Guru Nanak Dev University, Amritsar

Serial No. Ph.D_______________
Form of *ENROLMENT/REGISTRATION for the Degree of Doctor of Philosophy in the Faculty of____
_______________________in the Subject of : (________________) as a Full Time or Part Time Candidate
1. a) Name (in Block Letters)__________________________________(Man/Woman)
b) Date of Birth___________________________________________________________________
c) Father's Name___________________________ d) Mother's Name_________________________
2. a) Present official address___________________________________________________________
_______________________________________________________________________________
b) Permanent Home Address_________________________________________________________
____________________________________________________________________________
c) Phone No.____________________________________________________________________
3. a) Institution in which employed_______________________________________________________
b) Post held _____________________________________________________________________
4. Registration No. of GNDU, Amritsar________________________________
5. Category (General or SC/ST) ____________________
(If the candidate belongs to SC/ST category, the SC/ST certificate must be attached along with form.)
6. Whether in receipt of any Fellowship/Scholarship (Yes/No.)____________________________________
7. Educational qualifications (from Matriculation/Higher Secondary onwards). Attach Attested Photocopies
a) Academic Career
University

Examination Passed

Year

Marks obtained/ Percentage
Total Marks
Division

Any other
information

b) Languages known (indicating formal qualification, if any)
i) ________________________________

ii) _________________________________

iii) ________________________________

iv) _________________________________

v) ________________________________

vi) _________________________________

*Note : The applicant must carefully read the ordinances and regulations before filling up the form.
Price Rs.: 200/-

c)

Any other information (e.g. published work, informal experience of research)
____________________________________________________________________________
____________________________________________________________________________

8. Name of the Department of the University/colleges/approved Centre, where research work will be carried
out _______________________________________________________________________________
9. Whether the research is to be done as FULL TIME/PART TIME ______________________________
10. Proposed area of research____________________________________________________________
_______________________________________________________________________________
(The title of the thesis written in an Indian Language, should also invariably carry its English version).
11. Outline of the research proposal in the Subject about 500 hundred words (attach separate sheets)
12. Bibliography (attached separate sheets)
Certified that all the material/information used for the preparation of Ph.D. synopsis is entirely my own
work and all ideas and references have been duly acknowledged. If any irregularity is found in this regard, I
shall be entirely responsible for the consequences.
I shall abide by the Ordinances and Regulations for the Degree of Doctor of Philosophy of Guru
Nanak Dev University which I have studied carefully.

Signature of the Candidate
Dated_____________

RECOMMENDATION OF THE SUPERVISOR/HEAD OF THE DEPARTMENT
I recommend the applicant for enrolment/registration for the degree of Doctor of Philosophy in the
Faculty of____________________________________________________________________________

Date_____________

Name in Capital Letters (
)
1. Signature of the Supervisor with Designation & Age proof

2. (i) Co-Sup. _______________________ (ii)
(If any)

Place _____________

3.

Co-Sup. _______________________________

Signature of the Head of Department
(with office stamp)

Date _____________
Note : Documents is to be attached alongwith form (See page 2 & 3 at Sr. No. 3 enrolment column in the
Ph.D. ordinances booklets).

FOR OFFICE USE ONLY
1. Date of recommendation by the Supervisor and deposit Registration Fee ______________________
2. Verification of Degrees :
University

3.
i)
ii)
iii)

Subject/Subjects

Marks/Division

Year

Roll No. Registered No.

Whether or not the applicant has paid Registration Fee elsewhere_______
___________________________________________________________
Enrolment Fee
i.e. Rs. : 500/Registration Fee
i.e. Rs. 500/- For University Teachers
Registration Fee
i.e. Rs. 3000/- For other candidates
Total_____________________

The applicant is eligible to supplicate for the Ph.D. in the Faculty of______________________________
_____________________________________________________He/She is required to submit his/her thesis
by_____________

D.R.G./A.R.G.

O.S.

Asstt.

D.O.

Note : The fees will be charged from the candidate as prescribed by the University from time to time.

BIODATA
(for approval as a Supervisor for Ph.D. Thesis)
Name & Designation____________________________________________________Age____________
Subject________________________________________Specializations____________________________
Address ____________________________________________________________________________
_______________________________________________________________________________

Academic Record :
Year

Division

Subject and/or Title of Thesis

University

M.A./M.Sc.
M.Phil.
Ph.D.
Publications pertaining to Pre-doctoral or Doctoral Research :

Post-doctoral Research Experience :
Attach upto date list of publications (giving title,
volume, number, date and pages in case of
journals and title, publisher, place and date of
Publication and number of Pages in case of Books
published). Indicate co-authors, if any.

Teaching Experience :
Year

Subject

Department

Undergraduate
Post-graduate
M.Phil.
Signature of Supervisor
To be forwarded by the Head of the Institute

Signature of the Head of Institution
(with Seal)

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