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SEPTEMBER 2012.

MANONMANIAM SUNDARANAR UNIVERSITY Tirunelveli, Tamil Nadu, India Application for Registration in Ph.D Programme Instructions to Candidate
1. 2. Candidate should submit the application form (Section A & B) in duplicate duly filled in along with all documents required, and send it to the Research Co-Ordinator, Manonmaniam Sundaranar University, on or before _____________. Fee once paid will not be refunded under any circumstances.

Section A

For Office Use Only Registration No: Research Centre: Date of Commencement of Research: Name of Research Guide: Code No: Name Of Co-Guide: Code No: Date of Entrance Examination Date of Interview Start Filling Form From Here (Tick wherever applicable) o Full Time o Part Time Internal o Part Time External (Category A) (Category B1) Category B2 1 2 Discipline Research Centre Mr. / Ms 3 Name of the Applicant (in BLOCK letters) In Tamil Fathers/Husbands Name Age & Date of Birth (as in SSLC) Sex Nationality Community Mother Tongue Are you Physically/Visually Challenged? Permanent Address jpU / nry;tp / jpUkjp

PHOTO Should be attested by the HOD / Head of the Research Centre

4 5 6 8 10 12 13 14 16

DD|MM|YYYY
Male / Female / others OC/BC/MBC/SC/ST Yes / No

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Age Place of Birth Religion If Yes, please explain the nature of disability (Certificate should be enclosed) Address for Communication

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Pin Code 18 19 20 Phone No Mobile No e-mail id

Pin Code

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Exam Passed Under Graduate Degree:_______ Duration:_____Yrs Post Graduate Degree:_______ Duration_____ Yrs Master of Philosophy Duration :_____Yrs

Subject (s)

Academic Record Year of Institution Passing (College & University)

Class

% of Marks

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Title of M. Phil Dissertation Have you passed UGC/CSIR (JRF)/SLET/GATE Exams(If Yes, attach attested Photocopy of Yes / No relevant document/Certificate should be enclosed) Are you a Teacher Fellowship holder (If Yes, attach attested Photocopy of relevant Yes / No communication) Professional / Teaching / Research Experience Designation Institution Duration Total Period Particulars of From To Year Month work done

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Faculty in which you desire to pursue Research Area of research Topic / Title

Details of Proposed Research Arts (Social Science) / Science/Law/Engineering and Technology / Education / Commerce / Indian and other Languages / Fine Arts (including Aesthetics and Sports)

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State whether the field of your research is Interdisciplinary : If Yes, Mention the Disciplines Involved Name, Designation and Address of the Supervisor who is willing to guide you for your Ph. D programme Name, Designation and Address of the Co Guide, if any

Yes / No

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30

31 1 2 3 4 5 6 7 8 9 10 11 12 13 14 * 15 *

State whether you have already registered for Ph. D Degree in any other University Yes / No (If Yes, Please provide details Reasons for Discontinuance) Enclosures (Please Tick) Attested photocopy of P.G. Degree Certificate. (Convocation Certificate) Attested photocopy of M.Phil Degree Certificate. (Convocation Certificate) Attested photocopy of Certificate/document for having passed UGC/CSIR (JRF)/SLET/GATE Exam. Attested photocopy of the communication issued for granting Teacher Fellowship. A brief resume (of about 500 words) of the proposed Research Work. Recognition Certificate obtained from the Controller of Examination, Manonmaniam Sundaranar University (for the degrees obtained from other University Candidates). Service Certificate from the Employer (certificate should be issued by the competent authority) No Objection certificate from the Employer (issued by the present employer) Attested photocopy of Guideship Recognition Orders of this University The Declaration Certificate (Format given in Page No.5) from the Head of Research Centre Attested Photocopy of the Medical Certificate for the Persons with Disabilities The consent letter from proposed Guide for registering the applicant under his/her Guidance in the vacancy, furnishing details of candidates so far registered under his/her Guidance. A Letter of confirmation from the Proposed Guide that he/she is registering the Candidate only in the vacancy, without exceeding the maximum limit stipulated for registration of candidates, under his/her Guidance. Demand Amount: D.D No: Dt: Name of the Bank: Branch: Draft for cost of Application Demand Amount: D.D. No: Dt: Name of the Bank: Branch: Draft for registration fee 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. I also abide the rules and regulations of the Ph.D programme of Manonmaniam Sundaranar University then and there, which will be uploaded in the University website: www.msuniv.ac.in I am aware that the University Grants Commission (UGC) has fixed 55% of marks as the minimum eligibility for appointment as Lecturer in Colleges and Universities.

Date: Place:

Signature of the candidate

Note: Details of Fees * 1. Fees to be paid by applicants joining under any category other than B2 Cost of Application Fee Cost of Registration Fee : : Rs. 500/Rs. 1000/-

2. Fees to be paid by applicants joining under category B2 Cost of Application Fee : Rs. 1000/-

Cost of Registration Fee

Rs. 2000/Section - B

This Section - B is to be filled without fail Details of the Candidates under the Guide (To be filled by the Guide) UNDER DIRECT SUPERVISION
The following are the details about the research scholars who are pursuing research presently under my guidance and have not yet submitted their theses: P

Sl. Full Time/ Date of Registration Name of the candidate* No. Part Time Registration Number 1 2 3 4 5 6 7 8 * The names of only the candidates under the direct guidance of the guide should only be given

Signature of the Guide With Seal

UNDER CO-SUPERVISION Details of the Candidates under the Guide


The following are the details about the research scholars who are pursuing research presently under my co guidance and have not yet submitted their theses:

Sl. No. 1 2 3 4 5 6 7 8

Name of the candidate **

Full Time/ Part Time

Date of Registration

Registration Number

** The names of the candidates under the Co-Guidance of the guide who as Co Guide to them, serves should only be given.

Signature of the Co-Guide With Seal

CERTIFICATE TO BE FURNISHED BY THE GUIDE

I,

______________________________working

as

__________________________

in

_____________________agree to serve as Guide for Mr. /Ms__________________________ for his/her Part-time External Ph. D Research Programme. His / Her subject area / will be _______________________________________.

I have been recognized as a Guide by the Manonmaniam Sundaranar University for guiding research work of (Vide candidates MSU leading to Ph.D Degree in . Communication No.______________________-

dated_________________) and my Date of Retirement is __________________.

Signature of the Supervisor With Seal

Format of the DECLARATION CERTIFICATE I / We do, hereby declare that the proposed topic, ___________________________________ ____________________________________________________________________________ __________________________________has not been done earlier for the award of Ph. D Degree in this University or any other University.

Signature of the Supervisor With Seal

CERTIFICATE

This is to certify that Thiru / Tmt. / Selvi ___________________________________ is permitted to register for Ph.D. Full Time / Part Time Internal/Part Time External 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 Head of University Department With Office Seal

Signature of the Principal with Office Seal

Signature of the Head of the Research Centre With office Seal