Form No……………….Reg. No.……………….

PRE-PH.D/M.PHIL. ENTRANCE EXAMINATION APPLICATION FORM

1. Subect in which applying______________________________________________________________

2. Name of the Candidate (In capital letters) _____________________________________________

Name (in Hindi)________________________________________________________________________

3. Put a Tick Mark on the boxes wherever necessary:

Gender: Male Female Transgender

4. Category: GEN ST SC OBC Any Other

5. Nationality: Indian Others (if other, Name the Country_____________________)

6. Whether NET/GATE/SLET/JRF/M.Phil./UGC-CSIR Qualified : Yes No

7. Date of Birth _______/________/________

8. Father's Name (In capital letters) _______________________________________________________________________

Father's Name (In Hindi)_________________________________________________________________________________

9. Mother's Name (In capital letters) ______________________________________________________________________

Mother's Name (In Hindi)_______________________________________________________________________________

10. Address for Correspondence (In capital letters)

______________________________________________________________________________________________________________

______________________________________________________________________________________________________________

Pin Code ________________ E-mail ID__________________________________ Contact No.___________________________

Please AffixPassport sizePhotograph

Recognized by UGC U/S 2(f) of the UGC Act, 1956

11. Permanent Address: _____________________________________________________________________________________

________________________________________________________________________________Pin Code ____________________

12. Type of Registration: Full-Time Part-Time

13. Details of the Qualifying Degree:

Name of the University/College/Institute ________________________________________________________________

Qualifying Examination____________________________ Duration of the Course (Years) _______________________

Discipline __________________________________________ Year of Passing _____________________________________

Aggregate % of Marks/ Grades obtained __________________________________________________________________

th14. Academic Record (From 10 Standard onwards):

Exam/Degree University/College/Institute Subjects % Marks/CGPA Year of Passing

th10

10+2 Equivalent

Graduation

Post-Graduation

M.Phil.

Any Other(Please Specify)

15. Present Occupation (If any): ____________________________________________________________________________

16. Teaching Experience (If any):

Year/Period (from-to) University/College/Institute Designation

17. Area of Specialization for Research: ____________________________________________________________________

18. Broad Area of Research interest: ________________________________________________________________________

I.... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .S/o, D/o...... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

certify that information provided by me in this Form is correct to the best of my knowledge and belief and that

any willful misrepresentation of facts will result in my application getting summarily rejected or

cancellation of admission.

DECLARATION BY THE APPLICANT

Date .......................................

Place ..................................... Signature of the Candidate

1. Please down load the application form from our website www.apexuniversity.co.in

2. Fill the downloaded application form, attach copy of all required documents mentioned in the

application form (copy of mark sheets : Secondary to Post Graduation, and Aadhar Card copy)

3. Attach the demand draft of Rs. 2000/- in favor of "Apex University , Jaipur"

4. Send The application form with Copy of required documents and Demand Draft to the following Address

by post or by hand :

HOW TO APPLY

4. Check list of Documents to be submitted with the Application Form (Attested Photocopies Only)

I. 10th standard (Secondary) Mark Sheetth ii. 12 standard (Senior Secondary) Mark Sheet

iii. Graduation Mark Sheet

iv. Post-graduation Mark Sheet

v. Work Experience Certificate (if any)

vi. Research Credentials (if any)

vii. Coloured Passport Size Photographs (5 Nos.)

viii. Demand Draft of Rs.2,000/- in favour of Apex University, Jaipur payable at Jaipur.

Note : Dates of Pre-Ph.D. Entrance Examination and Interview will be communicated on your mail address or

through SMS.

Admn. Office

Apex University, Jaipur

V.T. Road, Mansarovar, Jaipur-302020, Rajasthan, INDIA

1800-200-7000 / 0141- 6660999