Application Form

Personal Details

Title:
First Name:
Middle Name:
Last Name:
Date of Birth
Age
Gender
Nationality
Others
Phone
Mobile
Email
Mother tongue
Category

Contact Details

Present Address
State
City/Town
Pin
Same As Above
Permanent Address
State
City/Town
Pin
Contact Number
Emergency Contact
Name
Relationship
Contact

Family Details:

Marital Status:
Relation Name Age Education Profession Organization Designation
Spouse
Father
Mother
Children
Sibling

Education Records

Qualifications Field / Stream Start Year End Year Institute University CGPA, Grade, % Marks Obtain Out of Total Marks Course Type
Masters
Bachelors
HSC
SSC
Other
Enlist other certification/ short term cources:
Is there any gap in your education:
Reason:
Entrance Exam Appeared For:
Other:
Score
Year
JRF:
Enter Amount:
Availing Any Special Distinctions / Scholarships by University or Private Institution ?
If yes, please specify

Employment History (If Any)

Total years of Experience:
(Begin with current Employer)
  Organization From To Location Contact Number Designation Reporting to (Desg.)
Is there any gap in your professional career ?
Reason:

Income Details:

1. Gross Monthly Salary/ Income Rs.:
2. Net Monthly Salary/ Income (after all deductions) Rs.:
3. Other Monthly Income Rs.:
4. Annual Family income:
Statement of Purpose (SoP): (2500 Characters)
State your career goal and how this course will support you in your career goals: (1000 Characters)
How will your research help our next generation at large? (1000 Characters)
What are your aim and objective to do this research? Write abstract:

Course Details:

1. Admission Status:
2. University:
3. Name of College:
4. Name of Department:
5. Name of the Course:
6. University/ College Address:
7. Course Duration:
8. Discipline of Course:
e.g. Engineering/ Management/ Social Science/ Medical/ Paramedical etc.
Expenses Amount (Rs.)
Total fees of college – Yearly
Tuition Fees – Yearly
Living Expenses including Hostel and food expenses – Monthly
Travelling Expenses – Monthly
Others (Specify)
Total Amount
In case you do not qualify for this support what are alternate sources/ arrangements you have planned?

Medical History:

Have you suffered any major ailment/ accident? OR have you undergone any major surgery? OR are you undergoing any treatment?
Do you have any physical limitation or have any irreversible medical condition?

Misconduct:

Have you ever involved in any misconduct or disciplinary case or criminal case?
Hobbies :
Food habits:
Smoking:
Alcohol:

Language Proficiency:

English:
Gujarati:
Hindi:
Other1:
Other2:
Other3:
Are any of your relatives working with SRK Group?
If Yes, Please specify the details:
Name
Relationship
Group Company
Designation
Department
Location
Name
Relationship
Group Company
Designation
Department
Location

Reference (Professional or Academic only)

Name
Relation
Organization
Contact No.
Email
Name
Relation
Organization
Contact No.
Email

Documents

Please upload a reference letter from your Ph.D. Guide:
Note: Upload PDF or JPG files
Please upload the copy of post graduation last semester marksheet.
Note: Upload PDF or JPG files
Passport Photograph of Candidate
Date
Place
Signature of Candidate