Step by Step Instructions to fill the Online Application form by... · Upload scan copy of your 12th certificate* Upload scan copy of your 12th certificate in DOC format. Details

Step by Step Instructions to fill the Online Application form:

1. Clicking the SAVE AS DRAFT button will only save the form filled so far. Please note that this

does not mean that your form has been submitted. You can save your progress any number

of times before clicking the SUBMIT button, which will finally submit the form.

2. An applicant can’t submit the form unless all compulsory fields have been filled and all

required documents have been uploaded.

3. Once submitted the form can’t be altered without providing special admin rights that will be

controlled by the backend team/CII

4. Field marked with * are mandatory fields.

STEP 1: Personal Details

Prefix* Select your name Prefix.

First Name*

Enter your First name. Note: The name you enter here must be exactly what will be used for all official documentation and can’t be changed. Be careful with what you enter as your First, Middle & Last name.

Middle Name Enter your middle name (Not compulsory)

Last Name* Enter your Last name.

Gender* Select your gender.

Date of Birth* Click on the box provided and you can select the date month and year from the calendar.

Email*

Enter your valid personal Email Id. Note: This email ID will be used for all future correspondence hence be very careful while keying this in.

Mobile*

Enter your 10 digit mobile No. (Don’t append 0 or +91 before your No.). Note: We will be contacting you on this number for any requirements. So be very careful while keying this in.

Father’s name* Enter your father’s full name.

Marital status* Select your marital status.

Nationality* Select your nationality.

Passport size photo* Attach your Passport size photo in .JPG, .PNG format.

Complete Permanent Address

Address* Enter your permanent address.

State* Select your state.

City*

Select your city. Note: If your city is not found then select ‘Other’ option. And give your city name in the field provided for the Other City.

Other City Enter your city name in case of ‘Other’

Pin code* Enter your 6 digit pin code.

Complete Postal Address(Select check box if same as permanent Address)

Address* Enter your postal address.

State* Select your state.

City*



Pin code* Enter your 6 digit pin code.

Step 2: Details of PHD

Date of Enrolment in PHD* Click on the box provided and you can select the date month and year from the calendar.

Date of Registration in PHD*

Click on the box provided and you can select the date month and year from the calendar. Note: This date may be the same as enrolment date in case of some institute / university rules A candidate is eligible to apply for PM Fellowship if she/he has been registered for PhD for not more than 14 months from the date of submission of application

PHD Enrolment certificate* Attach the PHD Enrolment certificate in DOC format.

PHD Registration certificate* Attach the PHD Registration certificate in DOC format.

Institute where enrolled / registered in PHD* Enter name of Institute where enrolled / registered in PHD.

University Enter the name of University (Not Compulsory).

Nature of PHD enrolled/registered in* Select the nature of PHD enrolled/ registered.

Address* Enter the address of institute.

State* Select the State.

City*


Pin code* Enter the 6 digit pin code.


Broad Research Area*

Select the Broad Research Area from the six listed areas of Life Science, Engineering, Mathematics, Physics, Chemistry and Earth & Atmospheric Sciences

Sub Classification Area* Enter the sub classification of research area E.g. Civil Engineering, Agriculture, Medicine etc.

Research Topic*

Enter the research topic. Note: Please do not enter a very long research topic. Keep it concise. This is the topic of research that you propose to work on under PM Fellowship Scheme.

Research Synopsis*

Enter your research synopsis. Note: The research synopsis should not be more than 300 words. The synopsis should reflect clarity of thoughts and objective. Try to highlight the importance of the research to industry.

List of publications Enter the publication List.

Step 3 Educational Details

Details of 10th Board

Board* Select your board (If you select Other then define your board).

Subjects Taken* Enter your 10th subjects.

Year of Passing Select passing year of 10th board.

Percentage obtained in 10th * Enter your percentage in 10th

Note: Do not enter best of 4 or best of 5 etc.

Upload scan copy of your 10th certificate* Upload scan copy of your 10th certificate in DOC format.

Details of 12th Board

Board* Select your board (If you select Other then define your board).

Subjects Taken* Enter your 10th subjects.

Year of Enrollment* Select enrollment year of 12th Board.

Year of Passing Select passing year of 12th board.

Percentage obtained in 12th * Enter your percentage in 12th

Do not enter best of 4 or best of 5 etc.

Upload scan copy of your 12th certificate* Upload scan copy of your 12th certificate in DOC format.

Details of Graduation Degree

Name of Graduation Degree* Enter your graduation degree name. E.g. B. Sc., B.Tech etc.

Type of Graduation Degree* Select graduation type.

Specialization* Enter Graduation specialization E.g. Pharmacy, Physics, Mechanical Engineering

Subjects*

Enter subjects taken in Graduation E.g. In B.Sc (H) Biochemistry, you may have taken Immunology, Microbiology, Biomolecules, Mathematics, Chemistry etc. as subjects.

Total Percentage / CGPA Scored* Enter the total percentage marks or CGPA, as applicable, scored in Graduation. Do not enter best of 4 or best of 5 etc.

Institute* Enter your graduation institute.

University Enter your graduation university (Not compulsory).

Year of Enrollment* Select enrollment year of Graduation.

Year of Passing Select passing year of Graduation.

Upload scan copy of your graduation certificate*

Upload scan copy of your graduation certificate in DOC format.

Select if you taken admission in PHD directly after Graduation

Details of Post Graduation Degree

Name of Post Graduation Degree* Enter your post graduation degree name.

