UNIVERSITY OF CALCUTTA

Department of Radio Physis and E!etronis

App!iation Form for the Admission Test "Inter#ie$ for the Ph%D% &Teh%' Pro(ramme
in Radio Physis and E!etronis
Name &in )!o* !etters'+
Date of )irth+
Father,s Name+
Nationa!ity+
-ender &.a!e" Fema!e'+
.arita! Stat/s &.arried"Unmarried'+
Address for Comm/niation+
Phone N/m0er+ .o0+
E1mai! ID+
Aademi 2/a!ifiations &)ahe!or De(ree on$ards'+
Name of the
E3amination
Year of
Passin(
Uni#ersity S/04ets
ta*en
Di#%"C!ass 5 of .ar*s
6hether 7/a!ified in NET"-ATE" SLET " SET " e7/i#a!ent e3aminations+
Cate(ory &-enera! " SC " ST " PC'+
Si(nat/re of the app!iant $ith date+
* Candidates are requested to deposit application fee of Rs.100/- either by cash or DD
through duly filled in C.U. Challan, endorsed by the ead of the Depart!ent.
** "riginal docu!ents !ay be as#ed for as and $hen required by the appropriate authority.