For GENERAL & OBC Candidates
Application Form for VBRET (Visva-Bharati Research Eligibility Test)
VISVA-BHARATI
SANTINIKETAN
Cash Coupon No ..................... dated ....................... Rs ........... .
Bank Draft No ......................... dated ......................... Rs ........... .
Signature of the official
(Office Sea])
Sl. No ..... ; .......... l ....... .

Passport size
photograph is
to be attached
(Applied against Advertisement No ...................................................... Dt.. ............................. )
Admission sought to .................................................... Bhavana!Vibhaga
.,. . ........................................................................ Department
[While filling up the form please put tick mark in the appropriate boxes as the case may be]
Category of studentship: Resident D Day scholar D
Partially resident teacher candidate Others (Please specify)
Qualified : RET D NETD SET D
(Attach supporting document(s)
1. · Name in Full (in capital letters) : ................................................................................................... ..
,2. , Sex': Male D Female D
J. Date of Birth: Date .................................. Month .................................... Year. .......................... ..
4. Marital Status: Married D SingleD
5. Nationality: ....................................... ..
6. Whether belong to:
(Attach supporting certificate duly attested)
7. Address of the applicant :
(a) Present:
(b) Permanent :
General Caste :
Other Backward Class :.
Scheduled Caste :
Scheduled Tribe :
Physically Handi ,i1ped:
Minority:
Others:
D
D
D
D
D
D
D
Contd ....
8. Father's/Husband's name (in full):
Address:
Occupation :
9. Guardian's name (in full), if father, husband is not the guardian:
(a) ....................................................................................................................................................... .
(b) Guardian's relationship with the candidate: .................................................................................. .
(c) Address : ............................................................................................................................... : ........ .
10. Particulars of the candidate's previous education:
Level Name of the Name Name of the Duration Year of
(with Examination of the Board/Council/ of the ·passing
duration appeared/ School/ University course
of the passed College
course)
11. (a) Research experience, if any, give details.
(b) Field of experience, if any, including nature and period
(c) List of publications, if any, Give details in a separate sheet.
12. Broad field of the proposed research work- (A synopsis of the
proposed wok is to be given in a separate sheet.)
N.B.: The form is to be accompanied by:
Subjects Division
studied/ Class
offered obtained
(i) Attested copies of mark sheetS' of all examinations passed as stated in Sl. No.1 0:
(ii) Attested copies of all Certificates/Diplomas as sated in Sl. No.lO:
Date: .................................................. .
Percentage
of marks
obtained:
Signature of the Applicant
Price: Rs.400/- for General & OBC