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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