Maha Yogi Shri Guru Gorakshnath International Fellowships - INDIAN RESEARCHERS

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Name of Researcher:

Father's Name:

Address with Pin Code:

Mobile No:

Email ID:

Passport No:

Date of Issue:

Date of Expiry:

Place of Issue:

Faculty/Department:

Name of Supervisor/Co-supervisor :

Date of registration for the Ph.D. Program in the University :

Title of thesis :

Details of published research papers (if any):

Details of host University/Institutions

University/institutions where the research is to be conducted :

Research topic to be conducted :

Letter from the host organization (mandatory):

Financial assistance from the host organizations (if any) :

Visa status :

Duration of research, abroad (in months):

Likely date of completion :

Likely date to return to India :

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Recommendation of Guide/Advisor (Attach Doc.):

I hereby declare that the above entries are true to the best of my knowledge. I have not concealed any information. I realize that if any information furnished herein is found to be incorrect, I shall be liable for criminal prosecution. I agreed to abide rules and regulations of the University.