Application PHD 2020 PDF

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12/9/2020

VISVESVARAYA TECHNOLOGICAL UNIVERSITY "Paste ( do not pin ) passport size


BELAGAVI, KARNATAKA photograph in this space and get it
APPLICATION FORM FOR Ph.D./ M.Sc.(Engg) by Research a ested by Principal / Head of College /
University last a ended or a Gaze ed
Officer"

Applica on Form No: 13673

Program Applied for Program Type Faculty Applied for Registration Type
Ph.D Part Time Engineering Fresh Registration

Name of the Candidate Father's/Husband Name


PREETI AMARNATH CHADCHANKAR AMARNATH

Date of Birth Aadhar No: Gender Category Physically challenged Nationality


08, Aug 1989 483062917160 Female GM No Indian

Academic Qualifica on
Category Name of the Name of the University Specializa on Marks/Grade Year of Pass
Degree /Branch

FullTime BE Visvesvaraya Technological University, Belgaum Information Science & Engineering CGPA: 9.05 2012

FullTime ME Solapur University, Solapur Computer Science & Engineering CGPA: 8 2016

Department Test Center Region


Computer Science and Engineering Kalaburagi

Experience in years Number of achievments

Industry Teaching Research Research Papers Patents Awards


0 7 0 10 0 0

Applica on Processing Fee Details


Date of Birth Ref.No Date Bank

08, Aug 1989 DUC7802059 26, Feb 2020 State Bank of India

Enclose the attested photocopies of the following in the order specified below, before sending the application

1 Detailed Bio-data of the Candidate 6 In case the candidate is possessing degree from Foreign University, the Equivalence
Certificate issued by the Association of Indian Universities (AIU).

2 All degree Certificates and Marks cards of the Candidate. 7 Aadhaar Card (Photocopy)

3 Category certificate of candidates belonging to 8 Passport with Visa in the case of foreign candidates/ Research Supervisors.
SC/ST/Cat-I/ and any other as applicable.

4 Test Score Card along with Admission ticket in support 9 Medical Certificate in respect of disability claim.
of clearance of UGC-CSIR, JRF.

5 Certificates of years of experience and accomplishments

Declara on by the Candidate

I PREETI AMARNATH CHADCHANKAR hereby cer fy that all the informa on given by me are true to the best of my knowledge. In the event of any informa on being found
incorrect or misleading, my candidature shall be liable to cancella on by the University at any me and I shall not be en tled for refund of any fee paid by me to the University.
I have carefully studied the regula ons governing the degree of Doctor of Philosophy (Ph.D.)-Amended 2017.

Date SIGNATURE OF THE CANDIDATE

Visit www.vtu.ac.in for Recognized Research Centres, Fee Structure and Syllabus for VTU- ETR.

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