FACULTY NO, DATE OF SUBMISSION.....
ALIGARH MUSLIM UNIVERSITY, ALIGARH
APPLICATION FORM FOR SUBMISSION OF
M. Phil Dissertation/Ph.D. Thesis poe
Note :- Certifying authority is requested to ensure that the Photograph of
candidate concemed has completed all entries ‘the candidate
ts duly attested
‘The Controller of Examinations by the
Agu Maslin Univesty cae
Sir,
{requested for permission to submit the thesis fr the Degree of Doctor of Philosophy in.
am enclosing herewith FOUR/(FIVE if Co-supervisor is assigned) copies of my thesis on the topic (Block Lette):
{also submit: (i)4/5 copies of brief abstract ofthe said thesis and (i) original paper(s) published by meon the subject as
perClause 8, Chapter XXV of the Ordinances (Academic).
The prescribed fee ofRs.__hasbeen deposited vide Cash Receipt NO... 48404 snatched).
Your faithfully,
(Full signature of the candidate)
CERTIFICATE
Certificates tobe signed by the Provost of Hall, Chairman of the Department and the Dean of Faculty concerned.
It s certified thatthe above candidate has attended the prescribed course of study for the award of the Ph.D.
Degree under the supervision of. and Co- epee), _
‘The candidate, admitted to Ph.D. course inthe Department on. has completed two years
residency period with required percentage of attendance upt (mention month and year)
There is nothing against the candidate which ought to debar him/her from the award of the sid degree. he its
cleared Hall and other oustanding dues ofthe University
Signature of Provost of Hall Signature of Chairman of the Department
(With Seal) (With Seal)
Dated sensor Dated enone
1. Itiscertfied that the application sin conformity withthe relevant rules,
2, The candidate was provisionally admitted to Ph.D. programme 09 ss. sono BY the CASR
82 enn Vie AdMisSiON NO... CORY OF admission sip enclosed).
3. ‘The examiners have been approved by the CASR held on -fby the Vice-Chancellor on behalf of
CASR. (RefNo. dated )
4 Ifthe candidate was exempted from regular attendance at Aligarh by the CASR., mention the period and reasons
thereof... v= (enclose a
copy ofthe permission ofthe CASR)
5. Ifthe thesisis being supplicatedasateacher candidate in accordance with Clause 7, Chapter XXV of the Ordinances
(Academie), mention item No.and date of CASR. (caclose acopy ofthe permission of the CASR)
‘Signature of Dean of the Faculty
With Seal