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  • PHD App Form

    Uploaded by

    Girijes Mishra
    2 views3 pages
    The document is an application form for a Ph.D. program which collects personal details of the applicant such as name, date of birth, academic qualifications, contact information, proposed research topic, and recommendations from a potential supervisor. The form requests a recent passport photo, details of the applicant's educational background and experience, and a research plan synopsis to be attached.

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    Phd App Form

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    The document is an application form for a Ph.D. program which collects personal details of the applicant such as name, date of birth, academic qualifications, contact information, proposed research topic, and recommendations from a potential supervisor. The form requests a recent passport photo, details of the applicant's educational background and experience, and a research plan synopsis to be attached.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    2 views3 pages

    PHD App Form

    Uploaded by

    Girijes Mishra
    The document is an application form for a Ph.D. program which collects personal details of the applicant such as name, date of birth, academic qualifications, contact information, proposed research topic, and recommendations from a potential supervisor. The form requests a recent passport photo, details of the applicant's educational background and experience, and a research plan synopsis to be attached.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 3

    TEERTHANKER MAHAVEER UNIVERSITY

    Delhi Road, Moradabad (U.P.) - 244001

    APPLICATION FORM FOR REGISTRATION IN THE Ph.D. PROGRAM

    Please paste your


    recent coloured
    passport size
    photograph
    here

    Area of research applied for:


    1. Name of the candidate
    (in full & block letters)

    ..

    2. Date of Birth

    . 3. Gender (M/F).
    th

    (attach copy of 10 Std. Certificate)

    4. Fathers Name

    ....

    5. Mothers Name

    ....

    6. Category (General/OBC/ST/SC/Others)....
    7. Residence Status (Village/Town/City)8. Blood Group..
    9. Parents Occupation

    Father.........Mother...

    10. Parents Education

    Father....Mother..

    11. Annual Income (Rs.)......


    12. State of Domicile

    .13. Mother Tongue..

    14. Religion

    ...15. Nationality ....


    1

    16. Correspondence Address:...


    City/Village....................Post...Police Station....
    Railways Station. District... State...
    Pin Code. STD Code. Telephone No.
    17. Contacts Details:
    STD Code.Tel. No...Cell NoEmail ID:
    18. Details of the Academic Qualifications & Experience, if applicable, on the basis of which admission is
    being sought
    a) Academic Qualifications (Attach Documentary Evidence/s)
    Sr.
    No.

    Examination
    Passed

    (1)

    (2)

    College/
    University
    Attended
    (3)

    Year of
    Passing

    Division

    (4)

    (5)

    Percentage of
    Marks Secured/
    CGPA
    (6)

    Major
    Subject/
    Specialization
    (7)

    Remarks

    (8)

    1.
    2.
    3.
    4.
    5.
    6.

    b) Details of the Experience (Attach Documentary Evidence/s)


    (i)_____________________________________________________________________________________
    (ii)_____________________________________________________________________________________
    (iii)____________________________________________________________________________________
    (Attach extra sheet/s if required)

    19. Name/s of the Supervisor and Co- Supervisor, if any


    (Fill it up if the same has/ have been identified and attach biodata for ready reference.)

    Supervisor:

    Name:.
    Designation:
    Institution/Organisation:..
    Address:
    Phone:
    Email:..

    Co-Supervisor:

    Name:.
    Designation:
    Institution/Organisation:..
    Address:..
    Phone:..
    Email:.

    20. Recommendations of the Supervisor :


    along with signature(s)

    Recommendations
    of
    the
    Co- :
    Supervisor along with signature(s)
    21. Research Plan/Synopsis on the subject of research (attach two copies of the synopsis as per
    the indicative plan enclosed)

    Proposed Topic of Research

    Place : __________________
    Date :_________________

    Signature of the Supervisor

    (Signature of the Research Student/Candidate)

    Signature of the Co-supervisor


    3

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