APPLICATION FORM DMIHER(DU)-AIPHDCET JANUARY 2024


Name of Candidate : (As given in the Post Graduate Degree Certificate)
First Name :*
Middle Name :*
Surname :*
Mother's Name :*
Email :*
Whatsapp Number :*
Aadhar No :*
Faculty/Staff/Alumini of Datta Meghe Group :
Date of Birth *:


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Nationality :
Category :
Gender :*
Address*
Pin/Zip code
Current Place of Work and Designation :*
Telephone Number:
Registration No(If Applicable):
Post Graduate degree :*
specialization*
Year of Passing :*
Name of the Institute*
Name of the University*
Name of speciality in which Ph D program applied for*
Name of Faculty :
Bank Details for National :

Create your Virtual Account through eCMS

DMPHD7 (DDMMYY FIRST NAME)

Prifix Suffix (without space)

Then add Beneficiary

Beneficiary Name : REGISTRAR DMIMS DU
Bank Name : HDFC Bank LTD
Account Number : DMPHD7 DDMMYY FIRST NAME
IFSC Code : HDFC0000965
Branch Name : Wardha, Maharashtra
Pay Fee by RTGS/NEFT/IMPS

Entrance exam fees for national :- Rs 2500/- INR
Process for Virtual Account
Bank Details for International : Account Name : Registrar DMIHER DU
Bank Name : HDFC BANK
Account Number : 50200022291605
Swift Code : HDFCINBB
Branch Name : Nirmal Bakery Square, WARDHA


Entrance exam fees for International :- Rs 3500/- INR
Note: Kindly Capture the screenshot & upload below as Receipt Photo

Transaction ID/ UTR No :
Receipt Photo :*
accept jpg,jpeg,png,pdf file upto 1MB

Documents

Note- Accept jpg,jpeg,png,pdf documents upto 1MB
Nationality Certificate/ Adhar Card or Valid Passport* :
Proof of Age* :
PG/ Passing Certificate* :
Marklist for PG Degree /Passing Certificate* :
Registration Certificates of MMC/State Council/MCI/ DCI/INC./Any Other :
Caste Certificate if belongs to reserve Category :

DECLARATION FORM

To,
The Director/Dean,
Directorate of Advanced Learning,D.M.I.H.E.R.(D.U.),
Sawangi(Meghe), Wardha.

Dear Sir/Madam,
I, Dr./Mr./Ms
residing at
, do hereby declare that the information given in the Application Form and the certificates/documents submitted to this University along with the Application Form by me are true, complete and correct, to the best of my knowledge.
In case, if any of the particulars furnished in the Application Form and the Certificates/documents submitted are found to be otherwise or false at a later/any stage, I shall forfeit the admission to this course.
I agree to submit all the necessary documents /Certificates in Original at the time of admission to the course.
I agree to abide by the rules, regulations and procedures as notified by the University from time to time.
I also undertake that I shall not take any full time course in any other University during the period of my registration or till the submission of the Doctoral thesis.
I understand that canvassing in any form for securing admission shall be liable for serious action.
I am also aware that after being allotted a seat in this University, in all matters concerning admission, the decision of the University authorities shall be final and I shall abide by it.



Signature of Candidate* accept max 250kb