TEERTHANKER MAHAVEER UNIVERSITY
Delhi Road, Moradabad (U.P.) - 244001
APPLICATION FORM FOR TEERTHANKER MAHAVEER RESEARCH APTITUDE TEST (TRAT)
FOR ADMISSION TO Ph.D. PROGRAM
Please paste
Aadhar Card No. your recent
coloured
passport size
photograph
here
Area of research applied for: …………………………………………………………………………………………
1. Name of the candidate
(in full & block letters) …………………………………..……………………………………………………………………………………
2. Date of Birth ……………………………………………….… 3. Gender (M/F)…………………………………….……
th
(attach copy of 10 Std. Certificate)
4. Father’s Name ………………………………………………..……………………………………………………………………..
5. Mother’s Name ………………………………………………..……………………………………………………………………..
6. Category (General/OBC/ST/SC/Others)…………………………………………………………………………..………………………..
7. Residence Status (Village/Town/City)………………………………………………………..…………8. Blood Group……………
9. Parents Occupation Father……………..………..…..……………….…..Mother……………….……………………………..
10. Parents Education Father………………………..………………………..Mother……………………………………………..
11. Annual Income (Rs.)…………….……………………………..………………………….………………………………..………………………
12. State of Domicile ……………………………………….…………13. Mother Tongue……………………….…………….
14. Religion ……………………………………..….…………………15. Nationality ……………………………..…..
16. Correspondence Address:…………………………………..……………………………………………………………………………….
City/Village…………………….…...................Post……………………….……………..Police Station………………………..……..
Railways Station…………………….……………… District………..………………………. State….……………………………………..
Pin Code……………….………………………… STD Code…………………………. Telephone No…………………………………….
1
17. Contacts Details:
STD Code………….Tel. No………..……………….Cell No…………………………Email ID:……………………………………………
18. Details of the Academic Qualifications & Experience, if applicable, on the basis of which admission is
being sought
a) Academic Qualifications (Attach Documentary Evidence/s)
Sr. Examination College/ Year of Division Percentage of Major Remarks
No. Passed University Passing Marks Secured/ Subject/
Attended CGPA Specialization
(1) (2) (3) (4) (5) (6) (7) (8)
1.
2.
3.
4.
5.
6.
b) Details of the Experience (Attach Documentary Evidence/s)
(i)_____________________________________________________________________________________
(ii)_____________________________________________________________________________________
(iii)____________________________________________________________________________________
(Attach extra sheet/s if required)
Declaration: I do hereby declare that all the information furnished above is true to the best of my
knowledge and belief. If any information is found to be incorrect, the University will have
the right to cancel my application/candidature.
Place : __________________ (Signature of the Candidate)
Date : __________________
