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Application No:

SRI MANAKULA VINAYAGAR


ENGINEERING COLLEGE
(Approved by AICTE, New Delhi & Affiliated to Pondicherry University)
(Accredited by NAAC with "A" grade and NBA - AICTE, New Delhi)
(An Autonomous Institution)
Puducherry - 605 107

APPLICATION FORM
for Ph. D Admission 2022 -23

[To be filled by the Candidate]


Registration Fee Details Application Category
Mode of Payment Online Demand Draft Full time Part time (Internal) Part time (External)

Transaction Number / DD No.: Department

Date Amount (Rs.) Research Area

Instructions to the Candidate


 Read all the instructions carefully before filling the form
 Carefully select the category type in which you are eligible to apply Affix a recent
 Check the information entered by you in the application carefully, before submitting the form Passport Size Photo
 Submission and processing of the application do not guarantee admission. It is purely based on the availability of the (Self Attested)
seats in the order of merit. (Please refer to the college website for further instructions)
 All the necessary documents have to be attached along with this application form

1 Name of the Candidate

Father’s / Guardian’s / Husband’s Name

Date of Birth D D M M Y Y Y Y Age Gender Male Female


Years Months

2 Category GEN EWS OBC SC ST

3 Person with Disability (PwD)


(Person with disability of 40% and above) Yes No

4 Nationality

5 Address for Communication Permanent Address

Mobile No.: e-mail:


6 Qualifying Degree Particulars

UG PG

Name of the Degree

Branch / Specialization

*
Percentage of Marks / CGPA

Class

Name of the Institution

Name of the University

Year of Passing

* Write as ‘RA’ if results awaiting

7 GATE/NET/CSIR/UGC (if applicable)

Score & Rank, Percentile Discipline

Year of Passing Score Valid upto

8 Title of PG Project

9 Details of Publication in Referred Journals/ Proceedings of Conference (Please add separate copy of
the papers )

No. of papers published No. of papers presented / published


in Referred Journals in conference proceedings

10 Awards/ Prizes/Sports/NCC etc. (Please add separate sheet if required)


11 Details of Professional Experience

Duration
Name of the Institution / Industry Position Held
From To
(DD-MM-YYYY) (DD-MM-YYYY)

12 Research Proposal (Minimum 300 words, Maximum 500 words):

Separate sheet can be attached Yes No

I do hereby declare that the information given in this application are true and correct to the best of my
knowledge. If any of the particulars furnished above are found to be incorrect at the time of admission,
the admission will be cancelled.

Date:
Signature of the Applicant

CHECK LIST / ATTACHMENTS

Application fee– Transaction Receipt Yes No Not Applicable


Valid GATE/UGC/CSIR/NET Score card (if applicable) Yes No Not Applicable

Photograph – 2 nos. Yes No Not Applicable

SSLC & HSC, Diploma (if applicable) certificates Yes No Not Applicable

UG Semester wise grade sheets/mark sheets Yes No Not Applicable

PG semester wise grade sheets/mark sheets Yes No Not Applicable


UG Degree Certificate Yes No Not Applicable
PG Degree Certificate/Provisional Certificate Yes No Not Applicable

OBC/SC/ST/EWS and PwD Certificates (if applicable) Yes No Not Applicable

Experience Certificate (If applicable) Yes No Not Applicable

No Objection Certificate (NOC) (If applicable) Yes No Not Applicable


Journals / Conference papers (if applicable) Yes No Not Applicable
Awards/Prizes/Sports/NCC (if applicable) Yes No Not Applicable

Signature of the Applicant


FOR OFFICE USE ONLY

Application No:

Registration Fee Details Application Category


Mode of Payment Online Demand Draft Full time Part time (Internal) Part time (External)

Transaction Number / DD No.: Department

Date Amount (Rs.) Research Area

All the Supporting documents are attached Yes No

Status of Application Approved Not Approved

If the Application is not approved, then provide the reason for rejection

Name of the Verifying officer


Signature
Designation Department

SRI MANAKULA VINAYAGAR


ENGINEERING COLLEGE
(An Autonomous Institution)
Puducherry - 605 107

ADMIT CARD Affix a recent


Passport Size Photo
Ph. D ENTRANCE EXAMINATION 2022 - 23 (Self Attested)

Name of the Candidate

Department Signature of the Candidate

OFFICE USE ONLY

Register Number Date Time

Seal
Signature Signature
Controller of Examinations Head of the Institution

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