APPLICATION FORM FOR PhD PROGRAM IN BIOMEDICAL SCIENCES

Name(surname first):
Gender: Male  Female
Date of Birth:
yy/mm/dd
Present Designation:
Organisation:
Place of Posting:
Educational Qualifications:
(Graduation onwards)
Professional Qualifications:
Work Experience:
(Begin with present position)
List of Publications in peer reviewed Journals:
(restricted to top 10)
Statement of purpose for working at I-AIM: (1000 words)
Present CTC: *Numeric value only
Salary Expected: *Numeric value only
Contact Details:
E-mail ID:
Two References(not relations):
Full Address