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Application No

:

Prist University
Centre for Research and Development Thanjavur 613 403 - Tamil Nadu - India
Application form for registration for the degree of

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Doctor of Philosophy (Ph.D)
Date (dd/mm/yyyy) : _ _ / _ _ / _ _ _ _ Subject :

Tick( √ ) mark the appropriate box below:
Full time Part-time (Internal) : Thiru/Tmt./Selvi Part-time (External)

1. Name of the applicant (in BLOCK LETTERS) 2. Father’s / Husband’s Name 3. Age & Date of Birth 4. Place of Birth 5. Mother tongue 6. Nationality 7. Religion 8. Community 9. Address :

: : : : : : : SC / ST / BC / MBC / OC (Tick( √ ) mark)

a) Permanent Address:

b) Address to which communications are to be sent:

c) Phone No. d) Mobile No. e) e-mail ID

: : : 1

10.
Sl. No.

Academic record
Exam Passed Subject (s) Year of Passing College/University Class % of Marks

Part I 1 Degree: Subject* Duration
_______________ yrs.

Part II
______________

Part III (Major)

2

P.G: Subject* Duration
_______________ yrs.

M.Phil: Subject* 3
_______________ yrs.

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Title of M.Phil Dissertation

* Indicate the main subject / discipline

11.
Sl. No.

Professional / Teaching / Research Experience
Duration From To Total Period Year(s) Month(s) Particulars of work done

Designation

Institution

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2

3

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2

12.

a). Broad area of Research (enclose a brief synopsis of proposed research) b). Faculty in which you desire to pursue Research

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Arts & Humanities, Physical/Life Sciences, Mathematical and Computing Sciences, Pharmacy, Engineering and Technology, Education, Commerce, Management, Indian and other L anguages, Fine Arts (including Athletics and Sports) etc.

c). State whether the field of your Research is interdisciplinary If Yes, mention the disciplines involved d). Mention the Department of the University / College or Institute Where you propose to do research e). Name, Designation and Address of the Supervisor who is willing to take you as a Ph.D. Scholar Phone and/or Mobile No. E-mail / ID

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Yes / No

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g). Name, Designation and Address of : the co-guide, if any Phone and/or Mobile No. E-mail / ID 13. State whether you have already Registered for Ph.D. Degree in this University or any other University If Yes, give details a) Date of Registration b) Title of the thesis : :

: : : :

Yes / No

c) Name and address of the supervisor : d) Reason for fresh registration : 3

14.

State if you are at present undergoing any other course of study in this University / in any other University leading to any Degree or Diploma or Certificate. If so, give details Enclosures a). Cost of Application*
(if down-loaded application is submitted)

:

15.

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Rs. 1,000/- (only in the form of Bank DD) Amount : Rs. 1,000/Bank Name with Place : Date : DD No. :

b). Processing and registration fee c). Details of Bank DD

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Rs. 2,000/- (only in the form of Bank DD) Amount : Rs. Bank Name with Place : Date : DD No. :

(Bank DD(s) in favor of PRIST University, payable at Thanjavur. Down loaded application may be accompanied by a single DD for Rs. 3000/-)

e). Attested Xerox Copy of P.G. Degree Certificate f). Attested Xerox Copy of consolidated marks statement for PG Degree. (not less than 55% or CGPA of 5.51 and above in the 10.00 point scale under CBCS in Master’s
Degree)

g). Attested Xerox Copy of M.Phil Degree Certificate h). A brief synopsis of the proposed research work ( about 500 words). i). Service Certificate from the previous employer and/as on date service certificate from the present employer j). No Objection Certificate from the present employer k). The Declaration Certificate from the Guide (wide page No.5 of Application form). DECLARATION BY THE CANDIDATE I hereby declare that the particulars furnished in this application are true and correct to the best of my knowledge and belief. In case any particulars furnished in this application are found incorrect, I agree to forfeit my registration no matter at what stage of the course, I will be at that time.

Place : Date :

Signature of the Applicant

(Name: 4

)

CERTIFICATE TO BE FURNISHED BY THE SUPERVISOR
I, ___________________________________________________________________________________ working as ______________________________ in_________________________________________ agree to serve as Supervisor for Thiru. / Tmt. / Selvi._________________________________ for his/her Full time / Part time Ph.D. Research Programme. His / Her subject area / will be____________________________________________________ _________________________________________________ I have been recognised as a guide by the PRIST UNIVERSITY for guiding research work of candidates leading to Ph.D. Degree in______________________________________________ ___________________________ (Vide PRIST University Communication No. ______________ Dt. _________________________) (Copy enclosed) As on date, I have the following research scholars who are pursuing research under my guidance at PRIST University and have not yet submitted their thesis:

UNDER DIRECT SUPERVISION*
Sl. No. Name of the Candidate Full - time Part - time Date of Regn. Regn. No.

AS A CO-GUIDE
Sl. No. Name of the Candidate Full - time Part - time Date of Regn. Regn. No.

