Online Registration Form
Candidate's Name : *
Note : Full name in capital letter(s).
Candidate Name (in Hindi)
छात्र का नाम (हिन्दी में)
: *
(This will be used in your MarkSheet and Degree)
Father's Name : *
Note : Full Father's name in capital letter(s).
Father's Name (in Hindi)
पिता का नाम (हिन्दी में)
: *
(This will be used in your MarkSheet and Degree)
Mother's Name : *
Note : Full Mother's name in capital letter(s).
Mother's Name (in Hindi)
मां का नाम (हिन्दी में)
: *
(This will be used in your MarkSheet and Degree)
Minority : * Student Category : *
Gender : * Domicile State : *
Date of Birth : *
(Password would be your Date of Birth)
Nationality :
Mobile No. : * Religion : *
Is Enrolled? : Enrollment No. : *
Is Physically Handicapped ? :
Candidate Exam Details
Ph.D Enrollment Session : * Category : *
Current Session : *
Degree : * Title of Ph.D (in English)
(As Approved by Research Board)
: *
Faculty Name : * Title of Ph.D (in Hindi)
(As Approved by Research Board)
:
Department Name : *
Ph.D Registration
Letter Number
: Jnvu/Aca/R/ * Ph.D Registration Date
(Start of Research Work)
: *
Research Supervisor is University Staff? : Research Supervisor :
Supervisor Name : Supervisor Designation :
Address of Supervisor : Contact of Supervisor :
Details of Last Qualifying Examination Passed
Qualification : *
Board/University : *
School/College Name : *
Passing Year : * Roll No : *
Max Marks : * Marks Obtained : * Marks Percentage : *
Correspondence Address Details
Address : * Phone No. :
Mobile No. : * Guardian Mobile No. :
State : * Pin Code : *
District : * E-Mail Id : *
Permanent Address Details
Address : * Phone No. :
Mobile No. : * Guardian Mobile No. :
State : * Pin Code : *
District : * E-Mail Id : *
Candidate's Identification Details
12th Roll No. : * 12th Marksheet Sr. No. : * 12th Passing Year : *
Upload Your Photo and Signature (अपलोड फोटो और हस्ताक्षर)
Upload Passport Size Photo
अपलोड पासपोर्ट आकार का फोटो
: (File Size limit is 100 KB.)
Upload Your Signature
अपलोड हस्ताक्षर
: (File Size limit is 100 KB.)