APPLICATION FOR REGISTRATION FOR THE DEGREE OF DOCTOR OF PHILOSOPHY

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1 MADURAI KAMARAJ UNIVERSITY (University with Potential for Excellence) Palkalai Nagar, Madurai APPLICATION FOR REGISTRATION FOR THE DEGREE OF DOCTOR OF PHILOSOPHY (Ph.D.,) Candidate should sign at the top of the photograph Affix/Attested passport size photograph of the candidate FOR OFFICE USE ONLY Application No: Issue: Receipt: Cost of Application 1000/- Mode of payment : Only Through SBI Online Payment SBI Name of Branch of SBI Date SBI Reference Name of No Bank Branch Assistant Date Supdt. Regn. Fee: PG Candidate - Rs. 13,000/- M.Phil Candidate Rs. 10,000/- Mode of payment : Only Through SBI Online Name of Branch of SBI Date SBI Reference No Name of Bank Branch Date Name of the Applicant (IN BLOCK LETTERS) Mr. / Ms. Name of the Father / Husband / Guardian English Tamil Birth Nationality Date Month Year Place of Birth Religion Community Sex M / F Category OC/BC/MBC/SC/ST Address for Communication

2 Phone with STD For Contact Code Mobile No % of Marks & Educational Branch / University / Month & College Class / Grade / Qualification Subject year of Division passing UG PG M.Phil., Any other Higher Degree Designation If employed, present occupation Address Category of Research, (strike out whichever is not applicable) FULL TIME PART TIME Faculty (strike out whichever is not applicable) ARTS / SCIENCE/FINE ARTS / COMMERCE / BUSINESS ADMNINSTRATION / LINGUISTICS / EDUCATION Subject Specific area of Research, if any

3 Title of the proposed research work Name Particulars of the Guide / Supervisor Designation /Organization with address Name Particulars of the Co-guide if any Designation /Organization with address of the Candidate Name: To be filled by the Guide Guide Recognition Particulars* Number Date Birth Retirement

4 LIST OF CANDIDATES UNDER THE SUPERVISION OF THE GUIDE * Sl. Ph.D. Full Time / Part Time Name of the Candidate Registration Number of the Candidate Registration : of the Guide Place Name: Particulars regarding Admission FOR OFFICE USE ONLY Entrance Examination Admission in the Interview Registration *Self attested Photocopy of the Order issued by the University to be enclosed. *Professor - 8 Candidates *Associate Professor - 6 Candidates *Assistant Professor - 4 Candidates

5 Annexure: 1 Service-Cum No Objection Certificate (To be filled by the Employer) This is certify that Mr. / Ms. is working as in the Dept / Section of in our institution from to and he / she is interested to pursue Ph.D., Programme in Madurai Kamaraj University as Full-Time / Part-Time Research Scholar under the guidance of Dr. working as (Designation) in the (Department / Organization). We have no objection for his / her registration to pursue Ph.D., degree programme in Madurai Kamaraj University as Full-Time/ Part-Time Research Scholar. of the Employer Annexure: 2 Willingness Certificate of Guide (and Co-guide, if any) I am willing to guide Mr. / Ms. on his / her Ph.D research topic. (Co-guide, if any (Supervisor) with official seal

6 Annexure : 3 Certificate on Research Title This is to certify that the proposed research (Title) chosen by Mr. / Ms. for his / her research has not been done earlier for the award of Ph.D., degree in this University or any other University. (Supervisor) with official seal Annexure : 4 Certificate of One Year Full Time Research (applicable to Part-time candidates only) This is to certify that the candidate Mr. / Ms. will be given necessary facilities to do one year full-time research work in the Department of. Head of the

7 Sl. No. Particulars CHECK LIST Remarks Office use 1. Payment of Registration Fees Online SBI Receipt 2. Attested copies of (SSLC / 10 th STD and HSC / 12 th STD) Mark Sheets 3. Original Certificates of UG, PG and M.Phil., degrees Attested copies of UG, PG and M.Phil., degrees. Attested copy of any other Degree Attested copy of community certificate Attested copy of appointment order in project / scheme N.A 8. Original certificate of the results of the entrance test for admission 9. Certificate from the guide for interdisciplinary nature of the work / N.A 10. Willingness of the co-guide, if the work is inter- disciplinary /N.A. 11. Proposal of the research work 12. Attested copy of the Admission letter sent by the institution 13. Attested copy of joining report of the candidate in the Dept / School/ 14. Recognition certificate for PG and M.Phil., Degree (Obtained from other universities) 15. Photo copy of the Guideship recognition letter / certificate from the guide. Yes/ No *Original Certificates to be submitted along with the application for verification of the Candidate Note: The above application Form can be downloaded from and

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