Ph.D. Registration @ IIMTU

Ph.D. Registration

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Select Ph.D Subject *

Name *

Father's Name *

Mother's Name *

Date of Birth *

Gender*
Male Female

Place Of Birth *

Category *
GEN. S.C. S.T. O.B.C

Marital Status *

Physically Challenged *

Aadhar Number *

Nationality *

Examination Qualified *
None GATE JRF NET GPAT Any Other

Examination Center *
Meerut

Address for Correspondence *

City *

State *

Mob. No *

E-Mail ID *

Tick Here If Permanent Address Same As Above

Permanent Address *

City

State

Mob. No

E-Mail ID *

Academic Qualification *

Exam Passed (X onwards)	Branch/Subject	Board/University	Month/Year of Passing	Class/Division	% of Marks	Grade/CPI/CGPA

Present Employment Status *
Employed Not Employed

Employment Details (after acquiring the degree):(In case, the candidate is employed,
NO OBJECTION CERTIFICATE has to be submitted from employer.) Fill details of current Employer

Name and Address of the Organisation *

Designation *

Date *

Declaration: I certify that the information given above is correct, I am aware that I must submit self attested copies of my qualifying degree certificates and marksheet along with necessary documents before prescribed date, failing which, my admission will stand cancelled. I am also aware that providing incorrect information in the application form can result in the cancellation of my admission at any stage.

Place

Date

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