Application form for Entrance Test for Admission in Ph.D. Programme

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2 Rajiv Gandhi Proudyogiki ishwavidyalaya (University of Technology of Madhya Pradesh) Airport Bypass Road,Gandhi Nagar, Bhopal Phone: Fax: Website: Application form for Entrance Test for Admission in Ph.D. Programme Paste Recent Self attested Photograph Please read the Ordinance No.11 for Ph.D. and instructions given on the Portal before you fill up the form. Tick ( ) the relevant box wherever provided. Attach attested copies of certificates/mark sheet in support of following information. Branch/Subject: At Graduation At Post Graduation Faculty Applied for : Subject (As per Annex. A) Interdisciplinary (If yes, Name other Faculty) Subject (As per Annex. A) (Fill separate forms for each Department, In case of Interdisciplinary, form should be filled in main faculty only) Proposed Research Area (Board Area) (Enclose Brief description of proposed work In 50 words) (Attach Separate Sheet) Name (in capital) Father s/husband s Name Gender Male Female Date of Birth : Date Month Year Category : Gen SC ST OBC Mother s Name Address for Correspondence ID City State Tel No with STD Code Mobile No Permanent Address Tel No. with STD Code

3 Qualifying Exam (attach copy of Degree) Discipline Duration of Course (Years) Name of University /Institute Year of Passing CGPA/Marks obtained in qualifying degree Max Marks %age (M.Tech./M. Pharm/MCA/M.Sc./M.Arch.) GATE/NET/SLET/GPAT or any other equivalent Exam passed. Name of Exam Year of passing Marks obtained All India Rank Details of Marks Scored in Examination other than qualifying exam Qualification Specialization Univ./Inst. Year of Passing 10+2/Equivalent B.Sc. B.Tech./B.E. B.Pharm B.Arch. Any Other %Marks/CGPA Enclo. No. Experiences Organization Designation From To Enclo. No. Names and addresses of two references those are familiar with your academic background. Name Designation Address City Pin Tel no. ID Name Designation Address City Pin Tel no. ID

4 Payment Details: (Demand Draft of j 750/- in favor of Registrar RGPV payable at Bhopal Payment Details: (Demand Draft of j750/- in favor of Registrar RGPV payable at Bhopal) DD Number Bank Date Issued Branch Declaration a) I declare that all the information given by me in this application form is correct to the best of my knowledge and belief, and I understand that false of incomplete information would cause invalidation of the application. b) I shall abide by the decision of Rajiv Gandhi Proudyogiki Vishwavidyalaya, Bhopal in all matters pertaining to admissions in Ph.D. program. The decision on the university shall be final and binding on me. c) I shall abide by the rules and regulations of the university and research center. d) For all legal actions, suits and proceedings, the jurisdiction of court of law shall be deemed to lie exclusive at Bhopal. e) I have carefully read and understand ordinance 11 of the university for Ph.D. and I agreed to accept all terms, conditions and regulations. f) I shall abide by the rules & Regulation as per Ph.D. advertisement and subsequent notification if any. Candidate Signature of the N.B.:- All candidates applied for entrance test for the Ph.D. degree are requested to read carefully the ordinance for Doctor of Philosophy of RGPV and to follow the provisions of the same.

5 List of approved Research Centres of RGPV for PhD research work. S.No. Name of the Institute/Research Centre Institute Code No. 01. UIT-RGPV Bhopal School of Pharmaceutical Sciences-RGPV (UTD) School of Information Technology-RGPV (UTD) School of Energy & Environment Mgmt RGPV(UTD) 05. School of Biotechnology-RGPV (UTD) AMPRI Bhopal NITTTR Bhopal Jawaharlal Nehru Cancer Hospital & Research 0015 Centre, Bhopal 09. Regional Medical Research Centre for Tribals, 0017 (Indian Council of Medical Research) Nagpur Road, Jabalpur 10. SATI Vidisha Jabalpur Engineering College, Jabalpur Rewa Engineering College, Rewa IGEC Sagar Ujjain Engineering College, Ujjain SGSITS, Indore MITS, Gwalior CIPET (Central Institute of Plastics Engg. and Technology) Bhopal 18. MPCST (M.P. Council of Science & Technology Bhopal) Bhopal

