An Institute of National Importance under Dept. of Pharmaceuticals, Ministry of Chemicals and Fertilizers, GOI Transit Campus, Bijnor-Sisendi Road, Sarojini Nagar, Near CRPF Base Camp, Lucknow (UP) - 226002. Website: www.niperraebareli.edu.in

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Name of the Applicant (in BLOCK LETTERS as per Matric/SSC/SSLC Certificate)
Date of Birth (as per Matric/SSC/SSLC Certificate):
Funding Agency for fellowship
Name & Address of two referees:
Referee 1: Referee 2:
APPLICATION FORM FOR PH.D. DIRECT ADMISSION – 2023
Category Nationality Gender Marital Status Permanent Address Correspondence Address E-Mail ID Mobile No. GPAT/GATE/NET Rank Qualifying Degree Duration of Degree (in years) Year of Passing Max. Marks Marks Obtained % of Marks Subjects Experience(if any) Details From To
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National Institute of Pharmaceutical Education and Research, Raebareli