MEWAR UNIVERSITY

CHITTORGARH, RAJASTHAN - 312 901, INDIA

APPLICATION FOR ENTRANCE EXAM. CUM ADMISSION
Ph.D. /Post Graduate Research Interated Programme
Session – 202 -2
Please go through
guidelines before
Application Form : Ph.D. Programme PGRI Programme filling this form.
Please affix your
self-attested
recent photograph
1. PERSONAL
NAME
FATHER'S NAME
MOTHER'S NAME
AGE DOB Date Month Year
Female Male Category General Backward Scheduled Scheduled
Caste Tribe
ARE YOU PHYSICAL DISABLED? No YES, if yes, Please specify

PERMANENT ADDRESS COMMUNICATION ADDRESS

STATE PIN

with area code Mobile

E-mail @

2. Discipline of Study (i.e. Management, Education, Science etc. ................................

3. Topic of Intended Ph.D. Study (only for Ph.D. candidates)
(ENCLOSE a research proposal of about 2000 words (format attached); word processed, 12pt Times Roman
line space 1.5, A-4 size paper)

4. Whether Qualified UGC NET SLET M.Phil ICRA Test

If Qualified Discipline Certificate No. & Date (enclose copy)

I affirm that all entries in application and the appended documents ARE TRUE IN ALL ASPECTS and that the
STUDY PROPOSAL HAS BEEN PREPARED BY MYSELF. I understand that any information/document if found
to be false, shall automatically cancel my candidature and render me liable for such action as the University may
deem proper.

Candidate's Signature :

Date :
5. ACADEMIC RECORD Please encloses self attested copies of mark-sheets & Degree Certificate.
CLASS10th YEAR OF INSTITUTION CBSE ICSE
PASSING STATE BOARD
Marks Obtained % of marks
Maximum Total
CLASS12th INSTITUTION CBSE ICSE
Science Art Commerce
STATE BOARD
YEAR OF Marks Obtained % of marks
PASSING Maximum Total
BACHELOR'S INSTITUTION UNIVERSITY
(SPECIFY) DISCIPLINE

YEAR OF Marks Obtained % of marks

PASSING Maximum Total
MASTER'S INSTITUTION UNIVERSITY
(SPECIFY) DISCIPLINE

YEAR OF % of marks
Marks Obtained
PASSING
M.Phil. INSTITUTION UNIVERSITY
DISCIPLINE

YEAR OF % of marks
Marks Obtained
PASSING
6. RESEARCH / TEACHING EXPERIENCE
FROM TO ORGANISATION POSITION JOB DESCRIPTION

7. PUBLICATIONS (us a separate sheet if necessary) Enclose copies/Reprints

Title Paper Journal Vol. Month & Year Co Author if any

8. FEEDBACK : how did you come to know about the Programme

MU advertisement in
Press Announcement in
Friends Own Institute Internet

CHECKLIST OF ENCLOSURES mark & TAG in this order

i. Research Proposal Copies of mark sheets

iii. Copies of Publications DD for Rs. 2000/-

Signature of Candidate Date :

 MEWAR UNIVERSITY
Ph.D. Entrance Examination 202 -2
ADMIT CARD (Office Copy)
Ph.D. Programme PGRI Programme

NAME : ...........................................................................................................................................
FATHER'S NAME : ........................................................................................................................
Address for Correspondence : .........................................................................................................
Please affix your
.......................................................................................................................................................... SELF ATTESTED
recent photograph
..........................................................................................................................................................
..........................................................................................................................................................
Contact No. : (M) .......................................................... (R) ...........................................................
Last Qualification with percentage : ................................................................................................
Choice of Examination Center : Chittorgarh (RAJ.) Ghaziabad (U.P.) Lusaka (Please tick one)
Candidate's Signature :

(For Office Use Only)

Application form checked and found eligible / not eligible / exempted for Entrance Examination.
Remarks :
......................................................................................................................................................................................
......................................................................................................................................................................................
......................................................................................................................................................................................
..................................................................................
A fee of Rs. 2000/- (Rs. Two Thousand only) received as Application form and processing fee. Checker

Receipt No......................................... Date : ............................ DD/Cash Cashier

MEWAR UNIVERSITY
Ph.D. Entrance Examination 202 -2
ADMIT CARD (Student's Copy)
Ph.D. Programme PGRI Programme
NAME : ...........................................................................................................................................
FATHER'S NAME : ........................................................................................................................ Please affix your
Discipline of Research : .................................................................................................................. SELF ATTESTED
recent photograph
Subject in Post Graduation : ............................................................................................................
Contact No. : (M) .......................................................... (R) ...........................................................
Last Qualification with percentage : ................................................................................................
Choice of Examination Center : Chittorgarh (RAJ.) Ghaziabad (U.P.) Lusaka
Roll No. :.................................................................... Time : .......................................................... University
Seal with
Candidate's Signature : Signature