Lokbharati University for Rural Innovation

At. Sanosara, Taluka - Sihor, District : Bhavnagar Gujarat - INDIA

Application for Ph. D. Admission -

Form Details:
Form N0:
Applied Course:
Entry Date:
Online Paid:
Transaction No.:
Fees Amount: ₹ 100
Personal Detail [Form No: ]
Surname (અટક):
Student Name(વિદ્યાર્થી નું નામ):
Father Name(પિતાનું નામ):
Postal Address(પત્રવ્યવહારનું સરનામું):
Permanent Address(કાયમી સરનામું):
Mother Tongue(માતૃભાષા):
Mobile Number:
Email Id:
Category(કેટેગરી):
Gender(જાતિ):
Date of Birth(જન્મતારીખ):
UG Degree Program Detail [Form No: ]
Degree Completed:
Specialization:
Name of University:
University Address:
Years Duration of Program:
Year of Comopletion:
CGPA / Percentage:
Last Semester Marksheet:
PG Degree Program Detail [Form No: ]
Master Degree Completed:
Dessertation Work Details (if any):
Name of University:
Years Duration of Program:
Year of Comopletion:
CGPA / Percentage:
Last Semester Marksheet:
M.Phil Desertation Details (if any):
Ph. D Entrance Exam Name (if any passed):
Work History [Form No: ]
Position:
Company:
Period From:
Period Until:

Program you have selected to apply.

Applied Program
Date: 20-09-2024
PAID ONLINE Transaction ID: and Date: ( Student Copy)

Lokbharati University for Rural Innovation

At. Sanosara, Taluka - Sihor, District : Bhavnagar Gujarat - INDIA
Apply For:
Admission Year: -
Form No:
Name of Student:
Fees Amount: ₹ 100
IN WORDS: Rupees OneHundred and zero Paise Only
Student Phone Number:
This Copy Should remain With Student
Payment Date:
Payment Done By Online Banking Transaction ID: on Date:

Lokbharati University for Rural Innovation

At. Sanosara, Taluka - Sihor, District : Bhavnagar Gujarat - INDIA

Received from Mr / Ms Online application form Number with the following self attested documents for verification

(Tick appropriate documents received and verified with original)

1. Printout of online application form (Compulsory)
2. Leaving cetificate (Compulsory)
3. Attempt cetificate (Compulsory)
4. Cast cetificate for SC / ST / SEBC / EWS (If applicable)
5. Non-Creamy layer certificates for SEBC (If applicable)
6. Armed force certificate (If applicable)
7. Certificate for Physically Handicapped (PH)(above 40%) and Visually Handicapped (VH) (If applicable)
8. Marksheet of 12th standard (Compulsory)
9. Passport Size Photographs (2) (Compulsory)
10. Adhar Card (Compulsory)
11. Other (please specify) ____________
Seal of University
Signature of Verifier
PAID ONLINE Transaction ID: and Date: ( University Copy)

Lokbharati University for Rural Innovation

At. Sanosara, Taluka - Sihor, District : Bhavnagar Gujarat - INDIA
Apply For:
Admission Year: -
Form No:
Name of Student:
Fees Amount: ₹ 100
IN WORDS: Rupees OneHundred and zero Paise Only
Student Phone Number:
This Copy Should remain With University
Payment Date:
Payment Done By Online Banking Transaction ID: on Date:

Lokbharati University for Rural Innovation

At. Sanosara, Taluka - Sihor, District : Bhavnagar Gujarat - INDIA

Received from Mr / Ms Online application form Number with the following self attested documents for verification

(Tick appropriate documents received and verified with original)

1. Printout of online application form (Compulsory)
2. Leaving cetificate (Compulsory)
3. Attempt cetificate (Compulsory)
4. Cast cetificate for SC / ST / SEBC / EWS (If applicable)
5. Non-Creamy layer certificates for SEBC (If applicable)
6. Armed force certificate (If applicable)
7. Certificate for Physically Handicapped (PH)(above 40%) and Visually Handicapped (VH) (If applicable)
8. Marksheet of 12th standard (Compulsory)
9. Passport Size Photographs (2) (Compulsory)
10. Adhar Card (Compulsory)
11. Other (please specify) ____________
Seal of University
Signature of Verifier