Online Application
Ph. D. Program

Admissions Officer :
The ICFAI University Dehradun, Rajawala Road, Selaqui,
Dehradun- 248197
Contact No. 0135-3003067

   1. PLEASE SPECIFY THE PROGRAM YOU WISH TO ENROLL
 
Full-Time Research Scholar           Part-Time for Working Professionals         Part-Time for Faculty at ICFAI
 
   2. NAME OF THE CANDIDATE (use Capitals Only) [As it appears in the School certificates]
  Prefix :

Please upload your recent color Photograph (JPG / GIF
format only)
(Size 3.5 cm X 4.5 cm)
(File size not more than
25-30 KB)  

  Name :



(As it appears in the School Certificates)

  Gender  :

 
  3. PERSONAL DETAILS (use capitals only)

Date of Birth

:

Mobile

:

E-mail

:

Tel (Res)

:

STD Code

Number 

Nationality

:

Mailing Address

:

City

:

  

State

:

  

Pin

:

Permanent Address

:

City

:

  

State

:

  

Pin

:

  4. ACADEMIC QUALIFICATION OF THE CANDIDATE

a.

Examination Passed

Name of Institution / Board/ University


Title of Degree/ Certificate

 

Duration
From - To
Year of Passing

% of Marks

Division Obtained
  X Class

  XII Class

Graduate#

Post Graduate#

Others (Eg. CA, M.Phil, etc)#

Note : Originals of Mark Sheet, Certificates, etc. must be produced at the time of interview.
# If it is an affiliated college, please mention the name of the University it is affiliated with

   5. Work Experience

(Attach certificate of work experience. Please indicate special achievements, if any).

Employer's Name and Address

Period of Service
(i.e Date of Joining & Date of Leaving)
(ddmmyy for ex: 051214)

Designation

Area of Work

 
 
 
Total Experience in Months:   Teaching : Non Teaching :
   6. AWARDS AND RECOGNITIONS IN ACADEMICS AND SPORTS

List awards, distinctions, honors and scholarships (academic, extracurricular, community services,NCC, etc).

Awards

Year

Basis of Selection

  7. HAVE YOU PUBLISHED ANY ARTICLES OR RESEARCH PAPERS ?

Yes        No         If  "Yes" , Please give details and enclose copies of the same.

Title/Topic of Research :   

Journal / Magazine  :       Date :  

  8. NAMES AND ADDRESSES OF TWO REFERENCES (NOT BEING RELATIVES)*

Reference Information

Reference 1

Name

Qualifications

Occupation


Designation

Annual Salary/
Income

Organization
& Address

City

Pin

Ph (O)

STD Code

Number 

Mobile

Personal
E-mail

Company Website

 

Reference 2

Name

Qualifications

Occupation


Designation

Annual Salary/
Income

Organization
& Address

City

Pin

Ph (O)

STD Code

Number 

Mobile

Personal
E-mail

Company Website

  9. If you are a current employee of ICFAI, mention the particulars. Your unit head should forward your application.
 Employer  :    
 Designation of the Employee  :    
Place   : 
Forward by (Name)    :   
Designation   :
Unit
Place

(The Head is requested to enclose a letter commenting on the suitability of the candidate for this Program)     

   10. MODE OF PAYMENT
Payment Mode
:
   11. DECLARATION

I certify that I fulfill all the requirements of the part-time Ph.D. Program of the ICFAI University as given in the Prospectus and Application Material and agree to abide by the same. I understand that these rules are only indicative and the complete list of rules and regulations as updated from time to time will be given to me on my enrollment in the form of Student Handbook / and / or any other communication issued from time to time. I also understand that the ICFAI Unbiversity reserves the right to change/modify the rules and regulations from time to time and I agree to abide by the same. I agree to pay the fee as per the schedule of fee payment stipulated. I understand that in case I withdraw from the program after 15 calendar days, from the date of registration, for reasons whatsoever, I will not be entitled to claim any refund of amount paid to the ICFAI University. I hereby declare that the information provided by me in the Application is true and correct to the best of my knowledge. I Agree that I have read, understood and agreed to the rules and regulations of the ICFAI University including my financial responsibilities.


I Agree