Phd Program Admission For Chemistry & Pharma Candidates @ RGCB

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RAJIV GANDHI CENTRE FOR BIOTECHNOLOGY

AFFIX PHOTOGRAPH

Thycaud P.O, Thiruvananthapuram-695014, Kerala ,India Tel.0471 2529512, 2529400 Fax: 0471-2348096, 2346333 Website: www.rgcb.res.in

APPLICATION FOR PhD ADMISSION SEPTEMBER 2018 1

Name of the Candidate

2A

Complete Address for Correspondence (with Pincode)

2B

2C

Mr./Ms./Dr.

E-mail ID(Application will not be processed without valid E-mail ID)

Telephone Numbers

Landline…………………………………….. Mobile………………………………………..

3

Permanent Address (if different from above)

Date of Birth: --------------------------------4

Age & Date of Birth

5

Do you belong to SC/ST Community?

6

Current Position*

(Attach

Age as on September 01st, 2018:---------------------

Proof)

(Education/Employment)

* Applicants currently working /employed in other research projects or jobs will have to provide an NOC before joining.

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