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GURUKULA KANGRI VISHWAVIDYALAYA HARIDWAR -249 404
(Deemed to be University U/s 3 of UGC Act 1956)
Application Form For Research Entrance Test (RET- 2015) & RET- Exempted
Important Instructions:
1. Kindly read the instructions given on the information brochure carefully before filling this
application form and also ensure the eligibility etc.
Received cash/Bank Draft No. ........................................................
Rs. ............................................... Date ...........................................
2. Use Black / Blue pen to fill this application form.
3. Tick ( ) in the appropriate box wherever given.
4. Do not attach any documents such as marksheet, certificates etc with this
application form.
Application No.
Admission Category (Tick ( ) the appropriate box)
(A) RET
(B) RET-Exempted
Name of the main Subject in RET
UGC/CSIR(NET-JRF)/NET/
Teacher Fellowship holder
SLET/GATE
Code No.
GKV
1. Full name of the candidate (in CAPITAL letters)
2. Father’s / Husband’s / Guardian’s Name (in CAPITAL letters)
3. Nationality
4. Gender
Indian
Male
Non Indian
Female
6. Date of Birth
DAY
5. Category
General
ST
OBC
Person with disability
SC
Staff Ward (SW)
(PWD)
7. Examination Centers
MONTH
YEAR
Dehradun
Delhi
Haridwar
Bhopal
Chandigarh
Lucknow
8. Name of the qualifying examination
9. Year of passing / appearing at the qualifying examination
10. Name and address of College/University of qualifying examination
11. Percentage of Marks in Post Graduation :
12. Address for Correspondence (Mailing Address)
13. Photo
Affix firmly only a recent
coloured Photograph
within the box.
14. Landline/ Mob. No.
(Including STD, if any)
15. Signature of the Candidate
Pin
16. Declaration by the Candidate : I .................................................................................................................................
an applicant for Ph.D. programme do hereby solemnly affirm that all the particulars stated in this application form have been filled-in by me in my hand writing and that
the information given by me in the application form is true and no fact has been suppressed. I have carefully read and understood the Information Brochure of RET
and terms and conditions laid down therein and agree to abide by them. I have satisfied myself that I fulfill all the admission eligibility requirements. If at any stage even
during Interview / discussion for provisional admission, it is found that I do not fulfill the admission eligibility requirements then my claim for admission shall
automatically stand cancelled, All the information given in the application form are true and correct to the best of my knowledge and belief. In case any information furnished
by me is found to be suppressed/wrong, or if any thing against me is detected at any stage, my candidature for the Entrance test or admission to the
course, if already taken, be cancelled outright at any stage and further that any disciplinary action be also taken against me. I understand that in any case, no request
for refund of fee will be considered by the Vishwavidyalaya.
Place......................
Date........................
Full Signature of the Candidate
Instructions for Completing the Application Form
1. Name of the candidate: Write your full name in Capital letters as given in your 10thstandard certificate.
Write only one letter in one box. Leave one box blank between any two parts of the name, as shown in the
example below.
A N I L
K UM A R
M I S HR A
2.
Father’s / Husband’s / Guardian’s Name : Write the name of your Father/ Husband /Guardian exactly
as in your 10th Certificate. Leave a box blank between any two parts of the name.
3.
Nationality : Tick ( ) the appropriate box.
4.
Gender : Tick ( ) the appropriate box.
5.
Category : Tick ( ) the appropriate box.
6.
Date of Birth : Enter the date, month and year of your birth as per the English Calender and as recorded
in your 10 th standard certificate.
7.
Tick ( ) the preference for examination center in the appropriate box
Note- Examination Center may be changed, if the number of candidate is less than 50.
8. Name of the qualifying examination : Write the name of the qualifying examination.
9.
Year of passing the qualifying Examination : Enter the year of passing the qualifying examination. For
example, if passing year is 2014, write 2014. Those who are appearing for qualifying examination in
2015 should write 2015 here.
10. Name and address of the College/University of the qualifying examination : Write the name and
complete postal address of College/Univarsity from which you have passed / appeared in the qualifying
examination.
11. Percentage of marks : Write the actual percentage of aggregate marks of Post Graduation. For example
if the percentage is 72.33, it should be written as:
7 2
3 3
12. Mailing address : Write your address for correspondence within the prescribed area in the application
for for correspondence.
13. Photograph of the Candidate : Paste ( do not staple ) a recent ( not more than two months old ) colored
photograph of appropriate size.
14. Land line / Mobile No. : Write ( if any ) your contact Land line / mobile number on which a message ( if
any ) can be left for you. Use the boxes in the first group for STD code and the boxes in the second group
for the telephone number. For example, the number 0118-4512001 may be shown as below:
0 1 1 8
4 5 1 2 0 0 1
15. Signature of the Candidate : Sign in Black / Blue Ball Pen Ink within the box provided. Your signature
must not over ow or touch the border of the box provided.
16. Declaration by the Candidate : The candidate must sign the declaration. The place and date should also
be mentioned. Application form without signature or with different signatures at two places will be
treated as incomplete and will be rejected.