Application for CIMAP-JNU PhD Programme Central Institute of Medicinal and Aromatic Plants P.O. CIMAP, Lucknow-226015
Photograph (Passport size)Two numbers (one singed passed on application and one unsigned attached)
CSIR-CIMAP
1. Name of the applicant (in capital letters):
2. Name of Father or Mother: Day
Month
Year
3. Date of Birth:
4. Nationality: 5. Category: General
SC
6. Gender:
Male
ST
OBC
Female
7. Permanent Address:
8. Address for Correspondence:
9. Telephone number:
10. Fax number, if any: 11. E-mail address: P.T.O.