Indian Association for the Cultivation of Science
(Deemed to be University under the de novo Category)
Jadavpur, Kolkata - 700 032
Application Form for Admission to the PhD Programme
Session : (Autumn Semester )
Autumn Semester (Commencing from July 202......... )
Mention your choice for area of Research Work (maximum for two areas)
Broad Subject Area Name of School
Personal Details
Name of the Applicant : (in Block Letter)
Date of Birth : ____/______/_______ Blood Group:_______________ Paste your Photograph
Sex : Male/Female/Transgender: ______ Category : SC/ST/OBC/PWD : _________
Father’s Name:
Mother’s Name:
Communication Address:
Permanent Address:
E-mail ID: Mobile No.
**Payment of Application/Examination
Fees:
Online Payment Transaction N. And Date :
Application fees to be transferred electronically to the account of IACS (Name of the Account: Indian Association for the cultivation of Science University A/c No. 37739525415, State Bank of India, Jadavpur University Branch, Branch Code: 0093. IFSC: SBIN0000093).
Educational Qualification (Copies of Marksheets to be Submitted during written test/interview):
Name of the Examination Board/University Year of Passing Subjects Division /Class % of Mark
Any other Information:________________
The information provided above is correct to the best of my knowledge and belief. In case any of the above information is found to be incorrect at any subsequent time, my admission to this course is liable to be cancelled. I further undertake to abide by the rules and regulations of the University, the Institute and the PhD programme that are in force from time to time.
Date:___________________ ______________________
Signature of the Student
** Application fee will not be returned if the application is disqualified at any stage of whatsoever reason or the candidate dose not appear/called for the admission test.