PHD Format 10 8 17

Website Version Affix Passport
Price Rs. 50.00 Sized Photo

here with
University of Calcutta Supervisor’s
Phone No.: 033-2241-0071 Ext.-258 Signature &
Application Form for Registration for the Ph.D. Programme Seal
(To be filled in by the Candidate)
1 Subject (in BLOCK Letters) :

Inter-Disciplinary Field / Chosen area
2
of specialization.
:
3 Title of Research :
Language in which the thesis is

4
intended to be written
:
Date of Enrollment as Probationary
5
Ph.D. Student
:
Full address of the Department
6 /Laboratory/ Institution where the :
research work will be carried out
Full Name of Candidate
7
(in BLOCK letters)
:
8 Father’s Name :
9 Sex : M / F / TG
10 Address with Pincode
a. Present :
b. Permanent :
c. Email :
d. Phone No. :
11 Identity Proof
a. Card Type : Aadhaar (if not obtained, then EPIC)
b. Card No. :
12 Qualification
a. Master’s Degree :
b. Subject :
c. University :
d. Passing Year :
e. Calcutta University Registration
Number (if already registered as :
a student of this University)
Full Signature of the Candidate with date
Page 1 of 4
Full Name of Candidate (in BLOCK letters) :
13 Category : Gen / SC / ST / OBC-A / OBC-B
14 Physically Challenged : Yes / No
(if Yes, Percentage of disability) :

15 Religion :
16 Nationality :
If Foreign National
a. Passpost No. :
b. Research Visa Information :
Occupation/Present designation &
17 Official Address, if employed (NOC :
from Employer to be attached)
Amount & Source of Research
18
Scholarship, if any or self-financed
:
Whether registered earlier under this
19 University or elsewhere for Ph.D. :
Programme (if ‘Yes’, furnish document)
20 Supervisor
a. Full Name :
b. Designation :
c. Official Address of Department
(C.U.)/of Institute (non C.U.)
:
d. Email & Contact No. :

21 Joint Supervisor (if any)
a. Full Name :
b. Designation :
:

22 Associate Supervisor (if any)
a. Full Name :
b. Designation :

:
I declare that the items of information given above are correct to the best of my knowledge and
that my Ph.D. Registration is liable to be cancelled, if any of the above information is found to be
incorrect.
Date of Payment of Fees: Full Signature of the Candidate with date
Page 2 of 4
(To be filled in by the Supervisor)
I certify that Sri/Smt. _____________________________________________________________ has been carrying on
his/her research work under me for registration of his/her name for the Ph.D. Programme in
___________________________________________________________ (name of the subject).
The number of enrolled Ph.D. Candidates under this University working under my supervisorship till date
is ____________________.
I recommend Prof. /Dr. _____________________________________________ to act as Associate Supervisor.

Statement of the Supervisor indicating the part of
research work for which the help of the Associate
Supervisor is required:
___________________________________________________ Full Signature of Supervisor
with Official Seal of designation & Date
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
Full Signature of Supervisor
with Official Seal of designation & Date
Full Signature of the Associate Supervisor, Full Signature of Joint Supervisor (if any)
if any, with Official Seal of designation & Date with Official Seal of designation & Date
I certify that necessary space, equipment, laboratory and other facilities will be available at the
department /Institution for carrying out research work as proposed by the candidate.
Full signature of the Head of the Institution (Non-C.U.)/ Full Signature of the Head of the Dept., C.U.
Sister Institute with Official Seal & Date with Official Seal & Date
In cases of students of other Universities, necessary application for migration and registration is to
be submitted to the Registrar separately along with Migration Certificate in original and usual
migration and registration fees immediately after registration for the Ph.D. Programme.
A fee of Rs. 500/- (non-refundable) is to be paid along with this application after verification by the
Ph.D. Section.
Documents to be submitted at the time of applying for Ph.D. Registration / Re-

