Professional Documents
Culture Documents
NATIONAL UNIVERSITY
SCHOOL OF ARCHITECTURE / PLANNING / INTERIOR DESIGN
NOTE: - (I) the applicant may send the typed application or in neat handwriting and all information must be
mentionedboth clearly and correctly.
(ii) Application received without attested copies of certification and marks list and not sent through proper
(iii) Wherever the space provided for is found insufficient a separate sheet giving detail may be attached.
__________________________________________________________________________________________
3. Addressfor correspondence:__________________________________________________________________
___________________________________________________________________________________________
7. Mobile/Phone:__________________________Email:______________________________________________
8. Do you belong to any scheduled Caste or scheduled Tribe or Economically or sociallybackward class as per the
Baxi Commission or are you physically handicapped? If yes, please enclose a certificate.
9. Education Qualification:
Exam/ Examining Year & Class obtained Subjects offers Number of Information Any other
Degree Body/ Month of with (Main & Attempts made regarding information
University Passing percentage subsidiary)……… to pass the scholarship
Main Sub: Examination prizes medals
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Name Designation Nature Of Date of Date of Class at Subject Last basic Reason
Of the employment Joining Leaving which Topic pay & For
College/Uni Full-time or taught Taught pay scale Leaving
part-time
(1) (2) (3) (4) (5) (6) (7) (8) (9)
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of Ph.D. Guide
ix Are you a recognized Ph.D. guide?if so, please give a list of students:
Who have obtained their Ph.D. degreeunder your guidance along with the titles of their theses, year and
UniversityPlease mention also the names of the students registered at present under your guidance for Ph.D.
degree.
x Research and other publications (incase of research articles, please statethe names of the co-authors, title,
Journal, year and page number; forbooks, please give names of the co-authors, title publisher and year)
14. Ifappointed, how much time you would require to join? _______________________________________
16.Please give names with addresses of three references including your presentemployer"
1. _________________________________________
2. _________________________________________
3. _________________________________________
1. _________________________________________
2. _________________________________________
3. _________________________________________
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18.Any special information (for example: seminars, symposia, workshops, summer, Institutes conducted)
declare that the information given above is true and that I agree to supply, on demand, any further
information pertaining to this application.
Place :
NOTE:
PLEASE ADD Annexure whatever is Require