APPENDIX ‘A’-(Revised)

APPLICATION FOR ADMISSION FOR THE DEGREE OF

DOCTOR OF PHILOSOPHY (PH.D.)

APPLICATION FOR: LAW / INTER-DISCIPLINARY (Strike out whichever is not applicable)

To,

THE DIRECTOR Mobile No…………………………..

Research, Publication and Academic Affairs E-Mail………………………………
The Tamil Nadu Dr.Ambedkar Law University
Perungudi Campus, (Near Taramani Railway Station)
Chennai – 600 113.

Dear Sir/Madam,

I hereby apply for admission to the Ph.D. Degree. I state that I have not been admitted
as a student for this or any other Degree in this or any other University. The required details
about myself are as follows:

1. Name in full (in Capital Letters) :

2.Date of Birth : D D M M Y Y Y Y

3.Gender : Male/Female/Transgender
(Strike out whichever is
not applicable)

4. Nationality :_________________________________
5. Permanent Address :

6. Present (Local) Address :

7. I belong to the category mentioned below:

(Please Tick the appropriate box and attach self attested caste certificate)
* *
*
Open MBC MBC/
SC SC (A) ST MBC BC(O) BC(M)
Category (V) DNC

*As per the Tamilnadu G.O.No.144 dated 21 st

February, 2021

8. Present Occupation/Employment :
(Give Name and Address of the Employer)

a. Particulars of Degrees previously obtained (attach self attested copies of statement of

marks and certificates):

Percentage/
Year of Subjects
Degree University Class/Grade Grade/
Passing offered
Points

Bachelor’s
Degree

Master’s
Degree

M/Phill.
Degree

NET/
TNSET/
JRF
b. Particulars of Publications:

Book/ Name of the ISBN/ISSN Publisher, Place

Title of the and
Paper Journal
Year of Publication
1.

2.

3.

c. Details of Teaching Experience:

Name of the College Subject(s) Taught Year(s)

d. Details of professional experience, if any (Attach necessary Certificates) :

(i) Nature of Professional Experience :________________________________

(ii) The Institute where Professional

experience was gained : _______________________________
(iii) Period of Professional experience : ________________________________

e. (i) Title of M. Phil. Dissertation,

if applicable :_________________________________
(ii) Is the Proposed topic of Doctoral Research related to or an expansion of the
M. Phil.Dissertation? : Yes / No
 All the particulars given above are true to the best of my knowledge. I have read the
Prospectus for the Degree of Doctor of Philosophy (Ph.D.) 2021-2022 and I undertake to
abide by them. Once duly selected, I also undertake to regularly report at the Place of
Research unless otherwise permitted by the Head, Place of Research on the
recommendation of the Research Guide.

Fee Details:

A.
1. Bank._______
2. Branch.______
3. DD No.________
4. DD Amount & Date.______&_______

OR

B. Attach the Copy of Online Payment Receipt

Thanking you

Yours Sincerely,

Signature
(Applicant)
Date :
Place :