Details of PhD
Date of Enrolment in PhD*
Date of Registration in PhD*
This date may be the same as enrollment date in case of some institute / university rules
(Note: A candidate can apply to PM Fellowship if she/he has been registered for PhD for not more than 14 months from the date of submission of application)
PhD Enrolment Certificate*
PhD Registration Certificate*
Institute where enrolled/registered in PhD *
University
Nature of PhD enrolled/registered in*
Address*
State*
Select State
Andaman and Nicobar Islands
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chhattisgarh
Dadra and Nagar Haveli
Daman and Diu
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Jharkhand
Karnataka
Kenmore
Kerala
Lakshadweep
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Narora
Natwar
Odisha
Paschim Medinipur
Pondicherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
Vaishali
West Bengal
City*
Specify City in case of Other
Pincode*
Broad Research Area*
Select
Chemistry
Earth Atmospheric Sciences
Engineering
Life Sciences
Mathematics
Physics
Sub-Classification of Research Area*
(E.g. Chemical Engineering, Horiculture)
Research Topic/ Title*
Total Char: 0 . Char left: 200 (Maximum 200 characters)
Research Problem Synopsis*
Total Char: 0 . Char left: 3000
Please write only a brief version of your research problem (maximum 8000 Characters) highlighting the goals and objectives of your research
What is the unique proposition of your research project*
Total Char: 0 . Words Char:
3000 (Maximum 3000 characters)
What is the current level of research in the proposed project
National Level
International level
On a scale of 1-10 how will you rate your research project*
1
2
3
4
5
6
7
8
9
10
Upload your Research Problem Synopsis*
List of Publications
Educational Details
Details of 10th Board
Board*
Subjects Taken*
Year of Passing*
Select Year
1950
1951
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1954
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2009
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2011
2012
2013
2014
2015
2016
Total Percentage Scored(%)*
Note: In case you received a CGPA or similar score, please convert it to percentage and enter the value in this field.
Upload scan copy of your 10th certificate*
Details of 12th Board
Board*
Subjects Taken*
Year of Enrollment*
Select Year Enrollment
Year of Passing*
Select Year Passing
Total Percentage Scored(%)*
Note: In case you received a CGPA or similar score, please convert it to percentage and enter the value in this field.
Upload scan copy of your 12th certificate*
Details of Graduation Degree
Name of Graduation Degree*
Type of Graduation Degree*
Specialisation*
Subject*
Total Percentage/ CGPA Scored(%)*
Note: In case you received a CGPA or similar score, please convert it to percentage and enter the value in this field.
Institute*
University
Year of Enrollment*
Select Year Enrollment
Year of Passing*
Select Year Passing
Upload scan copy of your Graduation Certificate*
Details of Post Graduation Degree
Name of Post-Graduation Degree*
Specialisation*
Subject*
Total Percentage/ CGPA Scored(%)*
Note: In case you received a CGPA or similar score, please convert it to percentage and enter the value in this field.
Institute*
University
Year Of Enrollment*
Select Year Enrollment
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
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1968
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2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
Year Of Passing*
Select Year Passing
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
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1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
Upload scan copy of your Post-Graduation Certificate*
Details of Other Degree/Diploma
Name of Other Degree/Diploma
Specialisation
Subject
Total Percentage Scored(%)
Note: In case you received a CGPA or similar score, please convert it to percentage and enter the value in this field.
