Annexure I & II (DCM3205) - Version 02

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ANNEXURE I

SUBMISSION OF DISSERTATION / PROJECT SYNOPSIS AND GUIDE ACCEPTANCE FORM


(To be submitted to the Project Steering Committee)
PART A: Synopsis Registration
I. Student Details:
1. Name of the Program:
2. Name of the Student:
3. Roll Number:
4. Session & Year:
5. Domain:
II. Dissertation Details
6. Title of the Dissertation: (Not more than 20 words)
7. Introduction and Review of Literature: (Not more than 500 words)
8. Objectives of the Study: (Not more than 200 words)
9. Research Methodology and References: (Not more than 500 words)
III. Guide Details:
10. Name of Proposed Guide:
11. Guide Registration No. (If available):
12. Designation:
13. Affiliation:
14. Qualification:
15. Total Experience:
16. Communication Address:
17. Contact No.:
18. E-mail ID:
PART – B: Guide Acceptance

I, Dr./Mr./Mrs. __________________ with working as hereby confirm my willingness to


guide Mr./ Ms. Reg No. ______________for the topic (title of the project) during the
period ______ (month/year) to (month/year).
Place:
Date: (Signature of the Guide)
(Note: A Guide needs to get registered with the University if he/ she is guiding a MUJDOE
project for the first time. Guide Registration form can be downloaded from the LMS
portal)

DECLARATION
I hereby declare that this project synopsis is an original work carried by me and has not
been/will not be submitted to any other University for fulfilment of any course of study.

Place:
Date:

(*Filled in application forms to be signed by both student and the Guide. Forms must be
scanned in either .pdf/.doc format and submitted through the LMS student’s Login. For
uploading, please refer section 2.1.3 of this document)

(Signature of the Student)


ANNEXURE II
DISSERTATION / PROJECT GUIDE REGISTRATION FORM
(To be submitted to the Project Steering Committee)

1. Name:
2. Date of Birth:
3. Present Employer: Affix Your Latest Photo
4. Designation:
5. Contact Details:
i) Residential Address:
ii) Office Address:
iii) All communications to be sent to: Residential/ Official address (tick anyone)
iv) Contact No.:
v) E-mail id:
10. Education Qualification (start with highest qualification): (Please attach photocopies of
degree certificates)
S. No. Name of Specialization Year of Institution/University Class
the Degree Passing Obtained

11. Area of Specialization/Interest:


12. Total yrs. of Experience: (Please attach photocopies of Experience letters/ LinkedIn
profile link)
S.No. Name of the organization Designation From To

I hereby declare that the information provided by me is true. I agree with the rules and
regulations given by the University.
Signature (Proposed Guide)
(FOR OFFICE USE)

Following details have been verified


Details Yes No
Sl. No
1 Qualification
2 Experience
3 PAN Card (in case of Domestic Guide)
4 Passport (in case of Foreign Guide)
5 Approved for Department / Specialization

Signature Signature
(Faculty in-charge) (Project Steering Committee)
(Note: Filled in Registration forms must be scanned in either .pdf / .doc format and
submitted along with credentials (Scanned copy of Degree Certificates, PAN Card (for
Domestic Guide), Passport (for Foreign Guide) and Experience Certificates of the proposed
guide) on LMS portal- link).

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