Application Form – Integrated MSc (Clinical Research) & PhD (IIPHD)

*Mandatory to be filled.

You are allowed to upload JPG, JPEG, PNG, TIFF, BMP, GIF and PDF files only.

Maximum upload file size limit is 2MB.

Academic Background (Attach Proof)

Class X*

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Class XII*

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Bachelors/ Undergraduate Degree*

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Post graduate/Master’s or any other relevent qualification

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Any additional Qualification/Training

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List of recent academic awards/achivements (if any)

Work Experience

Total work experience in completed years:

Organization

Designation

From

To

Enclosures

Latest Curriculum Vitae / Resume

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Contact details of 2 referees (academic/professional)

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Caste Certificate (SC / ST / OBC / PWD / EWS for General Category)

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Additional files such as internship certificate, experience certificate, council registration etc. to be uploaded as a single file

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Statement of Purpose*
(This needs to be a 250-500 word summary stating professional goals and career plans including plans and expectations in pursuing this program)

Applicant’s Address for Communication

How did you come to know about PHFI-Academic Programs*

* I hereby declare that the information given in this application is true and correct to the best of my knowledge and belief.

Public Health Foundation of India

Online Application Form

Integrated MSc (Clinical Research) & PhD

Indian Institute of Public Health (IIPH) - Delhi

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