Form No.

: _____________

SAURASHTRA UNIVERSITY, RAJKOT

NAAC RE-ACREDITATION GRADE B CGPA: 2.93

APPLICATION FORM
FOR YEAR 2011

ENTRANCE EXAMINATION FOR ADMISSION TO Ph. D

Application fee Rs. 550.00 only (Amount to be paid by a bank draft payable at Rajkot infavour of Registrar, Saurashtra University, Rajkot.) Fill in the Capital Letters only 1. Application for admission to Ph. D in subject* of __________________________________ Subject Code: 2. Faculty of:
Affix recent passport size Attested color photograph

3. Name of Candidate (Surname First):

4. Address for correspondence:

PIN 5. Permanent Address:

Telephone No.

PIN

Mobile No.

____________________________________________________________________________________
*Please select the subject from the list given on the last page and enter its correct subject. This shall be the subject for the entrance test.

6. E-mail: 7. Date of Birth: 8. Age in Years: 9. Gender: 10. Category: 11. Nationality: 12. Place of Birth: 13. Mother Tongue: 14. For Applicants from Foreign Country only Passport No. Visa Category: Date: ____ / ____ / ________ Expiry: ____ / ____ / ________ Male General OBC Female SC ST PH ____ / ____ / ________

15. Particulars about passing the Master Degree or its equivalent examination Name of University Degree & Subject Month & Year of Passing % of Marks OR CGPA/CPI Class/ Grade

16. Did you join any other Institution as a student after passing the last examination? Yes If yes, a) b) c) d) No Name of the Institution: _____________________________________________ Name of the course joined: ___________________________________________ Status (Whether continuing or passed): _________________________________ Course credits obtained from the Institution: _____________________________ Employed Unemployed

17. Employment status If Employed,

Employer: _________________________________________________________________ Address: __________________________________________________________________

18. List of documents enclosed: (Tick mark) i) ii) iii) iv) School leaving certificate Mark-sheet(s) of Master degree examination _________________________________________ _________________________________________

I solemnly affirm that the particulars and information furnished by me in this application form are true and correct to the best of my knowledge and belief. In the event of suppression or distortion of any fact, I understand that my admission to Ph. D program is liable for cancellation. I shall abide by all the rules and regulations of the university. Place: Date:

Signature of the Candidate

Note: 1. This is only an eligibility test. Admission to Ph. D will be as per the provision of Ph. D ordinance of the saurashtra university. 2. For details regarding the test paper and course content please refer to the university website www.saurashtrauniversity.edu 3. No candidate shall be allowed to apply for the Ph. D entrance test for more than one subject. 4. A candidate intending to enroll himself/herself for the Ph. D degree must be a post graduate degree holder with 55% or B+ and must have passed the Ph. D entrance test. Candidates belonging to OBC, CS/ST or Physically challenged/disabled category should be given relaxation of 5%.

Subject Name Biochemistry Bioscience Business management Chemistry Commerce Computer Science Economics Education Electronics Electronics & Communication General Home Science Food & Nutrition Gujarati Hindi History Journalism Law English Mathematics Performing arts Pharmacy Philosophy Physical education Physics Psychology Sanskrit Statistics Library & info. Sci. MSW ENT Sociology

Subject Code 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

SAURASHTRA UNIVERSITY, RAJKOT

NAAC Re-Accredited Grade B CGPA: 2.93

ENTRANCE EXAMINATION FOR ELIGIBILITY OF ADMISSION TO PH. D

ATTENDANCE SLIP FOR USE AT THE EXAMINATION CENTRE DAY, DATE & TIME OF EXAMINATION: PLACE OF EXAMINATION: Admit Card No.: _____________________________ Name of Candidate: ___________________________________________ Signature of Candidate:
Affix recent passport size photograph Do not staple

___________________________ Signature of candidate on the Day of Examination

___________________ Signature of Supervisor

SAURASHTRA UNIVERSITY, RAJKOT

NAAC Re-Accredited Grade B CGPA: 2.93

ENTRANCE EXAMINATION FOR ELIGIBILITY OF ADMISSION TO PH. D

ADMIT CARD
Affix recent passport size photograph Do not staple

Admit Card No.: _____________________________ Name of candidate: ___________________________________________ Examination Centre: Date of exam: Time:

___________________ Signature of Co-ordinator

Note: 1. 2. Entry to the examination hall will not be allowed without this card Cellular phone, satellite phone etc. atre not allowed in examination hall.