Gujarat Forensic Sciences University

Institute of Research and Development

GUJARAT FORENSIC SCIENCES UNIVERSITY

Sector-9, B/h. Police Bhavan,Gandhinagar- 382007

NAAC ACCREDIATED “A” GRADE

DST –FIST SPONSORED INSTITTUE

Form Fees Rs. 1200/- Form No.______

DraftNo.______Bank Name ______Dated______

(FOR OFFICE USE ONLY)

Received by: ______Checked by: ______Verified by:______

Merit No.:______Admitted:______Signature of Director:______

PEC / FEC No : ______dated ______

APPLICATION FORM

Admission 2017

MS Forensic PharmacyM.S. Chemistry

MS Forensic NanotechnologyM.S Environmental Science

MS Ph.D.Integrated Forensic M.S Environmental Management

Pharmacy (5 years)

M.S Ph.D. Integrated Forensic MS Integrated Environmental Science

Nanotechnology (5 years) and Environmental Management

M.Tech Civil Engineering M.Sc. Food Technology

MS Forensic Pharmacy – 3 years M.Sc. Medical Devices

for Govt & Industry Officials

Category: General SC ST SEBC

Name of Applicant:______

CorrespondenceAddress: ______

______

PIN______E-mail ID:______

Tel. No.______Mobile______Nationality______

Date of Birth___/____/_____ Place of Birth ______Sex: Male Female

Academic Record

Examination passed/appeared / Subjects / Institute/University/ Board / Year of Passing / Marks (%) Grade
SSC
HSC
Bachelor,B.Pharm
GATE /GPAT Score

Semester wise details of Degree, if applicable:

Semester/Year / Marks Obtained / Out of / Percentage / Subjects / Subjects not cleared in first attempt*
I
II
III
IV
V
VI
VII
VIII
Aggregate / Total for Class**

* Attach separate sheet if required

** The candidate should enter the % for Total for class which appears in the Final Year/Semester mark sheet. In case this is not mentioned the average of marks CPI obtained in each year or semester should be mentioned.

Particulars of Scholarship, Prizes, Awards etc. won*

______

______

Extra curricular activities

(a) NCC / NSS ______Sports / Games______

Social work______Elocution / Writing______

Computing Skills______Others______

(b)Periodical / Journals you prefer to read regularly ______

______

(c) How do you keep updated with current affairs? ______

______

Reasons for selecting of this particular course*______

______

How this choice will help in building your career ?* ______

______

Whether you wish to seek admission as an Indian / NRI / Foreigner ______

Declaration:I certify that above information is correct. I understand that if any information is found false, my admission is liable to be cancelled.

Place:______Date:______Signature of Applicant:______

COURSE SPECILIZATION
Sr. No / Name of Course / Tick here / Specialization
1 / MS Forensic Pharmacy/ MS Ph.D. Integrated Forensic Pharmacy (dual degree- 5years) / MS Forensic Pharmacy - 3 years for Government and/or Industry Employees / Pharmaceutical Analysis and Quality Assurance
Regulatory Affairs and Management
Nano Drug Delivery System
Pharmacology and Toxicology
Pharmacokinetics and Clinical Pharmacy
Medical Devices
2 / MS Forensic Nanotechnology/
Ph.D. Integrated MS Forensic Nanotechnology (dual degree-5 years) / Nano-science and Nanotechnology
Nano Biotechnology
Nano Engineering
3 / M.Tech Civil Engineering / Forensic Structural Engineering
4 / MS Chemistry / Forensic Analytical Chemistry
5 / MS Environmental Science / Environmental Forensic
6 / M.Sc. Food Technology- / Forensic Food Analysis

Note : You will be informed your examination seat number by email.

______

Date :Signature of Candidate

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