* - The supervisor can have a maximum of only 8 PhD candidates at a time as per UGC norms. Signature of Co-guide : Mobile No. : E-mail / ID : Signature of the Supervisor : Mobile No. : E-mail / ID :

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CERTIFICATE BY THE HEAD OF THE RESEARCH CENTRE/DEPARTMENT
This is to certify that Thiru. / Tmt. / Selvi.______________________________________ __ is permitted to register for Ph.D. Full-time / Part-time programme under Dr._________________ ___________________________________________ in the Department of ______________________ _________________________________ College / University / Research Institute. He / She will be allowed to make use of the facilities in the Department / College / Institute to pursue his / her research programme.

Signature of H.O.D. / Principal with Office Seal

Signature of the Head of the Institute/ Research Centre with Office Seal

FOR OFFICE USE ONLY

Date of receipt of the application Application Fee Rs. 1,000/Processing and Registration Fee (Rs. 2,000/-) Date of registration Register Number

: : : paid / not paid / partly paid paid / not paid / partly paid

: :

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Guidelines for Registration of Ph.D. Programme
Ph.D. Programmes (FULL-TIME / PART-TIME) are offered in the PRIST University, Thanjavur in various under-mentioned disciplines / inter-disciplines. Ph.D. programmes are available with Tamil, English, Sanskrit, Vedic Studies, Mathematics, Botany, Zoology, Physics, Chemistry, Biochemistry, Microbiology, Biotechnology, Bioinformatics, Commerce, Computer Science, Management, Economics, History, Social Work, Visual Communication, Education, Physical Education, Computer Science & Engineering, Information Technology, Electronics and Communication Engineering, Electrical Engineering, Civil Engineering, Instrumentation Engineering, Mechanical Engineering, Library Science etc., 1.0. FULL-TIME Research Scholars within this ambit are those who pursue their full-time doctoral Program under the guidance of Research Supervisors recognized by the PRIST University in the Departments and Centre for Research and Development (CRD) of PRIST University and Central / State Government funded Research Centers / National Institutions / Laboratories which have MoU with PRIST University to facilitate collaborative programmes in research. 2.0. PART -TIME Research Scholars within this category are those in-service candidates with minimum of two years of continuous service who pursue their doctoral program under the guidance of Research Supervisors (recognized by the PRIST University) on Part-Time basis in the Departments and Centre for Research and Development (CRD) of PRIST University and Central / State Government Funded Research Centers / National Institutions / Laboratories / Organizations / their Regional Laboratories / Colleges / Schools / Institutions / Industrial Establishments in India recognized by the PRIST University. 3.0. ELIGIBILITY 3.1 Full-Time The candidates holding Master’s Degree with not less than 55% of marks or a CGPA of 5.51 and above in the 10.00 point scale under CBCS, under the Faculties of Arts, Science, Fine Arts, Humanities, Indian and other Languages, Management, Education, Educational Technology, Physical Education, Library Science, Engineering & Technology, Pharmacy, Applied Sciences, Biotechnology, Bio-chemistry, Microbiology etc., are eligible to register for Ph.D. in this University under this category. For SC/ST candidates the minimum shall be only 50% for admission to the Ph.D program. 3.2. Part-Time 3.2.1. External The candidates with educational qualification as in 3.1 and working in Educational or other Institutions anywhere in India as mentioned in 2.0. 7

3.2.2.

Internal

Teacher candidates or Technical staff working in the Departments and Centre for Research and Development of PRIST University and Central / State Government funded Research Centers / National Institutions / Laboratories which have MoU with PRIST University to facilitate collaborative programmes in research, who have two years of continuous teaching and / or laboratory experience at Degree and / or Post Graduate level in the subject concerned. a. Teacher candidates working in Ponnaiyah Ramajayam Public Higher Secondary School and teaching at the High School level, who have put in Five years of continuous teaching experience in the subject concerned, are eligible. b. The candidates under the regulations of part-time (Internal) are prohibited from taking any remunerative assignments, or joining any other course of study without the prior approval of the university. 4.0. SELECTION PROCEDURE The selection of candidates for provisional admission shall be made on the following procedure: The selection shall be made based on the performance of the Entrance test followed by Interview. The test will be so designed to examine the research aptitude and grasp of the subject of the prospective candidates. At the time of interview, the candidates are expected to discuss and/or present their research interest / area. 5.0. APPLICATION COST The application forms can be obtained in person from the Director, Admission, PRIST University, Vallam, Thanjavur 613 403 on payment of Rs. 1,000/- by cash or DD (drawn in favour of PRIST University payable at Thanjavur) towards the application fee. The application form can also be obtained by post by sending a DD for Rs. 1,050/- (drawn in favour of PRIST UNIVERSITY, payable at Thanjavur) towards the application cost and postal charges along with the request letter containing correct postal address. Alternatively the application can be down loaded from the PRIST University website (www.prist.ac.in) and in this case a bank DD for Rs. 1,000/- should be enclosed in addition to a DD of Rs. 2,000/- for processing and registration. 6.0. REGISTRATION FEE The duly filled in application along with attested copies of the necessary certificates and a processing and registration fee of Rs.2,000/- (additional fee of Rs. 1,000/-, if the submitted application is the down loaded one from the website) in the form of DD drawn in favour of PRIST University, payable at Thanjavur should reach the Director, Centre for Research and Development, PRIST University, Vallam, Thanjavur – 613403.

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