6 List of Eligible & Registered Ph.D Supervisors, RGPV, Bhopal A. Faculty of Civil Engineering 1. Dr. (Prof.) J.S. Chouhan, Director, SATI Vidisha 2. Dr. Umesh Pendharkar, Prof. Department of Civil Engineering, UEC,Ujjain 3. Dr. (Prof.) Sudhir S. Bhadauria, Professor, UIT, RGPV, Bhopal. 4. Dr. S.S. Kushwah, Prof & Head,UIT-RGPV Bhopal 5. Dr. (Prof.) R.K. Shrivastava, Professor, Department of CE-AM, SGSITS Indore 6. Dr. U. B. Choubey, Professor, SGSITS,Indore 7. Dr. (Prof.) D.J. Killedar, Prof. & Head, SGSITS Indore 8. Dr. Vijay R. Rode, Dean (S.W.) & Prof. SGSITS Indore 9. Dr. (Prof.) A. K. Dubey, Professor, JEC Jabalpur. 10. Dr. H. K.Mishra, Department of Civil Engineering, JEC Jabalpur 11. Dr. H K Mahiyar, Professor, SGSITS Indore 12. Dr. Y.P. Joshi, Professor, DoEC., SATI Vidisha 13. Dr. Uttamasha Gupta, Prof., DoCE, SGSITS Indore 14. Dr. (Mrs.) Vandana Tare, Prof. CE & AMD, SGSITS Indore 15. Dr. S.M. Narulkar, Professor, SGSITS Indore 16. Dr. (Prof.) R. K. Khare, Professor, SGSITS Indore 17. Dr. (Prof.) A. K. Saxena, Professor, SATI Vidisha 18. Dr. Savita Maru, Prof. & Head, UEC Ujjain 19. Dr. Sarvesh Kumar Jain, Professor, DoCE, MITS, Gwalior 20. Dr. (Prof.) Saleem Akhtar, Professor, UIT-RGPV Bhopal 21. Dr. (Prof.) Rajiv Chandak, Professor, JEC Jabalpur 22. Dr. (Prof.) R.P. Tiwari, Professor, REC, Rewa 23. Dr. Ajay K. Gupta, Reader, DoCE., UEC Ujjain 24. Dr. (Prof.) M.K. Trivedi, Prof. Department of Civil Engineering, MITS Gwalior 25. Dr. (Prof.) R. Kansal, Prof. MITS, Gwalior 26. Dr. Rajesh Bhargava, Dy. Registrar (Acad.) RGPV Bhopal 27. Dr. Amit Vishwakarma, Assistant Prof., UIT-RGPV Bhopal 28. Dr. (Prof.) Rajesh Kumar Dixit, Professor, NITTTR, Bhopal.

