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Password *

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Your password must contain at least 8 characters.

Your password can't be a commonly used password.

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Title *

First name *

Last name

Father/Husband Name *

Gender*

Date Of Birth*

are you physically handicapped ?

Category*

Nationality*

Aadhaar No *

Cast reservation is only for age relaxation.

If Aadhaar is not available, write the ID number of any Govt ID (PAN/Voter ID/ Passport/Driving License).

*The IDs are just for internal use only*

Address Line1 *

Address Line2

State

District

City *

Pincode *

Mobile Number *

Alternate Mobile Number

Postal Address for correspondence *

Discipline*

*Disclaimer:- For Non Aryuveda Ph.D is Mandatory

University / Institution Name *

University / Institution Address *

Year of Passing Graduation

Name of UG Degree

Year of Passing Post Graduation

Name of PG Degree

Subject and Thesis Topic of PG

Year of Award of Ph.D. Degree

Subject and Thesis Topic of Ph.D.

If Ph.D. degree is not awarded, Please give whichever applicable

Date of Thesis Submission

Likely Date of Thesis Submission

Designation

Employee Code

Proof of recognized Ph.D Guide by any University*(Pdf only)

Proof of recognized Ph.D research center by the University/Institute* (Pdf only)

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