Form No.

(For Office Use)

Rs. 500/-

Swami Vivekananda Multidisciplinary Research Centre for

Educational Studies
A University of Calcutta recognized Research Wing of

Ramakrishna Mission Sikshanamandira, Belur Math.

Dist. Howrah, West Bengal - 711202 India.
Ph. No. 033-2654-6081/1635. Email rkmsm@rediffmail.com, rkmsmc@gmail.com Web-Site www.rkmsm.org

For Male only

Application for admission in Ph.D. Programme (2014) in Education

Ph.D. in Education in Swami Vivekananda Multidisciplinary Research Centre for

Educational Studies will be guided by the University of Calcutta (Regulation for the
Degree of Doctor of Philosophy, Ph.D.), Regulations 2009 and the guidelines framed (by
the Ph.D. Committee of this Research Centre in its meeting held on 7 th June, 2014) in
accordance with that Regulation.

Paste recent
passport size
self-attested
photograph

1 Personal Details:
1.1. Name (In BLOCK Letters):
1.2. Guardians Name:
1.3. Date of Birth:

(DD/MM/YY)

(As per Madyamik Admit Card)

1.4. Religion:
1.5. Nationality:
1.6. Category:
Gen
(Please put a

SC
ST
OBC-A
OBC-B
mark and attach certificate of proof if you are other than General)

1.7. Contact Number:

PH

Mobile:

1.8. Email Id:

1.9. Address for Correspondence:

2. Educational Details:
2.1. Educational qualifications*
Examination
passed

Board/
University/
Institution

Name of School/
College

Year

Division/ Class

Percentage of
Marks/ Grade

Rank (if any)

*Attach extra sheet if necessary in the same format

2.2. Name of the last Examination Passed with the year of passing:
2.3. Whether to be exempted from RET:
2.3.1. Qualified (Please put a
NET

NET-JRF

Yes

No

mark)
SET/ SLET

Any Other
(If other, please specify)

2.3.2. Whether completed M.Phil in Education (According UGC Regulation, 2009):

(Please put a mark)
Yes
No
2.3.2A. If yes, please mention the Name of the Institution & Session in which the candidate has
completed his M.Phil in Education (According UGC Regulation, 2009) course [Please attach mark
sheet/ certificate of the M.Phil Course]:
Institution:
Session:
3. Research Oriented Details:
3.1. Area of research interest:
3.2. Number of publication (Please attach extra sheet for details):
3.3. Whether completed pre-Ph.D. Course-Work (According UGC Regulation, 2009) elsewhere:
(Please put a mark)
Yes
No
3.3.1. If yes, please mention the Name of the Institution & Session in which the candidate has
completed his Course-Work [Please attach completion certificate of the Course Work]:
Institution:
Session:
2

4. Professional Details (Please put a

mark):

4.1 Are you employed?

Yes

4.2 Employment Status (Please put a

Permanent

Temporary

No

mark):
Contractual

Ad-hoc basis

Other
( please specify in
Details)

4.3 Name & Address of the Institution where you are presently employed:

4.4. Total Professional Experience: Teaching

Non-Teaching / Administration
Declaration of the Candidate:
I declare that the above particulars are true & correct to the best of my knowledge & original
documentary evidences for each information will be produced as and when required. If any of the
information / documents / statements is found to be incorrect or false, the selection is liable to be
cancelled.
Date:
Place:

Signature of the Candidate

Please attach self-attested photocopies of:

i.
ii.
iii.
iv.
v.
vi.
vii.
viii.

Madyamik admit card

All academic testimonials
Reservation certificate (if any)
Certificate of NET/SET/SLET etc. (if any)
M.Phil. or Pre-Ph.D. course wok certificate (If any)
No objection certificate of the employer (if any)
List of publications (if any) mentioning the title, name of Book/ Journal/ Proceedings, with ISSN/ ISBN.
Abstract of his intended research topic (Title, Significance, objectives within 500 words).

--------------------------------------------------------------------------------------------------------------------------Swami Vivekananda Multidisciplinary Research Centre for Educational Studies

A (University of Calcutta recognized) Research Wing of
Ramakrishna Mission Sikshanamandira, Belur Math.
PO: Belur Math, Dist. Howrah, West Bengal - 711202 India.
Application for admission in Ph.D. Programme (2014-15) in Education

Form No.

Received (For Office Use)

Signature with date & Seal

Swami Vivekananda Multidisciplinary Research Centre for

Educational Studies
A University of Calcutta recognized Research Wing of

Ramakrishna Mission Sikshanamandira, Belur Math.

Dist. Howrah, West Bengal - 711202 India.
For Male Only
Ph.D. Programme in Education

Admit Card for Appearing in RET (2014)

Paste recent
passport size
self-attested
photograph

1. Name (In BLOCK Letters):

2. Date of Birth:

(DD/MM/YY)

3. Category:
Gen
SC
(Please put a mark)
4. Contact Number:

ST

OBC-A

OBC-B

PH

Mobile:

5. Email Id:
6. Put your signature during the RET before the invigilator:
Date: 6th July, 2014.
Time: 11.00 a.m. to 2.00 p.m.
Signature of the candidate
(with date)

Paper

Signature of the invigilator

(With date)

Section A(General)
Section B (Research Method)
Section C (Research Proposal)