Application For Supervisor

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BHARATHIAR UNIVERSITY, COIMBATORE 641 046

Established by Tamilnadu State Legislature under the


Bharathiar University Act 1981 (Tamilnadu Act 1 of 1982)
Accredited with A Grade by NAAC
Phone: +91 422 2422222 Fax: +91 422 2425706
Website: www.b-u.ac.in

PART TIME Ph.D. (Category-B)


Application for Registration as RESEARCH SUPERVISOR
* Payment of fees. Amount: Rs. ______
DD No: ___________ Date

D M Y
1. Name of the Research Supervisor :
2. Designation :
D M Y
3. Age Date of Male Female
Birth:

4. Name and Address of the Institution where :


the Research Supervisor is working

Y M D M Y
5. Years of service still
having till Retirement : Date of
Retirement:

6. University which has approved as :


Research Supervisor for Ph.D.
and Address of the University

7. No. and date of approval as Research :


Supervisor by the respective University
(Copy of the certificate has to be attached)
8. Broad discipline (recognized for :
research guidance)
Specialization :

9. Educational :
Qualifications: UG Degree onwards

* Application fee is Rs.100/-. The DD must be taken in a scheduled bank in favour Registrar,
Bharathiar University payable at Coimbatore. The DD should be submitted along with the Application form.
Degree Subject Institution / University From To Marks /
Class / Rank
UG

PG

M.Phil

Ph.D.

Copies of PG, M.Phil and Ph.D. degrees and mark sheets should be attached
10. No of candidates under his / her guidance :
a. Completed Ph.D. :

b. Working :

11. a. No of Publications with :


first or second author in
Citation Indexed Journals
(List must be attached)
b. No of other publications :
(List may be attached
limited to two pages)
12. (A) Teaching Experience :

(B) Research Experience :

SI. Position Institution / University From To Period


No

13. a. Whether facilities are available for Ph.D. :


research in the institute where the
Research Supervisor is working
b. if not which facility, the candidate :
proposes to utilize

14. Any other relevant information :

DECLARATION
I _________________________________ (M / F) aged_________, S/O, D/O, W/O, H/O
_________________________ certify that the particulars given above are true to the best of my
knowledge and belief. I will abide by the rules and regulations of the Part Time Ph.D.
Category-B
Place : Signature :
Date : Name :
Address for Communication

Phone: Land Line: Mobile:


(including code) E Mail:

Certificates to be enclosed:
1. Copies of the PG, M.Phil and Ph.D. mark and degree certificates
2. A copy of the letter of approval / recognition as a Research Supervisor for Ph.D.
Degree from a recognized University / Research Institution.
3. No objection Certificate from the Institution (where the supervisor is working) for
registering and guiding students for Ph.D. degree under the Part Time Ph.D.
Category-B Bharathiar University, Coimbatore.
(Not Compulsory)
4. Certificate for Date of Birth if retired
5. List of Publications

* Application should reach the


The Director
Research and Development Centre
Bharathiar University, Coimbatore
Tamilnadu, India. Pin 641 046

* Envelopes may be superscribed as


Application for Registration as Research Supervisor
Note:
There is no last date for application. It is a continuous process.
For eligibility conditions and further information, see http: //www.b-u.ac.in

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