7 29. Dr. O.P. Bhatia, Institute of Engineering & Sciences, IPS Academy, Indore B. Faculty of Mechanical Engineering. 1. Dr. (Prof.) Sunil Kumar Gupta, Honorable Vice-Chancellor, RGPV, Bhopal 2. Dr. R.S. Rajput, Director, UIT-RGPV Bhopal 3. Dr. Mukesh Pandey, Professor, Energy & Environment, UIT-RGPV Bhopal 4. Dr. Smita Mane Patil, Professor, SGSITS Indore 5. Dr. Lokesh Bajpai, Professor, SATI Vidisha 6. Dr. Manaklal Jain, Prof.SGSITS Indore 7. Dr. Pankaj Agrawal, Prof. SATI Vidisha 8. Dr. Alka Bani Agrawal, Professor, Deptt. of Mech. Engg., UIT-RGPV Bhopa 9. Dr. D.A. Hindoliya, Joint Controller, Professional Examination Board Bhopal 10. Dr. Alok Choubey, Professor DoME, OSD, AFRC, Bhopal 11. Dr. Sunil Punjabi, Assoc. Professor, DoME., UEC Ujjain 12. Dr. V.K. Sukhwani, DoME., UEC Ujjain 13. Dr. Manoj Kumar Gupta, Professor, DoME., UEC Ujjain 14. Dr. S.C. Solanki, Associ. Professor, DoME, UEC Ujjain 15. Dr. P.K. Shrivastava, Associate ProfessorDeptt. of Mechanical Engg., REC Rewa. 16. Dr. Pratesh Jayaswal, Associate Prof, DoME, MITS Gwalior 17. Dr. Girish Thakur, Professor, DoIPE, SGSITS Indore 18. Dr. Aseem Chandra Tiwari, Professor UIT-RGPV Bhopal 19. Dr. Anil Kothari, Prof. & HoD, (T&P) UIT-RGPV 20. Dr. Manoj Kumar Gour, Prof. & Head, DoME, MITS Gwalior 21. Dr. M.K. Pradhan, Associate Professor, MANIT, Bhopal 22. Dr. Prakash Verma, Professor, DoIP, JEC Jabalpur 23. Dr. Rajesh Agrawal Prof., DoAC, MITS Gwalior 24. Dr. Rajesh Purohit, Assoc. Professor, MANIT Bhopal 25. Dr. R.C.Gupta, DoIPE, SGSITS Indore 26. Dr. S.A.R. Hashmi, Scientist, AMPRI (RRL), Bhopal 27. Dr. S.R. Lapalikar, UEC Ujjain 28. Dr. SBL Beohar, JEC Jabalpur 29. Dr. Nitin Shrivastava, Assistant Professor, DoME, UIT-RGPV, Bhopal 30. Dr. Pankaj Jain, Asstt. Prof., SoEEM, RGPV Bhopal 31. Dr. Deepak Paliwal, HoD, S.V. Polytechnic, Bhopal 32. Dr. Sharad Pradhan, NITTTR, Bhopal 33. Dr. Nilesh Diwakar, Truba Institute Bhopal 34. Dr. Rajeev Arya, Truba Institute Bhopal 35. Dr. Rajesh Kumar, Reader, MITS Gwalior 36. Dr. Anshul Gangele, SGSITS Indore 37. Dr. K.C. Arora, Professor, MITS Gwalior 38. Dr. L. R. Gupta, MITS Gwalior

8 C. Faculty of Electrical Engineering. 1. Dr. Rakesh Saxena, Director & Professor, Do EE, SGSITS Indore 2. Dr. S.C.Choubey, Professor & Head, Deptt. of Electrical & Electronic, UIT-RGPV Bhopal 3. Dr. (Mrs), Laxmi Shrivastava, Professor, DoEE., MITS Gwalior 4. Dr. (Mrs), Manjaree Pandit, Professor, DoEE., MITS Gwalior 5. Dr. Arun Kumar Wadhwani, Prof.DoEE., MITS Gwalior 6. Dr. Shailja Shukla, Professor Deptt.of Electrical Engg., JEC Jabalpur 7. Dr. H.K.Verma, Prof. & Head DoEE, SGSITS Indore 8. Dr. Anil Kumar Sharma, DoEE, JEC Jabalpur 9. Dr. (Mrs.) Mridula Shrivastava, Prof. Deptt. of Electrical Engg. 10. Dr. V.S. Pande, Asso. Prof. Elec. Engg. UEC Ujjain 11. Dr. Seema Saxena, Assoc. Professor, DoEE, UIT-RGPV Bhopal 12. Dr. L.S. Titare, Deptt.of Electrical Engg., JEC Jabalpur 13. Dr. Sulochana Wadhwani, Associate Professor DoEE., MITS Gwalior 14. Dr. K.T. Chaturvedi, Assistant Professor, DoEE., UIT-RGPV Bhopal 15. Dr. L.D.Arya, Professor, DoEE., SGSITS Indore 16. Dr. Yogendra Kumar Jain, Professor, SATI Vidisha D. Faculty of Electronic Engineering. 1. Dr. P.D. Vyavahare, Professor & Head, Deptt.of EC, SGSITS Indore 2. Dr. Deepak Kumar Mishra, Professor & Head, Deptt.of EI., SGSITS Indore 3. Dr. P.K.Singhal, Professor, Deptt.of Electronics, MITS Gwalior 4. Dr. (Mrs.) Sarita Singh Bhadauria, Prof. & Head Deptt.of Electroncis, MITS Gwalior 5. Dr. Alok Jain, Prof. & Head, DoEC., SATI, Vidisha 6. Dr. Bhavana Jharia, Profesor, DoEC, JEC Jabalpur 7. Dr. Prashant P. Bansod, Assoc. Prof., SGSITS Indore 8. Dr. Rakesh Singhai, Prof., Deptt. of Electronics Engg., UIT-RGPV Bhopal 9. Dr. Vineeta Choudhary Assoc. Prof., UEC Ujjain 10. Dr. Vineeta Saxena (Nigam) Prof., Deptt. of Elex. UIT-RGPV Bhopal 11. Dr. Ashutosh Datar, Assoc. Prof., DoEI, SATI Vidisha 12. Dr. Anubhuti Khare, Professor, DoEC, UIT-RGPV Bhopal 13. Dr. S.N. Sharma, Reader, DoEI., SATI, Vidisha 14. Dr. Preeti D. Swamy, Associate Professor, DoEI., SATI Vidisha 15. Dr. Rekha Gupta, Asso. Prof., MITS Gwalior 16. Dr. R.S. Gamad, Assoc. Professor, SGSITS, Indore.

