Admission Form Maharishi University

Ph.D Application Form
(Direct Admission)
Academic Year 2018-19

1. Applicant's Name (In Block Letters)

2. Father's Name (Do not write Mr./Dr. etc)

3. Mother's Name (Do not write Mrs./Dr. etc)

4. Complete Address for Correspondence (Do not repeat the name)

State

District

Pin Code

5. STD Code

Phone

Mobile Number

6. Gender

7. Resident

8. Category

9. Religion

10. Differently Abled

11. Nationality

12. Blood Group

13. Date of Birth

14. Email

15. Permanent Address (Do Not Repeat the Name)

State

District

Pin Code

16. Field of Study

17. Faculty/Department to which direct admission to Ph.D Programme is sought

18. Details of Academic Qualification from 10th standard onwards. (Enclose Xerox of all documents and testimonials.)

Name of the Qualifying examination	Year	Institution/University/Board	Div/Grade	Percentage
High School (10th)

19. Total durations of M.Phil /M.Tech programmer conclusive of thesis /Dissertation in Years

20. Title of M.Phil/M.Tech Thesis

21. Have you Published any Articles/books ? Yes No

22. Have you undertaken any research project: Yes No

If yes, give details:
Experience in years (Present and previous employment)
Teaching
Research
Other

23. Have you applied for Admission in MUIT earlier: Yes No

If yes, give details:

DECLARATION BY THE APPLICANT

I hereby declare that all particulars stated in this application are true to the best of my knowledge and belief.
I have read and understood all the provisions of the Application Form and agree to abide by them. In the event of suppression or distortion of any fact like educational qualification, nationality, study period etc., made in this Application Form, I understand that my Admission/Registration is liable to be cancelled at any stage.
I am fully convince with all the information given in the and understood all the rules & regulations.
I understand that the University has right to add/delete/change the syllabus, Program Structure, Rules and Regulations as and when required.
I understand that the fees once paid will not be refunded or adjusted after Orientation.
Cost of Application Form is 1,100/- (Non Refundable) .

Place :
Date :

Parent's Signature

Applicant's Signature

For Office Use Only

Demand Draft/ Cheque Payment Details
(DD in Favor of "Maharishi University of Information Technology" Payable at - Noida)

Demand Draft No.

Date

Amount

Bank Name

Enrollment No

Course Fee

Semester/Year Fee

Fee Concession (if yes-supporting documents)

Scholorship (if yes-supporting documents)

Recommendation of Admission Committee:

1. Admi

2. Admi Conditionally

3. With Fee Concession

4. On Scholarship

5. Not recommended

Approval of Admitting Authority
Signature/Seal

Approved by
Director-Admissions

Ph.D Application Form (Direct Admission)Academic Year 2018-19

DECLARATION BY THE APPLICANT

For Office Use Only

Ph.D Application Form
(Direct Admission)
Academic Year 2018-19