SRM INSTITUTE OF SCIENCE AND TECHNOLOGY

(Deemed to be University U/s 3 of UGC Act, 1956)

Affix your recent
colour passport
OFFICE OF THE CONTROLLER OF EXAMINATIONS size photograph
(3.5cm x 3.4cm)
APPLICATION FOR ADMISSION TO CONVOCATION
(For Ph.D candidates only)

Name of the research scholar

(BLOCK Letters as in UG / PG
Degree)
Registration Number FT / PT :
Sex Male Female

Duration of the Course

Date of Birth (DD–MM–YYYY)

Subject / Specialization
Permanent address

PhoneNo :

Mobile No :

E-Mail ID :
Name of the Supervisor(s)

Name of the Faculty

Date of Viva – Voce
In Person
Whether the Candidate desires to
obtain the degree In Absentia

Whether the recent passport size Yes / No

photographis affixed
Whether the hard bound copy of the
thesis submitted -(After making the
necessary corrections in the thesis as One Yes / No
suggested by the external examiners
and oral examination board)
Whether the soft copy of the thesis
2 No’s (DVD or CD) Yes / No
submitted - (in PDF format)
Note: Application forms will not be accepted under any circumstances if colour photo is not affixed
(Two photographs should be submitted along with the form in that, one should be affixed).

Date: SIGNATURE OF THE SCHOLAR

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