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Application BNU

The document is an application form for admission to the Ph.D. programme at Bengaluru North University, requiring personal details, academic records, and sponsorship certification. It outlines eligibility criteria, fee payment instructions, and necessary documents to be submitted. The application deadline is April 7, 2023, and candidates must ensure all information is accurate to avoid rejection.

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jeffy yesudas
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30 views5 pages

Application BNU

The document is an application form for admission to the Ph.D. programme at Bengaluru North University, requiring personal details, academic records, and sponsorship certification. It outlines eligibility criteria, fee payment instructions, and necessary documents to be submitted. The application deadline is April 7, 2023, and candidates must ensure all information is accurate to avoid rejection.

Uploaded by

jeffy yesudas
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
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Application – A

BENGALURU NORTH UNIVERSITY


TAMAK, KOLAR-563103

Email:regevl bnu201 7@ gmail. com Website: WWW. bnu. karnataka. gov.i n

APPLICATION FORM
For
Admission to Ph.D. Programme

Faculty
Department

Fee Payment Particulars


Bank Name
Branch Affix your
recent
Challan No./Demand Draft
No./NEFT/RTGS Photograph
Amount and Date of Payment

PERSONAL DETAILS

1. Name of the Candidate :


(As in Degree certificate)

2. Father’s Name :

3. Mother’s Name :

4. Date of Birth :

5. Gender :

6. Nationality :

7. Category :

8. Physically Challenged: Yes / No (P.T.O)


-2-

9. Contact and Communication Details:

Address for Communication Postal / Permanent Address

Pin Code Pin code


Email Id:
Mobile No:
What’s App
Mobile No:

10. Present Occupation/Employment: _


(Give Name and Address of the Employer, NOC Issued by the Employer to be
attached):

11. Details of Academic Record (Starting from 10+2) :

Degree Subject College/Institution/ Year of Year of % of marks/ Class


University Admission Passing CGPA /Division

12. JRF /NET (UGC/CSIR)/KSET/SET/etc. Details: (Enclose result/award letter):

Roll No. Award Letter/ Subject Maximum Marks % Qualified For


Reference No Marks Obtained (JRF/ Assistant
With date Professor)

(P.T.O)
-3-

13. Details of Publications: (Add Separate sheet if necessary)

Sl. No. Title of the Paper/Book Name of the Place and year of
Journal/Publisher Publication

14. Details of Teaching Experience: Attach a separate sheet in the following


format, if necessary: (Experience should be full-time Teaching only)

Position Total Period of Nature of


Organization Pay Band &
Held Experience Employment Duty
Grade Pay From To

15. Details of Professional Experience, if any (Attach necessary Certificates) :


(i) The Institute where Professional Experience achieved/ gained:

(ii) Period of Professional Experience:

16. Any other Contribution /Achievements/Awards:

Declaration:
I hereby declare that the above information and enclosed documents are
true to the best of my knowledge and belief and nothing has been concealed
therein. I am well aware of the fact that if the information given by me is proved
false/not true at any point of time, my Candidature will be rejected/admission will
be cancelled without assigning any reasons thereof.

Place: ……………….

Date: ……………….
SIGNATURE OF THE APPLICANT
SPONSORSHIP CERTIFICATE
(From the Present Employer)

Certified that Mr./Ms./Mrs. ......................................... is a


Permanent employee of ................................ and is working as
.............................................. (Full Time). All facilities will be extended
to him/her during the Course of Research, by the Government/
Management/ Institution. This Organization/Department/Institute has
NO OBJECTION for him/her to register for the Ph.D. programme in
BNU He/ She has a Teaching Experience Permanent in this
Organization/College for a period of …………Years and months .

Sl. Period of Duration of Service


Designation
No. From To Years Months Days

Total

Place: SIGNATURE OF THE SPONSORING AUTHORITY

Date : NAME & DESIGNATION

 This Certificate will not be considered if the office seal of the issuing
authority is not affixed.
 The Application of the candidates who have not furnished the sponsorship
certificate in the above format will be rejected without notice.
 If the above certificate is false or contains false information, legal action will
be initiated against the Candidate and the concerned Authority.
Instructions to Candidates
(For Admission to Ph.D. Programme)
1. Courses Offered: Ph.D.
S.No. Name of the Faculty Ph.D. Department
1 Arts

2 Science

3 Commerce
4 Management

2. Qualifying Examination and Eligibility – Criteria.


Relevant PG Programm es with good Academic Performance with 55% (in
Case of SC/ST/Cat-I/PA -50%) or Equivalent grade.

3. Filling up the Application form


a) If a candidate wish to apply for more than One Course he/she should use
separate Application Form for each Course with Separate Fees.
b) All columns in the Application Form are to be filled completely. Any
additional information may be submitted on a separate sheet with relevant
Copies of document

Programme Fees For Fees for Fee payment


(GM/OBC/ (SC/ST/
others) Cat-I)
Fees to be paid to the
Finance officer,
Bengaluru North University, Tamaka, Kolar
Ph.D. Account No: 110008131935
IFSC Code: CNRB0005076
Canara Bank, Tamaka Branch
Bengaluru North University

4. Attested copies of the following testimonials should be enclosed with the


Application Form.
1 SSLC Marks Card.
2 PUC Marks Card.
3 Degree Marks Cards (All Semester/Year)
4 Reservation Certificate for SC/ST/OBC.
5 Other Co- Curricular activities.
6 Seminar, Short Term training, Industry Certificate.
7 Publications, Journals if any.
8 Application Fee Challan/DD/NEFT/RTGS/ (Copy)
9 Duly filled in application of all the attested certificates/enclosures to be
submitted to the Registrar Evaluation Section on or before 07-04-2023 before
5.30 p.m.
10 Intimation relating to Entrance test will be announced separately.

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