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Academic Year 2019-20
Application for Admission intoDoctorate in Philosophy (Ph.D.) Program
Form No. 1/BMU/Ph.D./2019
Academic Mentor:Founded by:
A INITIATIVE
APPLICATION FORM - 2019(All entries should be made in block letters)
Please affix recent
passport size
colour photograph
For office use only
Admission Form No. 19 P - .....................................
Page 1 of 3
5. Mobile No. 6. Email ID
3. Male Female 4. Date of Birth d d m m y y y y
1. Name
Application for Ph.D Programme in: Management Engineering Full Time Part Time
Area of Research:
Present employment status (Employed / Not Employed):
2. Surname
APPLICANT’S PERSONAL DETAILS(PART A)
9.
(a) Name
(c) Occupation
(d) Email ID
(e) Mobile No.
Mother
Father
Spouse
FAMILY DETAILS
7. (a) Current Address
(b) City
(c) State
(d) Country
(e) Pin Code
8. (a) Permanent Address (if different from Current Address)
(b) City
(c) State
(d) Country
(e) Pin Code
ADDRESS DETAILS
Founded by:
A INITIATIVE
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PART (B)ACADEMIC QUALIFICATIONS
Please attach self-attested photocopies of all education certificates / marksheets.Originals must be submitted at the time of registration, if selected.
10. Educational Qualifications (Starting from High School)
Degree University/Board Year ofPassing
Class/Division
Main Subjects AggregateScore in %
11. If you are GATE*, GMAT, CAT, JMET, GRE, TOEFL, UGCNET (JRF), NET etc. qualified, Give the details in the space below:
Name of Examination Score/Percentile Validity Period (if applicable)
PART (C)WORK EXPERIENCE
12. Do you have work experience: Yes No
13. Type of work experience: Academic Research Corporate
*Those having valid GATE score, complete the table below:
Reg. No. Year Score/ Percentile Performance Index (PI) All India Rank (AIR)
Name and Address of the Organization
Nature of ExperienceIndustrial / Research
Designation Years Months
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(PART D)RESEARCH EXPERIENCE
(PART E)
The application form must be accompanied with a current CV.
Signature of Applicant Date:
16. Membership of Professional Institutions/ Societies:
17. Publications
Please give a complete list of your research publications in Journals and Peer-reviewed Conferences separately. Use a separate sheet..
Please attach reprints/copies of your most recent papers.
14. Do you have research experience: Yes No
15. If yes, was it in : Academic Research Corporate Provide the details of Sponsored R&D/Consultancy Projects
Name of the Project Funding Agency Duration Total Project
OutlayDate/ Year ofCompletion
*Attach a list of Projects/ Publication/Case Studies/ patents or any other details if applicable
18. Please provide a brief summary of your proposed/interest area of work for Ph.D in 800 -1000 words. This may
include broadly three parts.
a) Broad overview of the domain you would like to work, including relevance to industry/market/society, global
& Indian scenario (as applicable in your case)
b) Unresolved issues, new challenges or emerging opportunities in the domain and
c) Proposed issue/challenge that you would like to address and your idea / thoughts to address the same.
Campus:67th KM Milestone, NH-8, District Gurgaon-123 413, Haryana, India. Corporate Office: BML Munjal University, 2nd floor, Tower-2, NBCC Plaza, Pushp Vihar, New Delhi -110017. Toll Free No.: 1800-103-6888 Email: [email protected] (For School of Engineering and Technology, [email protected] (For School of Management and School of Economics and Commerce).Website: www.bmu.edu.in A INITIATIVE
