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    Amrita School of Business: Amrita Nagar, Ettimadai, Coimbatore - 641 112, Tamilnadu, India

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    sanbin007
    This document is an application form for admission to the part-time Ph.D. program at Amrita School of Business. The 3-page form requests information such as the applicant's personal details, educational qualifications, work experience, research proposal, and reference letters. It includes fields for the applicant's name, gender, community, address, academic records from SSLC onwards, additional examinations passed, professional experience, proposed research area, and a list of documents to be enclosed along with the application. Upon completion, the form must be submitted to the Chairperson of the Ph.D. program along with a demand draft of Rs. 1000.

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    Amrita School of Business: Amrita Nagar, Ettimadai, Coimbatore - 641 112, Tamilnadu, India

    Uploaded by

    sanbin007
    17 views3 pages
    This document is an application form for admission to the part-time Ph.D. program at Amrita School of Business. The 3-page form requests information such as the applicant's personal details, educational qualifications, work experience, research proposal, and reference letters. It includes fields for the applicant's name, gender, community, address, academic records from SSLC onwards, additional examinations passed, professional experience, proposed research area, and a list of documents to be enclosed along with the application. Upon completion, the form must be submitted to the Chairperson of the Ph.D. program along with a demand draft of Rs. 1000.

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    ph-d-management-application-form 2013

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    This document is an application form for admission to the part-time Ph.D. program at Amrita School of Business. The 3-page form requests information such as the applicant's personal details, educational qualifications, work experience, research proposal, and reference letters. It includes fields for the applicant's name, gender, community, address, academic records from SSLC onwards, additional examinations passed, professional experience, proposed research area, and a list of documents to be enclosed along with the application. Upon completion, the form must be submitted to the Chairperson of the Ph.D. program along with a demand draft of Rs. 1000.

    Copyright:

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

    Amrita School of Business: Amrita Nagar, Ettimadai, Coimbatore - 641 112, Tamilnadu, India

    Uploaded by

    sanbin007
    This document is an application form for admission to the part-time Ph.D. program at Amrita School of Business. The 3-page form requests information such as the applicant's personal details, educational qualifications, work experience, research proposal, and reference letters. It includes fields for the applicant's name, gender, community, address, academic records from SSLC onwards, additional examinations passed, professional experience, proposed research area, and a list of documents to be enclosed along with the application. Upon completion, the form must be submitted to the Chairperson of the Ph.D. program along with a demand draft of Rs. 1000.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    AMRITA SCHOOL OF BUSINESS


    Amrita Nagar, Ettimadai, Coimbatore – 641 112, Tamilnadu, India.

    APPLICATION FORM FOR ADMISSION TO Ph.D. PROGRAMME (Part Time)


    (All columns to be filled only in CAPITAL LETTERS – enclose attested copies of certificates)

    1. Name of the candidate as given in the SSLC or equivalent certificate (leave blank space between name and initials)

    Gender Religion Community / Caste


    Male Female OC BC OBC MBC SC ST

    2. Father’s Name: _______________________________________________________________________

    3. Mother’s Name: ______________________________________________________________________

    4. Communication Address Permanent Address

    Pin Pin
    Phone: STD code - Phone: STD code -
    Mobile: Email:

    5. (a) Functional Area to which the applicant seeks admission (Marketing, Finance, HR, Operations, Economics etc.):

    (b) Statement of Purpose and a Brief Research Proposal: __________________________________________

    (Please enclose the Statement of Purpose and a Brief Research Proposal separately. The statement of purpose should
    clearly explain why you want to do a PhD in the area of Management. Brief research proposal should explain your
    proposed broad research topic and research questions if any)

    [1]
    6. Academic Record:
    Average % of marks.
    S Degree
    College University Year CGPA (on a 10 point
    No. Obtained
    scale)

    1.

    2.

    3.

    Note: If any degree (UG or PG) was obtained through correspondence course / distance education mode, please specify.

    7. Additional examinations passed if any (like ICAI/ICWAI/Company Secretaryship/UGC- JRF/ Lectureship/ CSIR/DAE etc.

    8. Professional experience (Teaching/ Research/ Industrial), if any:

    S Period
    Organization Designation & Nature of work
    No. From To

    1.

    2.

    3.

    9. Please enclose 3 letters of reference from persons you know professionally. List the Name, Designation and Affiliation
    of your referees.

    Name Designation Affiliation

    10. Personal Details.

    Blood Group: ________________________ Native Place: _____________________________

    Date of Birth: ________________________ Native District: _____________________________

    Marital Status: ________________________ Nationality: _____________________________

    [2]
    11. How did you come to know about Amrita School of Business?

    12. Why are you choosing Amrita School of Business for your doctoral research?

    13. List of documents to be enclosed. (Please send only the attested copies)
    1. SSLC or Equivalent Certificate.
    2. Plus two Certificate.
    3. Degree/ Provisional Certificate.
    4. Statement of marks for all the Semester/ Years.
    5. Certificate/Mark sheet of additional examinations in respect of serial no. 8.
    6. Transfer Certificate and Conduct Certificate from the Institution last attended.
    7. Certificate of Physical Fitness from a Registered Medical Practitioner not below the rank of Asst. Civil Surgeon.
    8. The Statement of Purpose

    DECLARATION
    I, _________________________________________ Son/ Daughter of ____________________________________ hereby
    declare that the particulars given by me in the application are true. I shall produce the original certificates at the time of
    admission or on demand. If, in future, any information is found to have been furnished falsely or incorrectly or any
    information suppressed to secure admission, I shall withdraw from the programme without any claim or consideration. I
    further state that I have read and understood the contents of the instructions and the brochure given with the application
    before filling the application.

    Place: Signature of the Applicant:


    Date: Name:

    The completed application together with the necessary enclosures should be submitted to:

    The Chairperson – Ph.D.


    Amrita School of Business
    Amrita Vishwa Vidyapeetham
    Amritanagar, Ettimadai,
    Coimbatore – 641 112.
    Phone: 0422 - 2685403

    along with a demand draft of Rs. 1000/- in favour of “Amrita Vishwa Vidyapeetham – Amrita School of Business”
    payable at Coimbatore.

    [3]

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