9 E. Faculty of Computer Science & Engg./Computer Application/ Information Technology. 1. Dr. Sanjay Silakari, Professor, DoCSE, UIT- RGPV Bhopal 2. Dr. Ravindra Patel, Prof. & Head, Deptt.of Compu. Appli., UIT-RGPV Bhopal 3. Dr. Sanjeev Sharma, Prof. & Head, School of Information Tech., RGPV Bhopal 4. Dr. Asmita A. Moghe, Professor, Deptt. of IT, UIT-RGPV, Bhopal 5. Dr. Roopam Gupta, Prof. & Head.,UIT, RGPV Bhopal 6. Dr. R.S. Jadon, Professor & Head, Deptt.of Compu. Appli., MITS Gwalior 7. Dr. Kanak Saxena, Professor, Department of Compu. Appli., SATI Vidisha 8. Dr. R.K. Gupta, Prof & Head, MITS Gwalior 9. Dr. (Mrs.) Sarita Singh Bhadauria, Prof. & Head Deptt.of Electroncis, MITS Gwalior 10. Dr. Mahesh Motwani, Prof. & Head Department of CSE, RGPV Bhopal 11. Dr. Urjita Thakkar, Professor, Deptt. of Computer Engg., SGSITS Indore 12. Dr. Sanjay Agrawal, Professor, NITTTR Bhopal 13. Dr. Shailendra Singh, Professor, Deptt. of Computer Engg. & Applications, NITTTR Bhopal 14. Dr. Sunita Verma, Professor & Head DoCTA, SGSITS Indore 15. Dr. Akhilesh Tiwari, Associate Professor, Do IT, MITS Gwalior 16. Dr. Kamlesh Kumar Gupta, Associate Professor & Head, Deptt. of CSE, RJIT Tekanpur 17. Dr. M. A. Rizvi, Associate Professor & HOD DoCSE, NITTTR Bhopal 18. Dr. Jitendra Agrawal, Assistant Professor, SOIT, RGPV Bhopal 19. Dr. Piyush Kumar Shukla, Assistant Professor, Deptt. Of CSE, UIT-RGPV, Bhopal 20. Dr. Sachin Goyal, Assistant Professor, Deptt. of IT, UIT-RGPV, Bhopal 21. Dr. Anjana Pandey, Assistant Professor, Deptt. of IT, UIT-RGPV, Bhopal 22. Dr. Nishchol Mishra, Assistant Professor, SOIT, RGPV Bhopal 23. Dr. Varsha Sharma, Assistant Professor, SOIT, RGPV Bhopal 24. Dr. Bhupendra Verma, Director, TIT, Bhopal 25. Dr. J.L. Rana, Group Director, RITS, Bhopal 26. Dr. Sanjeev Jain, Vice Chansellor, SMVD J&K (Co-supervisor) 27. Dr. Aruna Tiwari, Asso. Prof., DoCSE, IIT Indore (Co-supervisor) F. Faculty of Applied Chemistry 1. Dr. A.K.S. Bhadoria, Controller of Examinations,, PEB, Bhopal. 2. Dr. Anil Kumar Mishra, Prof. & Head of Applied Chemistry, UEC, Ujjain 3. Dr. Anil Kumar Singh, Controller Exam., RGPV Bhopal 4. Dr. Manju Singh, Head, Department of Applied Chemistry, UIT-RGPV, Bhopal 5. Dr. S. K. Shrivastava, Prof., Deptt. of Chemistry, JEC Jabalpur 6. Dr. Manoj Datar,Professor, SATI, Vidisha 7. Dr. P. Saxena, Professor DoAC, JEC Jabalpur 8. Dr. Rudra Narayan Shukla, Professor & Head, DoAC, SATI Vidisha

