Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. *I have obtained Ph.D degree in Poultry Science in 2023Title *DR.MR.MRS.MS.1. Name *FirstLast2. DOB *DD12345678910111213141516171819202122232425262728293031MM123456789101112YYYY20252024202320222021202020192018201720162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925192419231922192119203. Place of birth *4. Present postal address *5. Email Id. *6. Phone No. *7. Whatsapp *8. IPSA Life member registration Number *9. Date of viva-voce examination *10. Date of degree awarded *DD12345678910111213141516171819202122232425262728293031MM123456789101112YYYY202520242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192011. Awarding University/Institution *12. Educational qualifications *13. Degree *UndergraduatePostgraduateDoctorateInstitution *Year *Division *OGPA *Title of the thesis *14. Department/Division/Institution where research work was done *15. Institution/University to which thesis was submitted as a part of the doctoral degree programme. *16. Name and Designation of the thesis supervisor *17. Research problem (Brief description, scientific, technological, socio-economic relevance and priority *18. Standard methods and modern procedures were used in the experimental work *19. Description of significant results obtained and original contribution / impact made in the field of poultry science? *20. Patents applied or granted out of the thesis workYesNoPatent title: *Application/reference Number: *Date of application: *21. A concise statement (about 150 words) highlighting the most significant aspects of the research work done that you would like to see in your citation of award, if chosen. * *I hereby certify that, all the information provided in this application is true and correct to my knowledge and belief. *I accept the terms and conditions of the award. *I have read and understood the eligibility conditions of the award *I understand that the IPSA reserves the right to cancel the application at any stage if found incorrect information and submission.Upload PDC/Degree certificate in pdf file *Upload duly signed thesis certificate page *Please upload the thesis copy in pdf format *Upload research publications (published/accepted) *Upload the published papers/acceptance letters as single document *Upload certificate duly signed by thesis supervisor and forwarded by head of institution *Submit Download Certificate