Dr. Shyama Prasad Mukherjee Fellowship Test 2007

DR. SHYAMA PRASAD MUKHERJEE FELLOWSHIP TEST – 2007 APPLICATION FORM FOR ELIGIBLE GATE APPLICANTS

LAST DATE : 10.06.2007 DATE OF TEST: 8.07.2007 It is proposed to admit around 100 top valid GATE score card holders (in all disciplines combined together), from amongst those, who have scored percentile 99 or above and who desire to pursue research in subject areas of NET.

Valid GATE score card holders meeting above requirements may download the format given below and apply for the SPMF Test July, 2007 scheduled to be held on 8th - 11th July, 2007 at St. Ann’s High School, White House, Tarnaka, Secunderabad-500017. Completed application form must reach the Controller of Examination, HRDG Group, CSIR Complex, Library Avenue, Pusa, New Delhi – 110 012 latest by the 10th June, 2007. Candidates applying from Mizoram, Manipur, Nagaland, Tripura, Sikkim, Ladakh Division of J & K State, Lahaul and Spiti district of Himachal Pradesh, Andaman and Nicobar islands and Lakshdweep, may send their application latest by: 15th June, 2007. Intimation to screened eligible candidates may be received by them by 3rd week of June, 2007. A list of registered candidates may be posted on the website in 3rd week of June, 2007. SPMF TEST 2007

APPLICATION FOR GATE SCORE CARD HOLDERS Roll No.

For Office Use Only

COUNCIL OF SCIENTIFIC AND INDUSTRIAL RESEARCH HUMAN RESOURCE DEVELOPMENT GROUP

Application form for the Shyama Prasad Mukherjee (SPM) Fellowship Test, 2007.

GATE Roll Number Please affix a recent Date of GATE Test passport size photograph duly Name of GATE Awardee : signed across in ink Father's Name by the candidate Date of birth Chem Earth, A,O. Pla- Life. Math. Phy. Subject OPTION FOR SPMF Test Sc. netory. Sc. Sc. Sc. Sc. (Please tick (√) your option Permanent Address

Specimen signature

Address for correspondence

e.mail identity Educational Qualification(10+2 onwards) (Please give status of B.Tech. degree/Equivalent degree as on 31.5.2007.) Exam Year of Passing Marks %age Name of Board Remarks University

Field of Specialization PARTICULARS OF GATE

GATE ROLL NO. DATE OF EXAM DATE OF RESULT PERCENTILE VALID UPTO

(Please enclose an authenticated copy of the valid GATE SCORE CARD)

SIGNATURE OF CANDIDATE