10 9. Dr. Manjul Shrivastava, UEC Ujjain 10. Dr. Anita Dutt Konar, UGC-asstt. Professor, Deptt. of Chemistry, UIT RGPV Bhopal G. Faculty of Applied Physics 1. Dr. Purnima Swarup Khare, Prof. & Head, DoP, UIT-RGPV Bhopal 2. Dr. Prerana Sharma, Reader, UEC Ujjain 3. Dr. Jyotsna Chauhan, Assistant Prof., Deptt. of Applied Physics H. Faculty of Applied Maths 1. Dr. S.K.Jain, Professor, Registrar, RGPV, Bhopal 2. Dr. S.S. Thakur, Director, JEC Jabalpur 3. Dr. Anil Goyal, Prof., Deptt. of Applied Maths UIT-RGPV Bhopal 4. Dr. Vijay Gupta Asso. Prof., & HoD, Deptt. of Mathematics, UIT-RGPV Bhopal 5. Dr. Shailesh Kumar Jaloree, Asso. Prof., DoAM, SATI, Vidisha 6. Dr. Tikam Singh, UEC, Ujjain 7. Dr. Vikas Shinde, Asst.Professor, MITS Gwalior 8. Dr. Rajendra Dubey, SATI Vidisha I. Faculty of Biotechnology 1. Dr. Archana Tiwari, Prof. & Head Deptt. of Biotechnology, RGPV Bhopal 2. Dr. R.N. Shukla, Prof. & Head, Deptt. of Applied Chemistry, SGSITS, Indore 3. Dr. Shriram Prasad, Associate Professor, Chemical Engg. Deptt. MITS Gwalior 4. Dr. Sunita Sharma, Associate Professor, DoBT, MITS Gwalior J. Faculty of Architecture 1. Dr. R.K. Pandit, Prof., MITS, Gwalior K. Faculty of Pharmacy 1. Dr. Deepti Jain, Professor & Head, SoPS, RGPV, Bhopal 2. Dr. T.R. Saini, Prof.SGSITS Indore 3. Dr. Meena Tiwari, Professor, SGSITS Indore 4. Dr. R.K. Maheshwari, Prof. & Head, SGSITS Indore 5. Dr. Neha Kawathekar, Asso. Prof.& Head, SGSITS Indore

11 L. Faculty of Chemical Engg. 1. Dr. J.K. Shrivastava, Prof. & Head Deptt. of Chemical Engg., UEC, Ujjain 2. Dr. Kanjan Upadhyay, Deptt. of Chemical Engg., UEC, Ujjain 3. Dr. A.K. Sharma, Reader Deptt. of Chemical Engg., UEC Ujjain K. Faculty of Energy Technology 1. Dr. (Prof.) Sunil Kumar Gupta, Honorable Vice-Chancellor, RGPV, Bhopal 2. Dr. R.S. Rajput,Professor & Director UIT-RGPV Bhopal 3. Dr. Mukesh Pandey, Professor, Energy & Environment, UIT-RGPV Bhopal 4. Dr. V.N. Bartaria, Prof. & Head Mechanical Engineering, LNCT, Bhopal 5. Dr. Nitin Shrivastava, Assistant Professor, UIT-RGPV Bhopal 6. Dr. Pankaj Jain, Assistant Professor SoE&EM, UTD, RGPV Bhopal