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    SRM University: Application Form - Ph. D

    Uploaded by

    Vinod Baser
    This document is an application form for the Ph.D. program at SRM University. It requests information such as personal details, educational background, research area of interest, publications, and employment history from prospective Ph.D. candidates. Applicants must also submit a demand draft for Rs. 750 along with the completed form to the Director of Research at SRM University in order to be considered for admission.

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    SRM University: Application Form - Ph. D

    Uploaded by

    Vinod Baser
    81 views3 pages
    This document is an application form for the Ph.D. program at SRM University. It requests information such as personal details, educational background, research area of interest, publications, and employment history from prospective Ph.D. candidates. Applicants must also submit a demand draft for Rs. 750 along with the completed form to the Director of Research at SRM University in order to be considered for admission.

    Original Description:

    Phd application for utarkhand univesity

    Original Title

    Phd Application

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    This document is an application form for the Ph.D. program at SRM University. It requests information such as personal details, educational background, research area of interest, publications, and employment history from prospective Ph.D. candidates. Applicants must also submit a demand draft for Rs. 750 along with the completed form to the Director of Research at SRM University in order to be considered for admission.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    81 views3 pages

    SRM University: Application Form - Ph. D

    Uploaded by

    Vinod Baser
    This document is an application form for the Ph.D. program at SRM University. It requests information such as personal details, educational background, research area of interest, publications, and employment history from prospective Ph.D. candidates. Applicants must also submit a demand draft for Rs. 750 along with the completed form to the Director of Research at SRM University in order to be considered for admission.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    SRM UNIVERSITY

    (Under Section 3 of UGC Act 1956)

    Directorate of Research & Virtual Education,


    SRM Nagar, Kattankulathur, Kanchipuram District - 603 203.
    Ph. 044 - 27417141, 27455698, 27417142 Fax : 27456702
    APPLICATION FORM Ph. D
    Bank Demand Draft No. Dated : ..
    for Rs. 750/Affix Latest Passport
    Size Photograph

    Name of the Bank :


    The Demand draft drawn in favour of SRM Institute of Science and Technology,
    payable at Chennai, should be sent to The Director (Research),
    SRM Nagar,
    Kattankulathur - Pin 603 203, Kanchipuram District, Tamil Nadu , India.

    1. Name

    2. Sex

    3. Address
    a) Official (with Designation)

    Male

    Female

    Phone
    b) Residential

    Phone
    4. Email Id

    5. Date of Birth

    :
    D

    Age completed

    Years

    6. Nationality

    OC

    OBC

    BC

    MBC

    SC

    ST

    7. Social Status

    8. Ph.D Programme Selected

    Regular

    MS Linked

    9. Category

    Full Time

    Part Time (Internal)

    Part Time (External) :

    College
    Industrial/ Research Organization

    10. Whether Employed

    Name and Address of the Employee

    Salary received / Month

    Yes

    No

    (If Yes, specify the following)

    11. Academic Background (Start with latest Degree Obtained)


    Sl.No

    Year of
    Passing

    Degree / Diploma

    University

    Major Discipline

    Percentage

    Note : Enclose Copies of Degree / Diploma Certificates.


    12. Professional Experience (Start from the present employer)
    Organization

    From

    Period

    To

    Designation

    Total Salary /
    Month

    Nature of Job

    13. Publications, if any (Books / Research Papers) :


    Sl.No.

    Title

    Name of the Journal / Conference / Published in the case books

    14. Major Area of Ph.D. Research

    15. Tentative topic, if identified for research


    (Attach one-page write up on the topic
    identified)

    16. Department in which the candidate


    proposes to register

    17. Name, Designation and address of the


    Research Coordinator(Outside the University)
    (For part-time (External) candidates only

    Year

    Note : Part-time (External) candidates shall have a Supervisor at SRM University and in addition, shall have a Research Coordinator at the
    Organization in which they are working.

    18. If the resources persons, available at the concerned


    department in SRM University are known, the choice of
    preference of the Supervisor* (tentative) shall be
    :
    indicated (*Supervisor will be fixed by the Research
    Coordinating Committee)
    19. DECLARATION OF THE CANDIDATE :
    This is to certify that the particulars given above are true, correct and complete to the best of my knowledge and
    belief.

    Place :
    Date :

    Signature of the Candidate

    Note : The completed Application form should be submitted to The Director (Research),SRM Nagar, Kattankulathur Campus, Potheri,
    Kanchipuram District, Pin 603 203. on or before 31st March / 30th September.

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