ONLINE APPLICATION FORM
FOR ADMISSION TO INTEGRATED M.Sc. – Ph.D. PROGRAMME IN PLANT MOLECULAR BIOLOGY & BIOTECHNOLOGY

 

Name
Present Address
Email
Contact Number
Permanent Address
Nearest Railway Station
Sex                    Male Female Maritial Status  Married   Unmarried                  Date of Birth   (dd/mm/yyyy)
Mother's Name         Occupation
Father's Name          Occupation
Local Guardian's Name    Occupation Relation
Spouse Name   Occupation
Address of Father/ Local Guardian
Name of college (Last attended)
Name of the University
Registration Number at Graduation Level                          Date    (dd/mm/yyyy)
Graduation

 

 

Honours subject Percentage of marks %
Pass Subject 1  Percentage of marks %
Pass Subject 2 Percentage of marks %
University Year
Higher secondary or equivalent Board      Percentage %  Year                                             
Madhyamik or equivalent Board        Percentage % Year