a summary of no lessthan 200 words describing your proposed thesis. Please include methodology and bibliography.

If you choose your own project please select Own Topic on the online form at The Academy Form A OnlineApplication System. Please however include a title and brief summary below.

If you choose to propose your Own Topic please note that this may only be discussed at your interview, IF youare successful in getting to that stage. Further, there is no guarantee that your Own Topic suggestion will beaccepted by The Academy.

If you are not proposing Own Topic, go to Section 2.4.

Title:

Potential Supervisor(s)at IIT Bombay (check www.iitb.ac.in):

Potential Supervisor(s) at MonashUniversity (check www.monash.edu.au):

Provide a BriefDescription ofyour OwnProject:

Note: A research project may require ethics clearance from the relevant IITB and / or Monash committee if it deals with animal

ethics, human ethics, biosafety or ionising radiation issues.

The Intellectual Property regulations of the program will be made available to you upon acceptance into the joint PhD program.

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2.4 Capability awareness

Have you read the project descriptions for the projects you have chosen (Y/N)?

For Project Descriptions click on the relevant project no. at: http://www.iitbmonash.org/research_themes_7.html

Have you filled in your responses to the capability requirements for the projects you have chosen (Y/N)?

3. Tertiary educational record and motivation

Statement(s) of your full tertiary academic history must accompany this application. Scans of the originalacademic transcripts can be submitted. If you are invited to interview you are expected to bring the originaltranscripts to the interview. Applicants who submit documents in a language other than English must provide anofficially certified translation, together with the original document. Original academic transcripts for verification areto be produced to the Deputy Registrar, Academic, at IITB and Monash Research Graduate School at MonashUniversity at the time of enrolment, after admission. Do not provide grades such as 'Distinction' or 'First Class'.Provide your actual CPI, CGPA or grades, like 8.97/10 or 88.5%, etc.

Degree or other qualifications held Awarding institution Year completed Major or discipline Honours/Final grade

Fill in as much of this table as possible. Although completion of these exams is not a prerequisitefor entry to theprogram, it would be an advantage to have done so.

Type of Exam Score Rank Year ofExam

GATE (if available)

GRE Score (if available)

TOEFL Score (if available)

JAM:

Other-1

Please notethat the moredetail you

provide in thissection, thegreater yourchances ofsuccess.

Other- 2

Main Subjects Studied:

Provide a

description hereof the mainsubjects that youundertook in yourstudies whichwould be mostrelevant to thesuccessfulcompletion of theproject(s) youhave chosenonline

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Motivation:

In 200 words or less, tell us why you think The Academy should select you as a PhD Candidate?

4. Scholarship details

Do you hold any scholarships or other awards, or are you sponsored by an outside body eg industry or government-sponsored awards?

No Yes

Give name of scholarships, awards or sponsoring body:

Category (TA/TP/RA/PA/SF/SW/PS/CSIR/UGC/FAetc)

5. Work experienceIndicate years of relevant experience in teaching and / or research and / or industry.

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6. Research/publications

Provide details of any original research and/or publications. For publications/abstracts, indicate the percentage ofyour contribution, eg sole (100%), joint (50%), multi authorship (20%), and the nature and standing of thejournal/conference. Also indicate whether in press (accepted for publication) or published. (Attach additional sheet ifnecessary)

7. English proficiency

Please place X in the box indicating how you have satisfied the English language requirements for admission.

First language is English

An overall band score of not less than 6.5 on the IELTS test conducted by IDP and the British Council.In addition, a score of at least 6.0 is required for each band score and applicants must undertake theacademic module in regard to reading and writing.

The following scores achieved in the American Test of English as a Foreign Language (TOEFL):

a minimum total score of 577 together with a score of 5 or more on the TOEFL Test of WrittenEnglish (TWE) (paper based score);

a minimum total score of 233 together with a score of 5 or more on the Essay Rating (ER)(computer-based score); or

a minimum total score of 91 (internet based score) together with a minimum score of 25 in thewritten test and a minimum score of 22 in each of the reading, speaking and listening tests.

Successful completion of a course of tertiary studies of at least two years duration conducted entirely inEnglish and involving formal assessment of written work, in a country where English is the official language.Evidence in the form of a letter or certificate issued by the university Registrars office will need to be provided.Studies must be completed within the five year period prior to application.

8. Referees

Include the name of at least 2 academic referees in the table below.

We may contact them to secure their feedback on you.

Note that you are welcome to include more than 2 referees:

Name of Referee Contact details including phone and email How do you know this referee?

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9. Declaration by applicant

Note:The information on this form is collected for the primary purpose of assessing your application for admission to PhDcandidature. Other purposes of collection include the creation of an enrolment record on the student database,attending to administrative matters, corresponding with you and statistical analyses. If you choose not to complete

all the questions on this form, it will not be possible for us to assess your application. Personal information mayalso be disclosed to the relevant bodies for the verification of your qualifications and it may be disclosed togovernment agencies as required by legislation. You have a right to access personal information we hold aboutyou, subject to any exceptions in relevant legislation.

If you wish to seek access to your personal information or inquire about the handling of your personal information,please contact the University Privacy Officer on 61-3- 9905 6011 (at Monash University) and Deputy Registrar(Acad.) at 91-22-2576 7041 (at IIT Bombay).

Please note that the requirements of the PhD program at The Academy means that you will not be able to carry outany part time work and you would need to abide by the additional employment conditions relating to eachinstitution.

DECLARATION:

I declare that I have read the instructions on this application form and that the information provided by me is trueand complete. I recognise that it is my responsibility to provide all necessary documentation to support myapplication and I authorise the Institute/University to obtain official student records from any educational institution;or to verify my past and current employment for the purpose of making an informed decision about the applicationor matters that concern my admission and enrolment in this course.

I accept that documentation provided by me will become the property of IIT Bombay/Monash University and madeavailable to competent authorities when required. I have read and understood the above conditions and acceptthem fully.

I acknowledge that IITB/Monash University reserves the right to vary or reverse any decision regarding admissionor enrolment made on the basis of incorrect or incomplete information. I have read and understand the aboveconditions and am prepared to accept them in full.

When you are submitting this form electronically please send it without a signature, but print your name as well asthe date you filled the form in. By inserting your name and date you are asserting that all of the information on thisform is true, complete and accurate.

Any Form-A that is submitted without a name and date on it may not be considered.

Signature: Date:

Please see the instructions at the front of this form as well as the FAQ on the website(www.iitbmonash.org) for details on submitting your application