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TUMKUR UNIVERSITY

Tumkur
No. TU : ACC : Ph.D-Reg : 2010-11 Date : 13.05.2010

APPLICATION FOR Ph.D ENTRANCE EXAMINATION

1. Name in Full
(in capital letters) :

2. Date of Birth

3. Address for Communication


(With contact Phone No. / Mobile No.&
e-mail address, if any)
:

4. Sex : Male / Female : Nationality: Indian/Foreign

Category:
5. (Certificate to be enclosed) : GM / SC / ST / Cat-I / Others

6. Details of the degree examination passed

Sl Masters Degree Subject Studied University/ College Year of Percentage


No Passing
7. Area of Research (subject) & Faculty :

8. Institution in which the candidate proposes to work :

9. Whether the candidate is selected to work on FIP, QIP,


special funded reach project / Govt. sponsored foreign :
student (related documents to be enclosed)

10. Whether the candidate wishes to do research work on Part time / Full time
part time or regular full time (If part time original NOC :
from the employer has to be produced)

Amount:
11. Particulars of fee remitted to the University Fund
Bank:
(Enrolment fee)
:
Challan / DD.No
Date:

Place :
Date : Signature of the Candidate
CERTIFICATE BY THE GUIDE
I, Dr. / Prof. …………………………………………….. ….a recognized guide for Ph.D programme in
the subject of………………………..………………………………Under the faculty
of………………………………………………………………………….as per the communication
No ……………... …………… dated ………………… of the Registrar, Tumkur University,Tumkur. I
undertake the responsibility of guiding/ Mr./Ms./Mrs. …………………..……………………… for his /
her Ph.D degree in the proposed field of research. The particulars of candidates who are working for
Ph.D programme under my guidance are as follows:

Sl
Name of the candidate Registered for Name of the Institution Date of registration
No Ph.D programme

1.

2.

3.

4.

5.

6.

7.

Note: Name of the candidates who have been registered under a guide should be mentioned
compulsorily.

Signature of the Guide

RECOMMENDATION OF THE HEAD OF THE DEPARTMENT


The Department has adequate facilities for the conduct of research by
…………………………………under the guidance of……………… I recommend that the
candidate may be permitted to register for Ph.D degree.
Signature

Head of the Institution / Chairman of the


Department

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