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Form No……………….Reg. No.……………….
PRE-PH.D/M.PHIL. ENTRANCE EXAMINATION APPLICATION FORM
1. Subect in which applying______________________________________________________________
2. Name of the Candidate (In capital letters) _____________________________________________
Name (in Hindi)________________________________________________________________________
3. Put a Tick Mark on the boxes wherever necessary:
Gender: Male Female Transgender
4. Category: GEN ST SC OBC Any Other
5. Nationality: Indian Others (if other, Name the Country_____________________)
6. Whether NET/GATE/SLET/JRF/M.Phil./UGC-CSIR Qualified : Yes No
7. Date of Birth _______/________/________
8. Father's Name (In capital letters) _______________________________________________________________________
Father's Name (In Hindi)_________________________________________________________________________________
9. Mother's Name (In capital letters) ______________________________________________________________________
Mother's Name (In Hindi)_______________________________________________________________________________
10. Address for Correspondence (In capital letters)
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
Pin Code ________________ E-mail ID__________________________________ Contact No.___________________________
Please AffixPassport sizePhotograph
Recognized by UGC U/S 2(f) of the UGC Act, 1956
11. Permanent Address: _____________________________________________________________________________________
________________________________________________________________________________Pin Code ____________________
12. Type of Registration: Full-Time Part-Time
13. Details of the Qualifying Degree:
Name of the University/College/Institute ________________________________________________________________
Qualifying Examination____________________________ Duration of the Course (Years) _______________________
Discipline __________________________________________ Year of Passing _____________________________________
Aggregate % of Marks/ Grades obtained __________________________________________________________________
th14. Academic Record (From 10 Standard onwards):
Exam/Degree University/College/Institute Subjects % Marks/CGPA Year of Passing
th10
10+2 Equivalent
Graduation
Post-Graduation
M.Phil.
Any Other(Please Specify)
15. Present Occupation (If any): ____________________________________________________________________________
16. Teaching Experience (If any):
Year/Period (from-to) University/College/Institute Designation
17. Area of Specialization for Research: ____________________________________________________________________
18. Broad Area of Research interest: ________________________________________________________________________
I.... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .S/o, D/o...... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
certify that information provided by me in this Form is correct to the best of my knowledge and belief and that
any willful misrepresentation of facts will result in my application getting summarily rejected or
cancellation of admission.
DECLARATION BY THE APPLICANT
Date .......................................
Place ..................................... Signature of the Candidate
1. Please down load the application form from our website www.apexuniversity.co.in
2. Fill the downloaded application form, attach copy of all required documents mentioned in the
application form (copy of mark sheets : Secondary to Post Graduation, and Aadhar Card copy)
3. Attach the demand draft of Rs. 2000/- in favor of "Apex University , Jaipur"
4. Send The application form with Copy of required documents and Demand Draft to the following Address
by post or by hand :
HOW TO APPLY
4. Check list of Documents to be submitted with the Application Form (Attested Photocopies Only)
I. 10th standard (Secondary) Mark Sheetth ii. 12 standard (Senior Secondary) Mark Sheet
iii. Graduation Mark Sheet
iv. Post-graduation Mark Sheet
v. Work Experience Certificate (if any)
vi. Research Credentials (if any)
vii. Coloured Passport Size Photographs (5 Nos.)
viii. Demand Draft of Rs.2,000/- in favour of Apex University, Jaipur payable at Jaipur.
Note : Dates of Pre-Ph.D. Entrance Examination and Interview will be communicated on your mail address or
through SMS.
Admn. Office
Apex University, Jaipur
V.T. Road, Mansarovar, Jaipur-302020, Rajasthan, INDIA
1800-200-7000 / 0141- 6660999