Specialization* Enter post Graduation specialization.

Subjects* Enter post Graduation subject.


Institute* Enter your post graduation institute.

University Enter your post graduation university (Not compulsory).

Year of Enrollment* Select enrollment year of post Graduation.

Year of Passing Select passing year of post Graduation.

Upload scan copy of your post graduation certificate*

Upload scan copy of your post graduation certificate in DOC format.

Details of Other degree/diploma (not compulsory)

Name of Other Degree Enter your other degree name.

Specialization Enter other degree specialization.

Subjects Enter other degree subject.


Institute Enter your other degree institute.

University Enter your other degree university (Not compulsory).

Year of Enrollment Select enrollment year of other degree.

Year of Passing Select passing year of other degree.

Upload scan copy of your Other degree certificate

Upload scan copy of your other degree certificate in DOC format.

STEP 4 Host Institute (PHD) Details

Name of institute where Registered for PHD* Enter the institute name

Name of Department* Enter the name of department

Address* Enter the Address

State* Select the State

City* Select city. If city is not found then select ‘Other’ option. And give city name in the field provided for the Other City.

Other City Enter city name in case of ‘Other’

Pin code* Enter the 6 digit Pin code

PhD Institute STD Code* Enter the STD Code for the Phone No.

PhD Institute Phone No.* Enter the valid phone no.

PHD Institute Website* Enter the valid website URL (not including HTTP)

Upload profile of Host Institute* Attach Profile of host institute in DOC format.

Do you avail the hostel facility at your institute*

Select Yes/No (If yes then fill following address fields)

Address Enter the Address

State Select the State

City Select city. If city is not found then select ‘Other’ option. And give city name in the field provided for the Other City.


Pin code Enter the valid 6 digit pin code

Details of PhD Institute Head

Name of Head of PHD Institute* Enter the name of Head

PhD Institute Head Designation* Enter the Head Designation

PhD Institute Head Address* Enter the Address

PhD Institute Head State* Select the State

PhD Institute Head City* Select your city. If your city is not found then select ‘Other’ option. And give your city name in the field provided for the Other City.


PhD Institute Head Pin code* Enter the pin code

Step 5 Academic Guide Details

Details of the1st Supervisor/ Research guide for Phd

Prefix* Select name Prefix

Full name* Enter the full name of 1st supervisor

Mobile* Enter your 10 digit mobile No. (Don’t append 0 or +91 before your No.).

Email* Enter the valid Email ID

Bio data of PHD Supervisor* Attach the Bio data of PHD Supervisor

Details of the 2nd Supervisor/ Research guide for PhD

Prefix* Select the name prefix of 2nd supervisor

Full name* Enter the name of 2nd supervisor

STEP 6 Partner company Details

Details of Partner Company

Name of Partner company* Enter the name of partner company

Partner Company website* Enter the valid website URL (not including HTTP)

Address* Enter the Address


City* Select your city. If your city is not found then select ‘Other’ option. And give your city name in the field provided for the Other City.


Pin code* Enter the Pin code

Annual Turnover of Partner Company* Enter the Annual Turnover of Partner Company.

Partner Company Logo* Attach the Partner company Logo in JPG/PNG format

Partner Company Profile* Attach the Partner company profile in DOC format.

Details of Partner Company Head

Head of partner company* Enter the name of partner company head.

Designation of head of partner company* Enter the Designation of head of partner company

Address of Head of partner company* Enter the Address of Head of partner company

State of Head of partner company* Select State of Head of partner company

City of Head of partner company* Select City of Head of partner company


Pin code of Head of partner company* Enter Pin code of Head of partner company

STEP 7 Industry Mentor Details

Prefix* Select name Prefix

Full Name* Enter the full name of the Mentor

Mobile* Enter your 10 digit mobile No. (Don’t append 0 or +91 before your No.).

Email* Enter the valid Email id of the Mentor

Address* Enter the address of the mentor

State* Select the Mentor the state



Pin code* Entre the valid 6 digit pin code

STD Code* Enter the valid STD Code

Phone No.* Enter the valid Phone No.

Upload Bio data of Industry Mentor* Attach the Bio data of Industry Mentor in Doc Format

STEP 8 Current Employment/ Fellowship Details

Currently availing any fellowship* Select Yes/No

If Yes then fill the Following two details

Name of the agency providing fellowship* Enter the name of agency

Are you interested in switching over Present fellowship to the PM’s Fellowship for the Doctoral Research*

Select Yes/No

Are You Currently employed in some job/assignment*

Select Yes/No

If Yes then fill the Following details

Name of the Employer* Enter the name of Employer

Job assignment description/ designation* Enter your job designation. E.g Quality Manager, Web Developer, Project Associate

Address* Enter the address




Pin code* Enter the valid 6 digit Pin code

STEP 9 Undertaking & other Documents

Undertaking from the Research Supervisor and Head of the Institute / University*

Attach the Undertaking from the Research Supervisor and Head of the Organization of the Institute / University in doc Format.

Undertaking from the Industry Partner in the Research Project*

Attach the Undertaking from the Industry Partner in the Research Project in doc format

Letter from the Industry Partner (on company’s letterhead) on the research problem and the future plans for implementation, if any

Attach the Letter from the Industry Partner (on company’s letterhead) on the research problem and the future plans for implementation, if any in doc format (not compulsory)

STEP 10 Declaration & Submit

Declare that all the information given by is true to best of your knowledge and finally submit

your application form.