KLE Academy of Higher Education and Research, Belagavi
Deemed to be University
Accredited 'A+' Grade by NAAC (3rd Cycle) Placed in Category 'A' by MoE (GoI)
Online Application form for Ph.D. Program for the year 2024-25-B
Registration for Ph.D. Program :-
Registration for Ph.D Program :-
SELECT FACULTY
Medicine
Dentistry
Pharmacy
Ayurveda
Physiotherapy
Nursing
Inter Disciplinary Science
Full Time / Part Time :-
SELECT
Full Time
Part Time - Internal
Part Time - External
For the Year :-
2024-25-B
Personal Information :-
Name of the Candidate :-
Qualification :-
Birth Date :-
Gender :-
Male
Female
Father Name :-
Mother Name :-
Designation/Department/Institution
in which presently working :-
NA
Religion :-
SELECT
Hindu
Muslim
Christen
Jain
Buddist
Shikh
Parsis
Other
Caste :-
Category :-
(SC/ST/OBC/Minority/General)
Communication Information :-
Address :
City :
Pin :
District :
State :
SELECT
Andaman and Nicobar Islands
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chhattisgarh
Dadra and Nagar Haveli
Daman and Diu
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Jharkhand
Karnataka
Kerala
Lakshadweep
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Orissa
Puducherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
Contact Details :-
Std.No.
Telephone No.
Office :-
Residence :-
Mobile +91
Email :
Aadhar No :-
Academic Records :-
Degree
College
University
Year of
passing
% of marks
(Aggregate)
Class /
Distinction
Rank /
Medals
UG
PG with subjects
Others
Teaching / Research & Professional Experience, If any (Chronological Order) :-
Sl.No.
Name of the Institution/University
Post Held
Teaching Experience
From
To
1
2
3
Paper Published / Presented, if any & Particular of the Research Proposal :-
Paper Published / Presented if any
Area of Research
Broad area of the proposed Ph.D. Research work
Summary of the Proposed Research Work
Upload Photo / Sign :-
Upload Photo
(Your Photo must be 3.5 cm in height and 2.5 cm in width
In JPG FORMAT AND MAXIMUM SIZE 35KB)
Upload Sign
(Your Signature must be 2.5 cm in height and 4.5 cm in width
JPG FORMAT AND MAXIMUM SIZE 30 KB)
Declaration :-
1.
I hereby declare that the above information is true and complete to the best of my knowledge. I am aware that if any information herein is found to be incorrect or incomplete, my application form will be rejected / admission will be cancelled.
2.
If admitted to any of the constituent units of KLE Academy of Higher Education & Research, Belagavi. I shall abide by its Rules and Regulations.
3.
In case of my selection for the Ph.D Program, I agree to pay the fees prescribed by the University every year within the stipulated time until the completion of my course.
4.
I have read and understood all the provisions contained in the brochure and hereby agree to abide by these provisions.
5.
I am aware that, any legal matters arising out of the total admission process of any Course through KAHER 2024 will be in the courts of Belagavi.
The candidate should cross check all the details filled in the on line application, before finally submitting the same, as no correction will be possible later
