International Centre for Genetic Engineering and Biotechnology
Aruna Asaf Ali Marg
New Delhi-110067, India 

Online Application Form for PhD. entrance: Session 2017

1. Applicant's name
2. Parent's name
3. Whether belonging to SC/ST/OBC (Attach self-attested copy of caste certificate)
4. Date of Birth Day:    Month:    Year:
5. Nationality
6. Permanent Address
   Line 1
   Line 2
   Line 3
City:           PIN Code:
7. Address for Correspondence
   Line 1
   Line 2
   Line 3
City:           PIN Code:
8. Contact Mobile Number
9. Contact Email Address
10. Academic Record for each of the following examinations
  (i) Bachelor's Degree or equivalent
   (a) Name of the Examination
   (b) Subjects of the Examination
   (c) University or Board
  (d) Year
  (e) Division
   (f) Aggregate percentage obtained %
  (ii) Master's Degree or equivalent
   (a) Name of the Examination
   (b) Subjects of the Examination
   (c) University or Board
  (d) Year
  (e) Division
   (f) Aggregate percentage obtained %
11. M.Sc. Dissertation Title if any
12. List of Research Publications if any (any format)
13. Specify fellowship/s qualified (GATE and DBT-II fellowships are not acceptable, select only those fellowships which valid for atleast four years)
CSIR
UGC
DBT(I)
DBT-BINC
INSPIRE
ICMR
14. First stream option (Note: Written examination will be ONLY in your choice of first stream. No changes will be allowed later)
  Select a stream from this dropdown menu
15. Second stream option
  Select a stream from this dropdown menu
16. Details of demand draft for Rs 600
  (i) Draft number
  (ii) Date of Issue Day:    Month:    Year:
  (iii) Bank Drawn on
  (any of the nationalized banks - payable at Canara Bank, Jit Singh Marg, New Delhi)
16. Provide your JPEG format recent passport size photograph (Maximum size limit 2MB). Make sure it is displayed in the preview page before submission of the form
Declaration (endorsed upon submission of the form): I declare that the information furnished above is true and correct to the best of my knowledge and belief, and that no related information is concealed. If any discrepancy is observed at any stage, ICGEB will be free to cancel my selection/candidature.