PRL PDF Application Form
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Name *

Prefix First Name Last Name
Present Position
Present Affiliation Address

Street Address

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City State / Province

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Phone Number *
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Email *
[email protected]
Permanent Address *

Street Address

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City State / Province

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Date of Birth *

Day Month Year
Date
Age in Years (On the Date of Application) *
Nationality *

Educational Qualifications *

	Degree	Discipline	University/College	Year of Passing	Average Marks/CGPA/ %	Class
1
2
3
4
5

Date/ Likely Date of Submission of Thesis *

Day Month Year
Date
University/ Institution where Thesis has been / is to be submitted: *
Date of Award of the degree

Day Month Year
Date
Title of the Ph.D. Thesis *
Name & Address of the Supervisor with mobile no. and E-mail ID *
Employment Details (till date):Pl. state clearly what have you been doing after submitting your thesis (if applicable).
If you are an Indian national presently on an assignment abroad, state the likely date of return to India (DD-MM-YYYY).
List of Publications: (Pl. attach) Please list the titles & authorship as they appear on the publications. List Journal and Proceedings papers separately. *

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Papers published/accepted in refereed journals/books/conference proceedings to be listed separately. Please do not list the papers under preparation. List Journal and Proceedings papers separately.
A brief Research Proposal of your proposed research to be done under the PDF Programme at PRL. (attached only PDF file, max size 10854 KB) Format of research proposal (2 to 3 pages max) 1. Motivation 2. Introduction / background 3. Objectives 4. Methodology 5. Experience relevant to the proposal 6. Expected outcome 7. Timeline (details for the first year) Please give adequate details of what you would like to do vis-à-vis your expertise in terms of experimental/modelling techniques etc. for the proposed work. *

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Give details of collaborating Faculty Member(s) of PRL *
Please request your referees for confidential references to be sent directly to: Chairperson, PDF Committee, PRL, by E-mail at the address [email protected]
Address of 01 referee *

Street Address

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City State / Province

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Email of 01 referee *
[email protected]
Phone Number of 01 referee *
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Address of 02 referee *

Street Address

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City State / Province

Postal / Zip Code
Email of 02 referee *
[email protected]
Phone Number of 02 referee *
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Address of 03 referee *

Street Address

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City State / Province

Postal / Zip Code
Email of 03 referee *
[email protected]
Phone Number of 03 referee *
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Have you applied for a PDF/ Visiting position at PRL earlier? If yes, give details.
Any other details/remarks relevant to the present application
Names & addresses of two responsible persons of your locality or two references to whom you are known. *
DECLARATION I hereby declare that the entries made in this application form are correct to the best of my knowledge and belief. If selected, I promise to abide by the rules and discipline of the Institute. *

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Place *
Date *

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Signature *
The application complete in all respects should be submitted to: Chairperson, PDF Committee, Physical Research Laboratory, Navrangpura, Ahmedabad - 380 009. India Fax No. (91) 079 – 2631 4900,E-mail: [email protected] (for all correspondence)Tel. No. (91) - 079 - 2631 4869Please Note: The application can also be sent on the e-mail address as given above.
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PRL PDF Application Form

Please request your referees for confidential references to be sent directly to: Chairperson, PDF Committee, PRL, by E-mail at the address [email protected]