Professional Documents
Culture Documents
Regd. Office: 2nd Floor, Training School Complex, Anushaktinagar, Mumbai 400 094
Part A : Application
(To be filled at the time of joining Training School)
Degree
Year
% Marks
Subjects
Batch no.
University
Discipline
Certified that I am not enrolled in any other Programme of any University. The above information furnished by me is true and correct. If any information is
found to be incorrect or false, I understand that my admission shall be liable to be summarily terminated without notice.
Date:
Signature of Candidate
Through: Head, Training School with stamp
To Dean, HBNI
Version approved during the meeting of Standing Committee of Deans held during 29-30 Nov 2013
Regd. Office: 2 Floor, Training School Complex, Anushaktinagar, Mumbai 400 094
a. Particulars of Employment
Unit Name
Division Name
CI Name
BARC/IGCAR/RRCAT/VECC
3.
Guide
Name
CI/Unit/Division
Email-ID
Address for Correspondence
with contact nos.
Certified that I am not enrolled in any other Programme of any University. The above information furnished by me is true and correct. If any
information is found to be incorrect or false, I understand that my admission shall be liable to be summarily terminated without notice.
Date:
Date:
Signature of Candidate
* Head of the Division in which the applicant is working/Competent Authority of the Institution.
CHECK-LIST OF MANDATORY ENCLOSURES FOR APPLICANT
The fee (as applicable) to be paid in the form of crossed DD drawn in favour of: Accounts Officer, HBNI.
DD No.
Date
Drawn on Bank
Branch
Amount (Rs.)
Discipline
Division
Guides Name
Unit
Certified that the total number of students registered currently under me is not more than 13 and not more
than 8 of these are Ph.D. Students. I have the permission of the competent authority to guide the student.
Signature of Guide:
Date:
Division
Technology
Advisors Name
Unit
Convener
(Guide)
3.
Member
4.
Member
5.
Member-Invitee
(Technology Advisor, if
any)