Institute
University
Year Of Enrollment
Select Year Enrollment
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
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1971
1972
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1980
1981
1982
1983
1984
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1989
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1992
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1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
Year Of Passing
Select Year Passing
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
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1977
1978
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1980
1981
1982
1983
1984
1985
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1987
1988
1989
1990
1991
1992
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1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
Upload scan copy of your Other Degree/Diploma Certificate
Host Institute (PhD) Details
Details of PhD Institute
Name of institute where Registered for PhD*
Name of Department*
Address*
State*
Select State
Andaman and Nicobar Islands
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chhattisgarh
Dadra and Nagar Haveli
Daman and Diu
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Jharkhand
Karnataka
Kenmore
Kerala
Lakshadweep
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Narora
Natwar
Odisha
Paschim Medinipur
Pondicherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
Vaishali
West Bengal
City*
Specify City in case of Other
Pincode*
PhD Institute STD Code*
PhD Institute Phone Number*
PhD Institute website*
Upload Profile of Host Institute*
Do you avail the hostel facility at your institute?*
Address
State
Select State
Andaman and Nicobar Islands
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chhattisgarh
Dadra and Nagar Haveli
Daman and Diu
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Jharkhand
Karnataka
Kenmore
Kerala
Lakshadweep
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Narora
Natwar
Odisha
Paschim Medinipur
Pondicherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
Vaishali
West Bengal
City
Specify City in case of Other
Pincode
Details of PhD Institute Head
Phd Institute Head Name*
PhD Institute Head Designation*
PhD Institute Head Address*
PhD Institute Head State*
Select State
Andaman and Nicobar Islands
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chhattisgarh
Dadra and Nagar Haveli
Daman and Diu
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Jharkhand
Karnataka
Kenmore
Kerala
Lakshadweep
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Narora
Natwar
Odisha
Paschim Medinipur
Pondicherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
Vaishali
West Bengal
PhD Institute Head City*
Specify City in case of Other
PhD Institute Head Pincode*
Academic Guide Details
Details of the 1st Supervisor/Research Guide for PhD
Prefix*
Full Name*
Designation*
Mobile*
Email*
Bio Data of PhD Supervisor, not exceeding 3 pages*
Details of the 2nd Supervisor/Research Guide for PhD
Prefix
Full Name
Designation
Partner Company Details
Name of Partner Company*
Partner Company Website*
Partner Company′s Year Of Incorporation*
Select
1800
1801
1802
1803
1804
1805
1806
1807
1808
1809
1810
1811
1812
1813
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1981
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1983
1984
1985
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1987
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1989
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1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
2046
2047
2048
2049
2050
Number of Employees in Partner Company*
Select
1-10
11-25
26-50
51-100
101-250
251-500
501-750
751-1000
Above 1000
Products / Services offered by the Partner Company*
Address*
State*
Select State
Andaman and Nicobar Islands
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chhattisgarh
Dadra and Nagar Haveli
Daman and Diu
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Jharkhand
Karnataka
Kenmore
Kerala
Lakshadweep
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Narora
Natwar
Odisha
Paschim Medinipur
Pondicherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
Vaishali
West Bengal
City*
Specify City in case of Other
Pincode*
Annual Turnover of Partner Company*
Partner Company's Latest Balance Sheet*
Partner Company Logo*
Partner Company Profile*
Details of Partner Company Head
Partner Company Head Name*
Partner Company Head Designation*
Partner Company Head Address*
State*
Select State
Andaman and Nicobar Islands
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chhattisgarh
Dadra and Nagar Haveli
Daman and Diu
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Jharkhand
Karnataka
Kenmore
Kerala
Lakshadweep
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Narora
Natwar
Odisha
Paschim Medinipur
Pondicherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
Vaishali
West Bengal
City*
Specify City in case of Other
Pincode*
Industry Mentor Details
Prefix*
Full Name*
Designation*
Mobile*
Email*
Address*
State*
Select State
Andaman and Nicobar Islands
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chhattisgarh
Dadra and Nagar Haveli
Daman and Diu
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Jharkhand
Karnataka
Kenmore
Kerala
Lakshadweep
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Narora
Natwar
Odisha
Paschim Medinipur
Pondicherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
Vaishali
West Bengal
City*
Specify City in case of Other
Pincode*
STD Code*
Phone Number*
Upload Bio-Data of Industry Mentor, not exceeding 3 pages*
Current Employment /Fellowship Details
Currently availing any fellowship?*
Name of the agency providing fellowship*
Are you interested in switching over from present fellowship to the PM's Fellowship for Doctoral Research?*
Are you currently employed in some job/ assignment?*
Name of the employer*
Job / Assignment Description / Designation*
Address*
State*
Select State
Andaman and Nicobar Islands
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chhattisgarh
Dadra and Nagar Haveli
Daman and Diu
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Jharkhand
Karnataka
Kenmore
Kerala
Lakshadweep
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Narora
Natwar
Odisha
Paschim Medinipur
Pondicherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
Vaishali
West Bengal
City*
Specify City in case of Other
Pincode*
Undertakings & Other Documents
Undertaking from the Research Supervisor and Head of the Institute / University*
Undertaking from the Industry Partner in the Research Project*
Letter from the Industry Partner (on company’s letterhead) on the research problem and the future plans for implementation,
if any