Scribd Logo
Upload

Welcome to Scribd!

  • 31 views

    PH.D Appln - Form

    Uploaded by

    Siva Jaganathan
    This document is an application form for admission to the Ph.D. program in engineering at Amrita Vishwa Vidyapeetham University. It requests information such as personal details, academic records, research proposal details, reference letters, and a list of documents to submit. The completed application along with necessary enclosures and a demand draft for Rs. 600 should be submitted to the specified campus chair.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd

    PH.D Appln - Form

    Uploaded by

    Siva Jaganathan
    31 views3 pages
    This document is an application form for admission to the Ph.D. program in engineering at Amrita Vishwa Vidyapeetham University. It requests information such as personal details, academic records, research proposal details, reference letters, and a list of documents to submit. The completed application along with necessary enclosures and a demand draft for Rs. 600 should be submitted to the specified campus chair.

    Original Description:

    ph.d form amirta univ

    Original Title

    Ph.D Appln.form

    Copyright

    © © All Rights Reserved

    Available Formats

    DOC, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This document is an application form for admission to the Ph.D. program in engineering at Amrita Vishwa Vidyapeetham University. It requests information such as personal details, academic records, research proposal details, reference letters, and a list of documents to submit. The completed application along with necessary enclosures and a demand draft for Rs. 600 should be submitted to the specified campus chair.

    Copyright:

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

    PH.D Appln - Form

    Uploaded by

    Siva Jaganathan
    This document is an application form for admission to the Ph.D. program in engineering at Amrita Vishwa Vidyapeetham University. It requests information such as personal details, academic records, research proposal details, reference letters, and a list of documents to submit. The completed application along with necessary enclosures and a demand draft for Rs. 600 should be submitted to the specified campus chair.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 3

    AMRITA

    VISHWA VIDYAPEETHAM
    U

    Established

    u/s

    R
    of

    S
    UGC

    Affix latest
    Passport size
    Colour
    Photograph

    Act, 1956

    Amritanagar P.O., Coimbatore 641 112, Tamil Nadu, INDIA

    APPLICATION FORM FOR ADMISSION TO Ph.D. PROGRAMME IN ENGINEERING


    (All columns to be filled only in CAPITAL LETTERS)
    1. Name of the candidate as given in the Academic record (leave blank space between name and initials)

    2.
    Gender: Male / Female/ Transgender
    3.

    Contact Details:
    (a) Address for communication:
    (b) Permanent address:

    PIN Code:
    PIN Code:
    Phone No.
    (STD Code)
    E-mail ID:
    4. Admission Details:
    (a) Department in which the candidate proposes to register for Ph.D:
    (b) Area of Research: ______________________________________________________________________
    (c) Tentative Title of proposed Research:
    (Please enclose a one page write-up about your proposal)
    (d) Preferred Campus: Amritapuri / Bangalore / Coimbatore
    (e) Category of Admission: Full time/ Part-time
    (f) Name of the proposed Thesis Advisor (within Amrita), if any:
    5. Academic record

    S.No.

    Degree
    obtained

    Area of specialization

    Year of
    Passing

    University

    Percentage of
    marks / CGPA (on
    a 10 point scale)

    1
    2
    3
    4
    Note: If any degree (UG or PG) was obtained through correspondence course / distance education mode,
    please specify.
    6. Publications, if any (please enclose copies):
    7. Additional examinations passed if any (like GATE/ GRE/ CAT/ UGC- JRF/ Lectureship/ CSIR/ DAE).
    8. Professional experience (Teaching / Research / Industrial), if any:
    Period
    S.No.
    Organization
    From
    To

    Designation & Nature of work

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

    Designation

    Address

    10. Personal details:


    Age & Date of Birth:

    Religion:

    Caste:

    Community: (SC, ST, MBC, BC, OBC,OC)

    Marital Status:

    State:

    Mother Tongue:

    Nationality:

    11. List of documents to be enclosed. (Please enclose only the attested copies)

    1.
    2.
    3.
    4.
    5.
    6.
    7.
    8.
    9.
    10.

    SSLC or Equivalent Certificate.


    Plus two Certificate.
    Degree/ Provisional Certificate.
    Statement of marks for all the Semester/Years.
    Certificate/Mark sheet of additional examinations in respect of serial no. 7.
    Transfer Certificate and Conduct Certificate from the Institution last attended.
    One page write-up about the proposed area of research.
    Reference Letters Original (see item no. 9)
    Copies of Research Paper Publications, if any.
    NOC from the present employer

    12.
    I,

    DECLARATION
    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
    Place:
    Date:

    Signature of the Applicant

    The completed application together with the necessary enclosures should be submitted to any one of the
    following campuses
    Amritapuri
    The Chair, PGP
    Amrita Vishwa
    Vidyapeetham
    Amritapuri,
    Clappana P.O.,
    Kollam 690 525.
    Phone: +91 476
    2801280

    Bangalore
    The Chair PGP
    Amrita Vishwa
    Vidyapeetham
    Kasavanahalli, (off
    Sarjapur Road),
    Carmelaram P.O.,
    Bengaluru-560035
    Phone: +91 80
    25183700

    Coimbatore
    The Chair PGP
    Amrita Vishwa
    Vidyapeetham
    Amrita Nagar P.O.,
    Coimbatore 641112

    Phone: +91 4222685118

    along with a demand draft of Rs.600/- in favour of Amrita Vishwa Vidyapeetham Amrita School of Engineering payable at
    (Amritapuri/Bangalore/Coimbatore)

    Bank Draft No. Dated: . for Rs.


    Drawn on (Bank and Branch):

    You might also like