APPLICATION FORM FOR

Post Doctoral Fellowship Programmes - 2024

Name of the candidate:

Mobile No:

Date of Birth:

Gender:

Email ID :

Nationality:

Photo:

Signature of the candidate.:

M .C.I. Registration:

Registration No:

M. M. C. Registration:

Registration No:

Domicile of Maharashtra:

Qualifying Degree:

Marks Obtained:

Out Of:

Subject Preferences for Fellowship Programme:

Subject Preferences-1:

Subject Preferences-2:

Subject Preferences-3:

Test Centre : Karad:

Full Name and Complete Postal Address:

Pin Code:

Declaration-I:

I, hereby declare that the information given in this form is true and complete to the best of my knowledge. I am aware that if any information given herein is found to be incorrect or incomplete, my application will be rejected/admission will be cancelled.