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S. No.

CENTRE FOR ECONOMIC AND SOCIAL STUDIES Nizamiah Observatory Campus, Begumpet, Hyderabad - 500 016

Tel: 040-2340 2789, 2341 6780 Fax: 2340 6808

Application Form for Admission to the M.Phil/Ph.D Programme in Development Studies

Subject* ____________________________________________ (In collaboration with the Dr.B.R. Ambedkar Open University, Hyderabad)

Note:

1. Read the guidelines carefully and fill the form in your own handwriting

2. Incomplete applications without the required enclosures are liable to be rejected.

3. Completed applications along with the Registration Fee** should reach the Coordinator (Research Programmes), Centre for Economic and Social Studies, Nizamiah Observatory Campus, Begumpet, Hyderabad - 500 016 on or before 7th March 2015.

This Application is For (Please Tick whichever is Applicable) (See the Eligibility for Admission in the Guidelines)

(i) M.Phil (ii) Ph.D (With Entrance Test) (iii) Ph.D (DirectWithout Entrance Test)

______________________________________________________________________________________

1. Name in full ___________________________________________ (in block letters)

Fathers Name ___________________________________________ ______________________________________________________________________________________

2. Date of Birth ___________________________________________

______________________________________________________________________________________

3. Permanent Address ___________________________________________

___________________________________________

___________________________________________

______________________________________________________________________________________

4. Address for communication ___________________________________________ (if different from the above)

___________________________________________

______________________________________________________________________________________

Telephone: Office: Residence: Mobile: E-mail: ______________________________________________________________________________________

* The subjects are: (i) Commerce (ii) Development Statistics (iii) Economics (iv) Geography (v) Political Science & Public Administration, and (vi) Sociology.

** Registration Fee of Rs.500/- should be paid by Cash or DD drawn in favour of the Director, CESS payable at Hyderabad. Rs. 600/- for Downloaded Application Form.

DD Particulars** 1. Name of the bank: 2. Number and date:

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______________________________________________________________________________________

5. Topic of Research for Candidates ___________________________________________ Applying for Direct Ph.D (Enclose a brief Research Proposal ___________________________________________ in not less than 1500 words) ___________________________________________

______________________________________________________________________________________

6. Do you belong to Scheduled Caste/Tribe? ___________________________________________ If so, give details (Attach copy of Caste Certificate) ___________________________________________

______________________________________________________________________________________

7. Academic record:

Examination Passed Institution/University Year of passing Subjects taken

(Specify main & Sub.)

% of Marks

Class/ Division

Obtained

B.A./B.Sc./B.Com. Equivalent

M.A./M.Sc./M.Com. Equivalent

M.Phil

Any Other (Specify)

______________________________________________________________________________________

8. In case you possess M.Phil Degree, give the following particulars.

(i) Title of the Dissertation ___________________________________________

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(ii) Name of Research Supervisor ___________________________________________

______________________________________________________________________________________

9. Details of Publications (If necessary, use additional sheet. Attach at least 2 copies of the published work)

S.No.

Title of the Article / Paper Name of the Journal No., Date, Month and Year of Publication

1

2

3

4

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______________________________________________________________________________________

10. Employment record: Present & immediately preceding (Give details ___________________________________________ of the Organisation / Department in which employed, position held and ___________________________________________ nature of work )

______________________________________________________________________________________

11. Name and address of two persons 1. ___________________________________________ who will be able to provide us ___________________________________________ with an evaluation of your academic ___________________________________________ interest and/or experience for ___________________________________________ undertaking this course (Give their ___________________________________________

their telephone numbers also). 2. ___________________________________________ ___________________________________________

___________________________________________

___________________________________________

_____________________________________________________________________________________________

Declaration by the Applicant

I, _________________________________________ S/D/o ______________________________ declare that the particulars given in the application are correct and complete. I have not suppressed any information. I fully

understand that my admission will stand cancelled in case any information supplied by me is found to be false.

Further, I promise to abide by the rules and regulations of the CESS.

Place: Date: Signature of the Applicant _____________________________________________________________________________________________

Checklist (Copies to be enclosed)

1. M.A/M.Com/M.Sc. Degree Certificate 2. M.Phil Degree Certificate/UGC JRF Certificate/UGC FIP Letter (if applicable) 3. Caste Certificate (in case of SC/ST candidates only) 4. No Objection Certificate from the Employer (for employed persons) 5. Research Proposal (not less than 1500 words) As Per the Guidelines for those applying for Direct Ph.D 6. A self-addressed envelope with stamps worth Rs.5.00

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Duplicate CENTRE FOR ECONOMIC AND SOCIAL STUDIES

HYDERABAD (in collaboration with)

Dr. B.R. AMBEDKAR OPEN UNIVERSITY HYDERABAD

M.PHIL/Ph.D ENTRANCE TEST - HALL TICKET (To be Filled by the Office) 1. Hall Ticket No. :

2. Centre :

3. Date of Examination :

4. Time of Examination :

(To be Filled by the Candidate) 5. Name :

6. Father's Name :

7. Subject :

8. Signature of the Applicant :

Director

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Original CENTRE FOR ECONOMIC AND SOCIAL STUDIES

HYDERABAD (in collaboration with)

Dr. B.R. AMBEDKAR OPEN UNIVERSITY HYDERABAD

M.PHIL/Ph.D ENTRANCE TEST - HALL TICKET

(To be Filled by the Office) 1. Hall Ticket No. :

2. Centre :

3. Date of Examination :

4. Time of Examination :

(To be Filled by the Candidate) 5. Name :

6. Father's Name :

7. Subject :

8. Signature of the Applicant : Director