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JAWAHARLAL NEHRU MEMORIAL FUND Latest
passport size
JAWAHARLAL NEHRU SCHOLARSHIPS FOR DOCTORAL STUDIES photograph
APPLICATION FORM
1. Name in full: ____________________________________________
2. Gender (Tick mark): Male Female
3. Father’s/Husband’s Name: ____________________________________________
4. Date of birth: ____________________________________________
5. Contact Details:
Address for correspondence ____________________________________________
____________________________________________
______________________________ Pin __________
Permanent address ____________________________________________
____________________________________________
______________________________ Pin __________
Telephone Number with area code ____________________________________________
Email ID _____________________________________ Mobile _________________________
6. Nationality (Tick mark):
A. Indian Nationals for Ph.D. study in India
B. National of other Asian Countries for Ph.D. study in India
Name of the Country/Nationality____________________________________________
7. Category to which you belong (Tick mark):
1. Unreserved
2. SC
3. ST
4. OBC
5. EWS
6. PwD
Necessary certificates as proof of category issued by the Competent Authorities should be
attached.
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8. Name and address of the University/
Institution where registered for Ph.D.: ____________________________________________
____________________________________________
9. AREA OF SPECIALISATION/SUBJECT: (Please refer to the Areas of Specialisation
indicated in the Information Sheet) ____________________________________________
10. Supervisor’s Name: ____________________________________________
Designation: ____________________________________________
Telephone Number with area code: ____________________________________________
Email ID _____________________________________ Mobile _________________________
11. (a) Date of Registration for Ph.D.: ____________________________________________
(b) Likely date of completion ____________________________________________
(c) Full title of Ph.D. thesis ____________________________________________
____________________________________________
____________________________________________
12. Please attach a Synopsis of the proposed project as per the attached format.
13. Please attach University Doctoral Monitoring Committee’s report or Supervisor’s
report/recommendations.
14. Are you holding any post now? Yes No
If yes:
(a) Date of your appointment ____________________________________________
(b) Your designation ____________________________________________
(c) Full emoluments ____________________________________________
(d) Full address of the employer ____________________________________________
____________________________________________
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15. If you are getting Fellowship/Scholarship/Financial assistance from any source at present
please indicate:
(a) Name of the source with full address ____________________________________________
____________________________________________
(b) Fellowship/Scholarship amount per
month ____________________________________________
(c) Contingency amount per year ____________________________________________
(d) Fellowship/Scholarship/Financial
Assistance to continue up to ____________________________________________
(month, year)
(e) Any other financial assistance being
received with details thereof ____________________________________________
16. Languages known: Read ____________________________________________
Write ____________________________________________
Speak ____________________________________________
17. Academic record starting from High School/Higher Secondary/Senior Secondary:
Examination Name of Board/ Year of Division/ Percentage Subjects taken
Passed University Passing Grade of Marks
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18. Enclosures (in the order given below): Enclosed
1. A passport size photograph to be pasted on the first page of the Form Yes/No
2. A Synopsis of the proposed project as per the attached format Yes/No
3. University/Doctoral Monitoring Committee’s report or Supervisor’s Yes/No
report/recommendations
4. Postal Order/Demand Draft for Rs. 100/- Yes/No
5. Ph.D. registration certificate Yes/No
6. Necessary certificates as proof of category issued by the Yes/No/
Competent Authorities should be attached. Not Applicable
DECLARATION:
I declare that the statements made and documents enclosed with the Application Form are true to the
best of my knowledge and belief. If any information is found to be incorrect, my candidature is
liable to be cancelled.
Signature of the Applicant
Place: _________________
Date: _________________
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SYNOPSIS IS REQUIRED TO BE SUBMITTED IN THE FOLLOWING FORMAT
1. Review of literature : Current Knowledge
a) International : (500 words, Key Reference Maximum 10)
b) National : (500 words, Key Reference Maximum 10)
2. Lacunae in Knowledge & Justification of the proposed Research : (250 words)
3. Objectives of current project : (Point wise only, Maximum 150 words)
4. Outline of Plan of work : (Flow Chart with foot notes, One Page)
5. Plan of work details : (500 words)
6. Methods : (500 words)
7. Time Line: (Denoting duration, Diagram with description of goals to be achieved annually, One
Page)
8. Letters of participation of collaborating Institutions/Co-guides
9. Guide details : (One page) Name & current position, Address, Contact details-email, Fax,
Telephone, Highest Degree, List 5 best Publications, Area of Research interest (100 words).
10. Student details: In addition to details given in the application form, additional details of their
participation in National/regional workshops, conferences etc. to improve their skills required
for the proposed Ph.D. programme.