RAJIV GANDHI CENTRE FOR BIOTECHNOLOGY

Thycaud P.O,Thiruvananthapuram-695014,Kerala,India

Tel.0471 2529512, 2529400 Fax: 0471-2348096,2346333

Website: www.rgcb.res.in

APPLICATION FOR PhD ADMISSION

JANUARY 2017

AFFIX

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1 / Name of the Candidate / Mr./Ms./Dr.
2A / Complete Address for
Correspondence (with Pincode)
2B / E-mail ID(Application will not be processed without valid E-mail ID)
2C / Telephone Numbers / Landline…………………………………….. Mobile………………………………………..
3 / Permanent Address
(if different from above)
4 / Age Date of Birth / Date of Birth: ------
Age as on January 30th, 2017: ------
5 / Do you belong to SC/ST
communities?
(Attach Proof)
6 / Current Position*
(Education/Employment)

* Applicants currently working /employed in other research projects or jobs will have to provide an NOC before joining.

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7. Educational Background

Sl.No / Name of Examination / Year of Passing / Institution, Board or
University / Main Subject (s) / Marks(percentage or CGPA)
1 / 10th grade
2 / 12th grade
3 / Bachelor’s Degree
4 / Master’s Degree
5 / Any other degree or Diploma
(specify)
6 / Title of Dissertation at
Masters Level

8A: Qualifying Examination for JRF (CSIR/UGC/ICMR/DBT/KSCSTE)

Exam / Year / Reg.No/Roll No / Date for start of
Fellowship / Duration of validity
of fellowship

8B: Details of Any other Fellowship (such as INSPIRE)

Selection procedure: 7. All eligible candidates, irrespective of their fellowship status, will have to appear for a qualifying entrance test which will be conducted at RGCB for short listing candidates for the selection interview. Results of the qualifying test will be announced within one hour and selection interview for shortlisted candidates will begin on the same day. Candidates selected at the interview must first successfully complete RGCB’s PhD coursework for 4-6 months and will then be allowed to choose their mentor. Final allotment will be decided on mutual acceptance by student and mentor. Details of individual laboratories and research specialty are explained in detail at RGCB website (www.rgcb.res.in).

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10. Application Processing Fee

Applicants must enclose a crossed demand draft of Rs.500/- (Rupees Five Hundred only) as processing fee in favor of: The Director, Rajiv Gandhi Centre for Biotechnology, Thiruvananthapuram- 695014, Kerala State, India.

Applicants belonging to SC or ST communities are exempted from Payment.

11. Details of Payment

Demand Draft No……………………………… Dated…………………………

Drawn on …………………………………………………………………………(Name of the Bank)

payable at Thiruvananthapuram.

(Write your Name and Phone number on the back of the DD)

12. List of Essential Enclosures to be attached. Applications without these will be rejected.

1.  Proof of Date of Birth

2.  Proof of completing qualifying degree in all respects (Copies of Final certificate & Transcripts)

2. Proof of having Qualified CSIR/UGC/ICMR/DBT/KCSTE Junior Research fellowship. In case of non-receipt of certificate, attach a photocopy of Hall ticket and published results indicating your roll number (If any)

3. Proof of any other fellowship such as INSPIRE (If Applicable)

DECLARATION

I hereby declare that all the information provided above is correct to the best of my knowledge. I shall produce all the original documents for verification at the time of interview. I also understand that my application will be rejected if any of the details provided

are found to have been deliberately falsified.

------Signature & Date

------

Name

------E Mail ID

ALL COMMUNICATIONS WILL BE SENT ONLY BY E-MAIL

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13.Personal Statement: Please describe (in no more than 500 words) in the space provided below in your own handwriting as to why you are interested in pursuing a PhD

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