Indian Institute of Public Health Gandhinagar - First Public Health University in India

Indian Institute of Public Health Gandhinagar (A University formed under IIPHG Act, 2015 of Government of Gujarat State) First Public Health University in India -------------------------------------------------------------------------------------------------------------------------------------------- APPLICATION FORM FOR PROVISIONAL REGISTRATION FOR THE DEGREEE OF DOCTOR OF PHILOSOPHY (Ph. [...] ______________________________________ Nationality __________________________________________ Religion _________________________________________________ Do you belong to SC/ST/OBC/PH? : Yes/ No (If Yes, please specify category ______________________, please attach self-attested copy of the certificate) Academic Background: Name of the Passing Aggregate/ Level of academic qualification University/B. [...] Phil/Equivalent Degree?: YES / NO Work Experience: Duration of Name of Designation Roles/ Employment Organization Responsibilities Current Past List of Recent Academic Awards/ Achievements (including Publications/ Presentations) & Extracurricular Activities: ___________________________________________________________________________________ Faculty & Specialization: PUBLIC HEALTH Discipline/ Sub. [...] on contact@iiphg.org) Necessary copies of all academic statements from class X onwards Copy of resume/ curriculum vitae Contact details of three referees: two academic + one professional (if some work experience) NOC from Employer (If Selected part-time category) Applications are accepted in both online and offline modes. [...] Signature of the Applicant Place: _________________________________ Date: __________________________________ Nomination / Application form with required documents should be posted to: Assistant Registrar Senior Scale (Academic) INDIAN INSTITUTE OF PUBLIC HEALTH GANDHINAGAR University established under IIPHG Act 2015 of Gujarat State Opposite Air Force Head Quarters, Near Lekawada Bus stop, Gandhin.