Registration are annexed.
Page 3 of 4
Documents to be submitted at the time of applying for Ph.D. Registration.
1. Photocopy of the filled in Application Form along with this original form.
2. Two attested photocopies of Master Degree Marksheet/Certificate.
3. Two attested photocopies of Calcutta University Registration Certificate.
4. Six copies of Synopsis duly countersigned by the Supervisor and Joint Supervisor (if
any) with Official Seal.
5. No Objection Certificate from Employer in original along with a photocopy of the
same in case of employed applicant.
6. Two Passport size photograph, one to be affixed on this form with the Supervisor’s
Signature & Seal and one without signature & seal to be attached (for use in the
Ph.D. registration letter) with this form.
7. Two attested photocopies ‘Probationary Ph.D. Student’ enrolment certificate for the
Ph.D. Programme issued by the concerned University department and also by the
Sister Institute.
8. The equivalence certificate issued by the University of Calcutta for qualifying degree
obtained by the student from other Universities.
9. In case of change of Subject, the endorsement of concerned Ph.D. Research
Advisory Committee is required. Meant also for Candidates from Sister Institute.
10. Attested photocopy of relevant certificate for SC/ST/OBC-A/OBC-B/PC.
11. Attested photocopy of Aadhaar Card (if not obtained, then EPIC Card).
12. A CD containing a Self-Attested Passport size Photograph (in JPG format within
50Kb).
Documents to be submitted at the time of applying for Ph.D. Re-Registration.

1. One attested photocopy of Master Degree Marksheet/Certificate.
2. One attested photocopy of Calcutta University Registration Certificate.
3. Currently issued ‘No Objection Certificate’ from Employer in original in case of
employed applicant.
4. Two Passport size photograph, one to be affixed on this form with the Supervisor’s
Signature & Seal and one without signature & seal to be attached (for use in the
Ph.D. registration letter) with this form.
5. One attested photocopy ‘Probationary Ph.D. Student’ enrolment certificate for the
Ph.D. Programme issued by the concerned University department and also by the
Sister Institute.
6. One attested photocopy of relevant certificate for SC/ST/OBC-A/OBC-B/PC.
7. One attested photocopy of Aadhaar Card (if not obtained, then EPIC Card).
8. One attested photocopy of Seminar Report and front page of approved 5000-words-
summary in case Pre-Submission Seminar presentation has already been completed.
9. Original Ph.D. Registration Letter.
10. An application on a plain paper addressed to the Pro.V.C.(A) praying for Ph.D.-Re-
Regtistration with benefit of continuity of earlier Ph.D.-Registration.
11. A CD containing a Self-Attested Passport size Photograph (in JPG format within
50Kb).
Page 4 of 4
For use of the
Ph.D. Research
Advisory Committee
University of Calcutta
Ph.D. Programme Report on Departmental Seminar
1 Name of the Candidate :
2 Subject :
3 Title of Thesis :
(As per Ph.D. Registration Letter)
4 University Department where the :

Seminar was held
5 Date of receipt of 5000-word summary :
by the Convenor
6 Date of Seminar Presentation :
Signature of the Supervisor Signature of the Joint Supervisor (if any)

Date: Date:
We certify that the above candidate presented his/her work in a Departmental Seminar in
defence of his/her thesis in our presence in the University Department of
___________________________________________________ on __________________ at ___________a.m./p.m.
1 2
3 4
5 6
(Signature of the Convenor and Members of the Ph.D. Research Advisory Committee)
Report on the performance of Candidate:

(Please mention here if there is any change in the title of the Ph.D. Thesis recommended
by the Ph.D. Research Advisory Committee during Seminar)
Signature of the Convenor of the Ph.D.

Date:
Research Advisory Committee
(Additional Sheets, duly signed may be annexed, if necessary)

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PHD Format 10 8 17

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Website Version Affix Passport

Price Rs. 50.00 Sized Photo

1 Subject (in BLOCK Letters) :

Language in which the thesis is

Full Signature of the Candidate with date

14 Physically Challenged : Yes / No

(if Yes, Percentage of disability) :

d. Email & Contact No. :

d. Email & Contact No. :

c. Official Address of Department

d. Email & Contact No. :

Date of Payment of Fees: Full Signature of the Candidate with date

I recommend Prof. /Dr. _____________________________________________ to act as Associate Supervisor.

Documents to be submitted at the time of applying for Ph.D. Registration / Re-

Documents to be submitted at the time of applying for Ph.D. Re-Registration.

4 University Department where the :

Signature of the Supervisor Signature of the Joint Supervisor (if any)

Report on the performance of Candidate:

Signature of the Convenor of the Ph.D.

(Additional Sheets, duly signed may be annexed, if necessary)

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