Application Form for Ph. D. Entrance - II (AIPHDCET - II) 2023 - 2024
Faculty
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Krishna Institute of Medical Sciences
Faculty of Dental Sciences
Faculty of Nursing Sciences
Faculty of Physiotherapy
Faculty of Pharmacy
Faculty of Allied Sciences
Subject
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Anatomy
Biochemistry
Physiology
Pathology
Pharmacology
Microbiology
Community Medicine
Ophthalmology
ENT
General Medicine
General Surgery
Orthopedics
Obstetrics & Gynecology
Radiodiagnosis
Anesthesiology
Cardiovascular Thoracic Surgery
Molecular Biology
Biostatistics
Pediatric Dentistry & Periodontics
Periodontology
Oral & Maxillofacial Surgery
Oral Pathology & Microbiology
Public Health Dentistry
Oral Medicine & Radiology
Orthodontics & Dentofacial Orthopedics
Prosthodontics & Crown & Bridge
Conservative Dentistry & Endodontics
Medical Surgical Nursing
Child Health Nursing
Community Health Nursing
Obstetrics & Gynecological Nursing
Musculoskeletal Sciences
Neurosciences
Pediatric Neurosciences
Cardiopulmonary Sciences
Community Health Sciences
Biotechnology
Microbiology
Pharmaceutical microbiology
Pharmaceutical Sciences
Neuro Surgery
Environmental Sciences
Research Topic
First Name
Middle Name
Last Name
Gender
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Male
Female
Email ID
Mother's Name
Father / Husband's Name
Nationality
Upload Photo
(.jpg/.png format and maximum size 900KB)
Present Address of Residence
City
State
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Maharashtra
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chhattisgarh
Haryana
Himachal Pradesh
Jammu and Kashmir
Jharkhand
Karnataka
Kerala
Madhya Pradesh
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Punjab
Rajasthan
Sikkim
Tamil Nadu
Tripura
Uttarakhand
Uttar Pradesh
West Bengal
Gujarat
Delhi
Andaman and Nicobar Islands
Dadra and Nagar Haveli
Daman and Diu
Goa
Lakshadweep
Puducherry
Telangana
PIN code
Permanent Address of Residence
City
State
---------
Maharashtra
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chhattisgarh
Haryana
Himachal Pradesh
Jammu and Kashmir
Jharkhand
Karnataka
Kerala
Madhya Pradesh
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Punjab
Rajasthan
Sikkim
Tamil Nadu
Tripura
Uttarakhand
Uttar Pradesh
West Bengal
Gujarat
Delhi
Andaman and Nicobar Islands
Dadra and Nagar Haveli
Daman and Diu
Goa
Lakshadweep
Puducherry
Telangana
PIN code
Mobile Number *
Phone Number
Category
(upload photocopy of certificate issued by competent authority for reserved category in certificates section)
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Open Category
SC
ST
DT (A)
NT (B)
NT (C)
NT (D)
SBC
OBC
Date of Birth (DD-MM-YYYY)
Present Occupation/Employment (Give Name and Address of the Employer)
Nature of Professional Experience
The Institute where Professional experience was gained
Period of Professional experience
Educational Qualifications
(upload attested photo copies of certificates and marks sheets in certificates section)
Examination Name
Board Name / University Name
Year
Subject
Marks Obtained
Total Percentage
Attempts
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UG
PG
Any Other Degree
Teaching Experience
(upload experience certificate in certificates section)
Designation
From Date
To Date
Duration
Institute Name
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Professor
Associate Professor
Assistant Professor
S.R. / Tutor / Demonstrator
Research Publications
(Attach Photo Copy in certificate section)
Designation
Research Publication (Title)
Remove
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Professor
Associate Professor
Assistant Professor
S.R. / Tutor / Demonstrator
Any other relevant information/ experience related to the post.
(Attach Photo Copy in certificate section)
Particulars
Remove
Certificates
List of attach certificates(.jpg/.png/.pdf format and maximum size 900KB)
Certificate Name
Certificate
1) I certify that the above information given by me is complete and true. In the event of information being false, my application form can be canceled.
Declaration:
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