BAREILLY INTERNATIONAL UNIVERSITY, BAREILLY

Pilibhit By-pass Road Bareilly (U.P.) - 243006

Phone:- 0581-2526053, 2526153 Mob. No. 9105500202, 404, 101, 303

E-mail-info@biu.edu.in / registrar@biu.edu.in / research@biu.edu.in

Website : www.biu.edu.in

Ph.D. Entrance Examination Form

ADMISSION: Ph. D. PROGRAMME
Session: 2025-26
Batch
Course
Language

Personal Info

Name
Father’s Name / Husband’s Name
Mother’s Name
Date of Birth (DOB)
Category
Marital Status
Gender
Religion
Aadhaar/Passport/Unique ID
Contact No
Email
Field / Area of Specialization
Nationality (Outside India)
Yes No
Country
Student Photo
Student Signature
Address
Same as Present Address

Academic Qualifications Particulars

SlNo Examination Year of Passing Board / University % of Marks Secured Major Subject / Specialization
1. 10th
2. 12th
3. UG
4. PG
5. Other

Experience Particulars (If Any)

A. Present Employment Details
Organization
Date of Joining
Designation
Nature of Employment
B. Previous Employment Details
Organization
Date of Joining
Date of Leaving
Designation
Remark

Particulars of fee payable (Enclosed)

In Favour
Payable at
Amount
Demand Draft No. & Date
Bank’s Name & Address
In Case of Online / Digital Payment
Bank Name
PUNJAB NATIONAL BANK
Account Number
52262413000001
IFSC Code
PUNB0522610
Swift Code
PUNBINBBISB (For NRI/Foreign national candidate)
Branch Name
Bareilly-Springdale College
Upload Receipt
Self attested copies of following documents are
Enclosed
SlNo Certificate Upload
1. High School/Equivalent Mark Sheet & Certificate
2. Intermediate/Equivalent Mark Sheet & Certificate
3. Graduation/Equivalent Mark Sheet (Final) & Degree
4. Post Graduate/Equivalent Mark Sheet (All Year or Semester) & Degree Certificate
5. Caste Certificate (If Applicable)
6. Application Fee Deposit Certificate / Proof
7. Copy of the Passport
8. Equivalance Certificate from AIU

I, do hereby declare that all the information furnished above is true to best of my knowledge and belief. If any of the information is found to be incorrect, the University have the right to cancel my candidature / application.