OSMANIA UNIVERSITY HYDERABAD - 500 007 Application for Ph.D.

Eligibility Test : 2011

Downloaded application must be accompanied by a Demand Draft for Rs.650/- (in case of SC/ST candidates:R.450/-) towards registration fee. The DD must be drawn in favour of "The Director, Directorate of Admissions, O.U. Hyderabad" on any Nationalised bank and payable at Hyderabad.

Last date for submission Without late fee With late fee of Rs.100/: 09-12-2011 by 4.00 pm. : 17-12-2011 by 4.00 pm.

Affix recent photograph & sign across photograph

Particulars of the Demand Draft : (Write your name and subject on the backside of Demand Draft) DD. No: ......Date: ..................... Amount: .............. Bank: ........................................... Branch: ...................

1.

Name of the Candidate (in Capital Letters) : (As mentioned in certificates of qualifying examination) Name of the Father/Guardian Sex Male Female : 4. Date of Birth

2. 3.

(Put a mark) 5. 6. Residential status (Put a mark) Reservation Category (Put a mark)
(Enclose a copy of the caste certificate)

Local

Non-Local
(Put a mark)

7. Whether Physically Handicapped Yes No

SC ST BC-A BC-B BC-C BC-D BC-E OTHERS 8. Details of the qualifying examination passed: Subject Year of passing

Name of the Examiation

Division

% of Marks

9.

Subject in which the candidate desires to write Ph.D. EligibilityTest: (Refer to information brochure) Address for Communication (in Block Letters)

Subject Name

Subject Code

10.

___________________________________________ ___________________________________________ ___________________________________________ Pin Code ____________ Phone / Cell. ____________

11.

Permanent Address (in Block Letters )

____________________________________________ ____________________________________________ ____________________________________________ Pin Code ______________ Phone / Cell. ___________

12.

Particulars of study pertaining to preceding seven (7) years ending with qualifying examination.

Course

Year(s) of Study

Place of Study

Board / University

Declaration: I hereby solemnly affirm that the above information is correct and I am aware that my admission is liable to be cancelled in case any information is found to be incorrect. I have gone through and understood the Rules, Regulations and Instructions of the Ph.D. Eligibility Test.

Date : __________________

Signature of the Candidate

CHECK LIST Arrange the application and enclosures in the following order : 1. Acknowledgement card. 2. Application form. 3. Copies of the memos of marks of qualifying examination. 4. Copy of the certificate of qualifying examination. 5. Copy of the caste certificate (if applicable). 6. Copy of the PH certificate (if applicable). 7. ICR summary sheet (not to be pinned or tagged to the application). Note: Without enclosing the above certificates, the application will be rejected. Filled in application must be submitted to : THE DIRECTOR Directorate of Admissions Near University Press Osmania University, Hyderabad - 500 007 Phone No 040-27090136 2

Directorate of Admissions Osmania University, Hyd 7 Ph.D. Eligibility Test : 2011 Application Number _________________
ACKNOWLEDGEMENT CARD Your Registration Number is ___________________ Quote this number for any future correspondence for Director Admissions, O.U.

Candidates Address

Affix Rs. 6-00 Postage here

____________Pin Code________
From: Director Directorate of Admissions Near University Press & Publications Osmania University, Hyderabad - 500 007.