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(Please Fill in Block Capital Letters) : Application For PHD Programme

This 5-page document is an application for a PhD programme. It requests personal details from the applicant, including name, contact information, citizenship status, and date of birth. It also asks for the applicant's research interests, academic qualifications including degrees and grades, any publications or other achievements, and employment history. Recommendations from educational institutions or employers can be included. The applicant must sign to confirm the accuracy of the information provided.

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hemacrc
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63 views5 pages

(Please Fill in Block Capital Letters) : Application For PHD Programme

This 5-page document is an application for a PhD programme. It requests personal details from the applicant, including name, contact information, citizenship status, and date of birth. It also asks for the applicant's research interests, academic qualifications including degrees and grades, any publications or other achievements, and employment history. Recommendations from educational institutions or employers can be included. The applicant must sign to confirm the accuracy of the information provided.

Uploaded by

hemacrc
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 5

Application for PhD Programme

(PLEASE FILL IN BLOCK CAPITAL LETTERS)


Specialisation: IT MANAGEMENT

Interested discipline:

A. PERSONAL DETAILS

1. Name in Full:
Please underline the Surname

2. Title
Rev./Dr./ Mr./Mrs./Miss
3. Postal Address:

4. Email Address:

5. Contact Number (Mobile)


AND
Contact Number (alternative)

6. Date of Birth:

7. Passport Number:
8. NIC number:

9. Civil Status:
10. Nationality:
(state whether by descent or by
registration: if by registration,
give reference number & date of
certificate of citizenship)

Page 1 of 5
B. RESEARCH INTEREST

11. Subject specialisation/s:

12. Explain your reasons for wanting to read for the PhD, and justify why ESOFT should give you the
opportunity:

Page 2 of 5
C. ACADEMIC QUALIFICATIONS

13. Undergraduate qualification/s: (Degree/ Diploma/ Equivalent)


(Please use separate sheet if required)
University/ Awarding From To Course completed Achievement/s
institution (with subjects) (Class or Grade)

14. Postgraduate qualification/s:


University/ Awarding From To Course completed Achievement/s
institution (respective (Class or Grade)
specialisation)

Page 3 of 5
15. Any other academic
achievements
(Scholarships, Medals, Prizes, etc.)
Please indicate awarding institution/
establishment

16. Research publications:


(Please use separate sheet if required)

D. EMPLOYMENT RECORDS

17. Current:
Job title, Employer and Date of
appointment:

18. Previous appointments (if any):


Job title, Employer and Duration of
service

Page 4 of 5
E. RECOMMENDATIONS
(Applicable ONLY for candidates from Private Higher Educational Institutions, Public Universities,
Government Departments and Government Corporations)

I recommend the application of (candidate’s name) __________________________________________


for the above PhD program

Name:
Signature:
Date:

F. DECLARATION

I hereby certify that the particulars submitted by me in this application are true and accurate.

Candidate’s Signature:
Date:

Page 5 of 5

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