JADAVPUR UNIVERSITY
 Online submission of application(s) for admission to Post M.Sc. Diploma Course in Medical Physics: 2026-27
 
All the fields marked with asterisk ( * ) are mandatory.
Personal information
Grade Card / Marksheet of Graduation final exam:* [min. 10 kb & max. 100 KB size allowed. Only .jpg, .jpeg file is allowed.]
Grade Card / Marksheet of Post Graduation final exam (with total final marks):* [min. 10 kb & max. 100 KB size allowed. Only .jpg, .jpeg file is allowed.]
Conversion document for B.Sc marks (Grade to Percentage), if required: [min. 10 kb & max. 100 KB size allowed. Only .jpg, .jpeg file is allowed.]
Conversion document for M.Sc marks (Grade to Percentage), if required: [min. 10 kb & max. 100 KB size allowed. Only .jpg, .jpeg file is allowed.]
SC/ST Certificate (Where applicable): [min. 10 kb & max. 100 KB size allowed. Only .jpg, .jpeg file is allowed.]
 
 Surname  First Name*  Middle Name
 Address in full
(i) Permanent address*		  Phone no.*
 (ii) Present address  Phone no.
 Gender*  Father's  Name*  Mother's Name*
 Name of the guardian  Guardian's Phone no.
 Relationship with the guardian Occupation of father/mother/guardian
Applicant's annual family income
 Date of birth*  Mother tongue  Nationality
 Place of birth  District*
 State
 E-mail*  Minority*  Category*
Registration No. of Graduation*   Do you have smartphone or internet facility? *

Record of complete academic career starting from secondary or equivalent
Examination passed
Name of school/college*
Name of board/university*
Combination of Subjects*
Marks obtained*
Percentage of marks*
Division/Class*
Year of passing*
Secondary or equivalent*
Higher Secondary or equivalent*
B.Sc. or equivalent*
M.Sc. or equivalent*
Any other Examination

Other information
Whether the applicant is a student of this university *  
 
Registration No.
Year
Department
Course of Study

Academic course being pursed at this time , the result of which has not yet been declared? *  

Name & address of the College/ Institution*
Name of University*
Name of the Course with Class/ Year*
Whether appeared/ due to appear*
When expected to be completed*

Are you sponsored candidate? *  


Particulars of Employment
Name of the Institution/ Organisation with address*
Designation of Candidate*
Date of joining*
Date of Leaving*
Name & Designation of the Person who will certify*


If admitted, I undertake to abide by all the Rules and Regulations of the University existing at the time of my admission or as may be altered during my studentship, failing of which appropriate action may be taken against me.

As per my knowledge and belief, all information submitted above are correct and true. The University shall not be liable for any implication (be responsible in any way) in case any of the information submitted by me is found to be erroneous and incorrect. My application/ counseling/ admission may be terminated in such cases.


   
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