OSMANIA UNIVERSITY

Hyderabad-500 007, Telangana State.

Application Form for admission into Ph.D. for the year 2013-2014
(Please read the Rules & Regulations for Admission into Ph.D. carefully before filling in this form)
Particulars of payment of Registration fee
Bank & Branch

D.D.No.

Date

Amount

Affix latest
Passport Photo

FACULTY
SUBJECT / DEPARTMENT
CATEGORY OF RESEARCH SCHOLAR:
(State FULLTIME (or) PART TIME in block letters)
INDICATE THE ELIGIBILITY CRITERIA TO WHICH
YOU BELONG:[CSIR/UGC-JRF/SRF,ICMR/ICAR/DBT/
INSPIRE Fellowship/RGNF/ICSSR/MANF/NET/SET-TS/AP
M.Phil./TeacherFellowship/GATE/GPAT/O.U.Ph.D.EligibilityTest, etc.]
Ph.D. Eligibility Test 2014 H.T. No. (if applicable)

1. Name of the Candidate (in BLOCK letters)

(as entered in the qualifying examination)

....................................................................................

2. Fathers Name

...................................................................................

3. Gender ( )

4. Marital Status ( )

5. Aadhar Number of the Candidate (Mandatory)

Male

Female

Married

Unmarried

6. Personal data of the Candidate:

(i)

Date of birth (as per school records)

...................................................................

(ii)

Place of birth (Village/Town/City)

...................................................................

District

...................................................................

State

...................................................................

(iii)

Nationality

...................................................................

(iv)

Mother Tongue

....................................................................

(v)

State whether you belong to

SC/ST/BC(A/B/C/D/E*) ( )
[if Yes enclose a copy of the certificate
issued by the competent authority
not below the rank of Tahasildar of Mandal
concerned
*For Category of BC(E) it is subject to Court
judgement.

BC
SC

ST

OC
A

(vi)

(vii)

7.

State whether you belong to Physically Challenged/Disabled

[If Yes, state the Particulars of Disability and Enclose the
Certificate issued by the Competent Authority]

Yes/No

OH/VH/HI

Duration of your residence in the area

under the jurisdiction of
Osmania University
:
...................................................................

(a) Permanent address

..............................................................
................................................................

(b) Address for correspondence

................................................................
.................................................................

8.

(c) E-Mail I.D.

(d) Mobile No.

(e) Telephone No.

...................................................................

Proposed Topic of Research (Enclose three copies of Synopsis):

(Three sets of Synopsis of about 10 pages outlining clearly the objectives, assumptions or hypotheses to be
tested and research methodology, including a brief survey of research work already done in the areas of
research. A select bibliography should also be appended with the research proposal. The application will not
be accepted without the Research proposal)
Research Topic:...............................................................................................................................................

.................................................................................................................................................

9. Parent/Guardians data:
(i)

Name of the Parent / Guardian

.......................................................................................................

(ii)

Relationship with the candidate

...............................................................................................

(iii)

Profession

.......................................................................................................

(iv)

Income

................................................................................................

(v)

Permanent address along with Mobile / Telephone No:...........................................................................

...........................................................................................................................................................
..........................................................................................................................................................
.........................................................................................................................................................

(vi)

Duration of Residence in the State : .......................................................................................................

10.

Educational Qualifications from first degree onwards :

(Enclose copies of certificates and memoranda of marks)
Examination

11.

Division &
Percentage
of marks

Institution

University

Year

Area of
specialization
at PG level

No. of Publications in refereed/recognized Journals, if any:..................................................

(Furnish the details of Publications on a separate sheet and enclose copies)
e.g., Name of the Journal with ISSN Number if any, Year and Month of Publication, Title of the Publication
and Mode of Citation etc.
Note: Proportional credit will be given for joint authorship.

12.

If you are in the service of Osmania University OR of the

Colleges affiliated to it, furnish the following information:
(i)

Institution where you are working : ........................................................................

(ii)

Present designation: ............................................................................................

(iii)

Date and nature of appointment:...........................................................................

(iv)

Scale of pay drawn:..............................................................................................

(v)

Gross salary per month:........................................................................................

(Enclose permission letter from the Registrar, O.U. or the Employer)

13.

14.

If you are in service (Other than the institutions mentioned at item (12) above), furnish the following
information:
(i)

Institution where you are working:..........................................................................................

(ii)

Present designation:..............................................................................................................

(iii)

Date and nature of appointment:...........................................................................................

(iv)

Name of the employer:..........................................................................................................

(Enclose permission letter from employer to join Ph.D. programme, if admitted)

(v)

Teaching Experience Certificate

Names and addresses of two referees: (I)

with Telephone No.

:.................................................................................
......................................................................................
...................................................................................

(ii)

...................................................................................
....................................................................................

DECLARATION BY THE CANDIDATE

I hereby agree to abide by the Rules and Regulations and Orders of the University. I declare that the
statement I have made in this application is correct and complete. I have gone through and understood the Rules,
Regulations, Instructions and Admission Procedure. I have not suppressed any information. I fully understand that
my admission will stand cancelled in case of any information supplied by me is found to be false.
Date:

Signature of Candidate

TO BE SIGNED BY THE PARENT / GUARDIAN

I agree to the applicants admission into the Ph.D. course in Osmania University. I shall be responsible for
the payment of all his/her fees and other charges. I shall be responsible for his/her good conduct and good behavior
during the period of his/her research. I declare that the information furnished in the application is correct to the best
of my knowledge.

Date:

Signature of Parent/Guardian
1. Name:...............................................
2. Relationship:.....................................
3. Address:............................................

LIST OF ENCLOSURES TO BE SUBMITTED ALONG WITH THE APPLICATION FORM

1.

Demand Draft for Rs.200/- towards registration fee, drawn in favour of the Dean of the Faculty concerned.

2.

Attested true copies of certificates and Memoranda of Marks of qualification and Gold Medal, if any from
10th class onwards.

3.

Three sets of Synopsis of about 10 pages outlining clearly the objectives, assumptions or hypotheses to be
tested and research methodology, including a brief survey of research work already done in the areas of
research. A select bibliography should also be appended with the research proposal.

4.

Two self-addressed envelopes. (Affix requisite postal stamps)

5.

Attested true copy of latest Caste Certificate issued by the Tahasildar concerned.

6.

Attested true copy of the Fellowship Certificate/Eligibility Certificates.

7.

Attested true copy of the Aadhar Card.

8.

Copies of Research Publications, if any (in Triplicate).

9.

Permission letter from the Employer to pursue the course.

NOTE: (1) Incomplete applications without the requisite enclosures are liable to be rejected.
(2) Intimations will be sent only to the candidates who are selected for interview.
(3) The details of the Ph.D. Rules & Regulations effective from the academic year 2013-2014 are available in the
University website, www.osmania.ac.in