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Board of Research Studies Faculty of Management Studies

Application form for Admission to the programme of Doctor of Philosophy (Ph.D.), 2012

1. 2. 3. 4. 5. 6.

Name (as per matriculation certificate) (First) Fathers/Mothers Name: Date of Birth : d Gender: Nationality: Mailing Address: Mobile No.: Permanent Address: Pin d Male m m Female y y y y (Middle) (Last)

Pin Email: 7.

Mobile/Phone No.:

8.

9.

Category: GEN SC OBC CW-I CW-II (Enclose a self-attested photocopy of the category certificate) PH I II III Visual Hearing Locomotors Specify the category under which you are exempted from the FMS Entrance Test (please enclose a copy of certificate) (a) Delhi University Teacher (b) Recipents of National Scholarship (JRF through UGC/CSIR NET/CSIR/CAR/CCSR/DBT/DST/or other GOI Fellowship)

10. Academic Record (School Leaving Examination onwards):

Name & place of Institution attended Main Subject Board/ University Exam passed/ Degree obtained Year Marks or grade obtained Out of total marks/ grade % of marks or equivalence Division or class

11. Scholastic Achievements: (Scholarship Medal Prize/ Distinction Awarded, if any) i. ii. iii. iv. 12. Broad Area of Research: 13. Proposed Title of Research: 14. Details of Previous Experience in Research, if any (May attach a separate sheet):

15. Details of Publications, if any (May attach a separate sheet): 16. Details of Employments, if any: Organization(s) Designation Period

Note: (i) If currently employed, enclose Letter of Sponsorship and Guarantee of Study Leave (for at least two years) if admitted. (ii) If you plan to quit you present job to pursue your full-time Doctoral Work in the University of Delhi, it must be clearly mentioned here,

SIGNATURE OF CANDIDATE