JAWAHARLAL NEHRU TECHNOLOGICAL UNIVERSITY ANANTAPUR

ANANTHAPURAMU 515 002 (A.P.)

APPLICATION FOR ADMISSION INTO FULL TIME PH.D. PROGRAMMES 2020-21

(UNDER AICTE SPONSORED “AICTE DOCTORAL FELLOWSHIP” (ADF) SCHEME)
(FOR GATE QUALIFIED CANDIDATES WITH VALID SCORE ONLY)
(Please go through the Instructions to the Candidates before filling up the Application Form)

Last date for submissionof Application along with Xerox/attested copies of

certificates: 20.12.2020, 5.00 PM

Details of Demand Draft in favor of “THE REGISTRAR, JNT UNIVERSITY ANANTAPUR”

payable at ANANTHAPURAMU.

D.D.No. Date Issuing Bank details Amount (Rs.)

1500/- (for OC/BC Candidates
1250/- (for SC/ST/PH Candidates)

AREA OF RESEARCH
(Branch of Engineering)
THRUST AREAS FOR RESEARCH
(Thrust areas as given by AICTE)

1. Name (In block letters) :___________________________________

(As per S.S.C or equivalent)
Affix attested recent
2. Father’s/Husband’s Name: ________________________________ Passport size photo

3. Address: __________________________________________________
___________________________________________________

___________________________________________________

Mobile: ________________________________________________

E-mail ID: _________________________________________________

(Please write the e-mail address correctly and legibly)

4. Date of Birth (as per SSC): 5.Gender:

Date Month Year Male Female

6. Age (as on 20.11.2020):

7.Category:
OC BC-A BC-B BC-C BC-D BC-E SC ST OC-EWS PH

[please put a (√) mark in the appropriate box; if claiming any reservation, enclose relevant reservation certificate]
 8. Details of Academic Qualifications: Starting from S.S.C. (Please enclose Xerox
copies of all Marks Statements & Degree certificates. Otherwise the application will
be rejected).

Examination Subject/ College/School University / Year of Aggregate

Specialization where studied Board passing Percentage/
with CGPA
Division

9. Details of GATE with Valid Score/Rank:

Year of GATE Examination Qualified:
Score/ Rank/Percentile:
Validity: From___________________ upto _______________________

10. Declaration by the Candidate:

I shall abide by the Academic Regulations of the JNT University Anantapur,

Ananthapuramu. The particulars furnished above are correct and complete to the best of my
knowledge.
I have not registered for any other programme leading to Ph.D. degree in any other
University and I will not register during the present research period.

Date:
Place:

SIGNATURE OF THE CANDIDATE