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TRANSLATIONAL HEALTH SCIENCE AND TECHNOLOGY INSTITUTE
(An Autonomous Institute of the Department of Biotechnology, Govt. of India) |
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| APPLICATION FOR ADMISSION TO THE THSTI-JNU PHD PROGRAM FOR THE ACADEMIC YEAR 2019-2020-MONSOON SESSION |
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| FULL NAME |
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| FATHER’S NAME |
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| MOTHER’S NAME |
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| DATE OF BIRTH |
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(56 YEARS, 2 MONTHS, 5 DAYS) |
| GENDER |
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| CATEGORY |
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| NATIONALITY |
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| ADDRESS CORRESPONDENCE |
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| ADDRESS PERMANENT |
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| EMAIL ID |
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| MOBILE NO |
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TELEPHONE NO |
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| ACADEMIC/PROFESSIONAL QUALIFICATIONS |
| Name of Examination |
Year of Passing |
Subjects |
Board/ University |
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CGPA |
Division |
| Class X
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| Class XII
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| Graduation
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| Post Graduation
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Others
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| FELLOWSHIP DETAILS |
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| DECLARATION |
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I declare that I fulfil the eligibility conditions as per the advertisement and that all the statements made in this application are true, complete and correct to the best of my knowledge and belief. I understand that in the event of any information being found false or incorrect at any stage or not satisfying the eligibility conditions according to the requirements mentioned in the advertisement, my candidature/ appointment is liable to be cancelled/ terminated. |
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Place: |
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| Date: |
Signature of the candidate |
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