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RAJIV GANDHI CENTRE FOR AFFIX

BIOTECHNOLOGY PHOTOGRAPH
Thycaud P.O, Thiruvananthapuram-695014, Kerala ,India
Tel.0471 2529512, 2529400 Fax: 0471-2348096, 2346333
Website: www.rgcb.res.in
APPLICATION FOR PhD ADMISSION
SEPTEMBER 2018

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1 Name of the Candidate Mr./Ms./Dr.

Complete Address for


2A Correspondence (with Pincode)

E-mail ID(Application will not be


2B
processed without valid E-mail ID)

2C Landline……………………………………..
Telephone Numbers
Mobile………………………………………..

3
Permanent Address
(if different from above)

Date of Birth: ---------------------------------


4 Age & Date of Birth
Age as on September 01st, 2018: ---------------------

Do you belong to SC/ST


5 Community?
(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 Year of Institution, Board or Main Subject (s) Marks(percentage


Examination Passing University or CGPA)

10th grade
1

12th grade
2

3 Bachelor’s Degree

Master’s Degree
4

Any other degree or


5 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 Duration of validity


Fellowship 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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9. Application Processing Fee

Applicants must enclose a crossed demand draft of Rs.1000/- (Rupees One Thousand 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.

10. 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)

11. 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)
3. Proof of having Qualified CSIR/UGC/ICMR/DBT/KCSTE J u n i o r Research fellowship.
In case of non-receipt of certificate, attach a photocopy of Hall ticket and published results
indicating your roll number (If any)
4. 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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12. Personal Statement: Please d e s c r i b e (in no m o r e t h a n 5 0 0 w o r d s ) in the
space provided below in your o w n handwriting as to why you are interested in pursuing a
PhD

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