ICFAI FOUNDATION FOR HIGHER EDUCATION
IcfaiTech (Faculty of Science and Technology),
Donthanapally, Shankarapalli Road,
Hyderabad – 501203, Telangana, India

Application Form for Admission into Ph.D- 2022-2023

   1. SELECT THE PROGRAM
      Program :

   2. NAME OF THE CANDIDATE (use Capitals Only) [As it appears in the School certificates]
  Prefix :

Please upload your recent color
Photograph (JPG / GIF format only)
(Size 3.5 cm X 4.5 cm)
(File size not more than 55-60 KB)

  Name :


(As it appears in the School Certificates)

  Gender  :

 
   3. PERSONAL DETAILS (use capitals only)

Date of Birth

:

 

E-mail

:

Mobile

:

 

WhatsApp Mobile

:

Father's /Husband's Name

:  

Mother Name

:

Mailing Address

:  

City

:

State

:  

Pin

:
  4. Professional Qualifying Examination passed (proof to be submitted during interview):

GATE

Subject:

Score:

Rank:

Valid up to:

UGC/CSIR NET

Subject:

Month & Year:

Any other qualifying examination

       

  5. ACADEMIC QUALIFICATION OF THE CANDIDATE

a .

Examination Passed

Name of Institution / Board / University

Year of Passing

Period (Year)
Starting Year

Period (Year)
Ending Year


Titile of Degree/ Discipline

 

Mode of Study

Aggregate Marks (%) / CGPA

X

XII

Graduation

Post Graduation

Others (Eg. CA, M.Phil, etc)

Note : If it is an affiliated college, please mention the name of the University it is affiliated with.

   6. Professional Experience

(Teaching / Research / Industrial) if any (proof to be submitted during interview)

Name of Organization

Period of Service (i.e Date of Joining and Date of Leaving)

No. of Years

Position Held

Nature of Duties

 
 
 
   7. Do you have any publications

(if yes provide the details): (first page of the paper referred to be submitted during interview)

Title of the Paper

Complete list of Authors

Journal

Indexed in

Volume No. (Year) Pages (From-To)

  8. NAMES AND ADDRESSES OF TWO REFERENCES (NOT BEING RELATIVES)*

Reference Info rmation

Reference 1

Name

Qualifications

Occupation

Please Specify  :

Designation

Organization
& Address

City

 

Pin

Ph (O)

 

Mobile

Personal
E-mail

Company Website

 

Reference 2

Name

Qualifications

Occupation

Please Specify  :

Designation

Organization
& Address

City

 

Pin

Ph (O)

 

Mobile

Personal
E-mail

Company Website

  9. Only for the employed persons (proof to be submitted during interview):
 Name of the present employer  :  
 Designation of the Employee  :  
Have you attached No Objection Certificate(NOC)
Whether employer’s permission obtained?  
   10. Proposed Research work (to be filled in by Ph.D candidates only)
Area of Research interest :
Statement of research problem on which the candidate
proposes to work
:
   11. SOURCE OF CONTACT (Please select or mention how you came to know about ICFAI)

Search Engine (Google/Yahoo/Bing/Others)        Website       Social Media (Facebook/Twitter/Other)      Friends

News Paper Article     News paper/Magazine advertisements    Electronic Media (FM/TV)    Education Fairs   
        
Events of IUJ Alumni/Students of IUJ   Faculty    Marketing Officer Others  

 
   12. DECLARATION

I declare that the information furnished in this application are true to the best of my knowledge and belief. If selected for admission, I promise to abide by the rules and regulations of the Institute as amended from time to time. I note that the decision of the Institute is final with regard to selection for admission and assignment to a particular department and field of study. The Institute shall have the right to take any action it deems fit, including expulsion, against me at any time after my admission, if it is found that information furnished by me are false or incorrect.


I Agree