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University of Kalyani

This document contains an application form for admission to the D.Litt/D.Sc program at the University of Kalyani. It requests information such as personal details, academic qualifications, research experience, proposed research topic, and application fee payment details from applicants. It also lists the required documents to accompany the application form.

Uploaded by

Dip Majumder
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© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
34 views

University of Kalyani

This document contains an application form for admission to the D.Litt/D.Sc program at the University of Kalyani. It requests information such as personal details, academic qualifications, research experience, proposed research topic, and application fee payment details from applicants. It also lists the required documents to accompany the application form.

Uploaded by

Dip Majumder
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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GEN/ SC/ ST/OBC (Please put a tick mark)

Rs. 400/- (Rs. 200/- for SC/ST)

UNIVERSITY OF KALYANI
Kalyani, West Bengal
Application for Admission to
D.Litt / D.Sc. Programme in
(Subject)

Photograph

Session: 20.
Space for Office Use

1. Name of the applicant:(Block Letters)


Surname

First name

Middle name

2. Fathers/ Guardians name: .


3. Permanent Address:
Pin : .
6. Mailing Address (Postal):
Pin : .
E-mail:.Tel. :
7. Nationality: ..
8. Date of Birth( According to School Leaving Certificate:

/ .. /
Day
Month
Year

9. (a) Academic Qualifications:


Degree

Name of the University/ Institution

Year of passing/awarded

Masters
Ph.D.
Others

10. Ph.D thesis title:

11. Research Experience:


a) Number of years:
b) Number of Research Papers published in ISSN/refereed journals:
c) Number of Research papers published in the area of the proposed
D.Litt/D.Sc. work:
d) Number of Books published:
e) Number of articles/chapters in Books:
e) Number of citations received supported by Google Scholar/SCOPUS profile:

% of marks

f) Number of Ph.D. students supervised/supervising:


( Please enclose detailed list of publications with bibliometric indicator (impact factor, H-index)
along with a copy of each publication. Please use additional sheets.)

12. Title of Research Proposal for D.Litt/D.Sc. program*:


(* Enclose a copy of the summary of the research proposal)

13. Application Fee (Challan copy to be attached)


Please note the application should be accompanied by:
i. Attested copies of mark-sheets, diplomas and certificates obtained by the candidate in the past.
ii. Summary of the Ph.D. thesis.
iii. SC/ST/OBC candidates must submit copy of certificate.
iv. No objection certificate from the employer.
*Candidates are requested to read the University Regulations for M.Phil and Doctoral Degrees before
applying.
(Print the Application Form using Legal-sized paper)

DECLARATION: I solemnly declare that the particulars and information supplied above are correct to the
best of my knowledge and belief. I also promise that I will not indulge in any such activity, misbehavior or
violence of any sort that will bring disrepute to the University. In case I am found involved in any such act, my
admission should be withdrawn immediately and I should be subjected to any punishment that the University
Authorities deems fit.

Date:

Signature of the candidate in full

Place:

________________________________________________________
RECEIPT
UNIVERSITY OF KALYANI
Received the filled-in application form from Smt/Sri
for the D.Litt/D.Sc. Course in .. .

Signature of Official with date & stamp

ADMISSION SECTION
P.O-KALYANI,DIST-NADIA,PIN741235,W.B

APPLICANT'S COPY
SBI Powerjyoti Account
Note: Fees collection Charges is to be paid additionally

Fee Payment Challan


Fee Collection Account Number
32183583982
State Bank of India
Branch Name
Branch Code
Date

Applicant's Name
Address & Mobile
No.

Application fees
Fee collection
charges
Total
Amount in words....

only
Signature of the Applicant
For Bank use only
Journal No.
Seal /Date

Authorized Signatory

UNIVERSITY OF KALYANI
ADMISSION SECTION
P.O-KALYANI,DIST-NADIA,PIN741235,W.B

COPY TO BE SUBMITTED WITH APPLICATION FORM

SBI Powerjyoti Account


Note: Fees collection Charges is to be paid additionally

Fee Payment Challan


Fee Collection Account Number
32183583982
State Bank of India
Branch Name
Branch Code
Date

Applicant's Name
Address & Mobile
No.

Application fees
Fee collection
charges
Total
Amount in words....

.only
Signature of the Applicant
For Bank use only
Journal No.
Seal /Date

Authorized Signatory

Third Copy

UNIVERSITY OF KALYANI

Second Copy

First Copy

UNIVERSITY OF KALYANI
ADMISSION SECTION
P.O-KALYANI,DIST-NADIA,PIN741235,W.B

BANK COPY
SBI Powerjyoti Account
Note: Fees collection Charges is to be paid additionally

Fee Payment Challan


Fee Collection Account Number
32183583982
State Bank of India
Branch Name
Branch Code
Date

Applicant's Name
Address & Mobile
No.

Application fees
Fee collection
charges
Total
Amount in words....

only
Signature of the Applicant
For Bank use only
Journal No.
Seal /Date

Authorized Signatory

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