Online Application

Online Research Application Form

Personal Information

Name of the Applicant :*
(BLOCK LETTERS)
(As entered in the University records Thiru/Tmty/Selvi)

Gender :*

Male Female

Type of Holders*

Admission Type *

Name of The Faculty in Which the candidate desires to pursue research :*

Name of the Subject :*

Date of Birth :* [DD-MM-YYYY]

Nationality :*

Religion :*

Name of the Community :*

Place of Birth :

Village

Taluk

District

State

Permenant Address :*

E-Mail ID :*

Father's / Husband's /Guardian's Name and Full Address :*

Present Position :

1. The nature of fellowship he/she is holding (stipendiary or Non-stipendiary)*
2.Duration of the Fellowship.*
3.Name of the department where he/she pursue research work.*
4.Name of the College where he/she pursue research work*
5.District*
6.State*
7.Country*
8.Date of joining in the Department. (Enclose a copy of the selection order)*

Qualification Information

Qualifications and Examinations Passed

Educational Qualification*	Name of the Degree*	College / University*	Month & Year of passing*	Reg No*	Subject offered*	Class Grade / Division*	Date of Convocation*


If the examination passed is of another University,whether recognition certificate is enclosed.*	Yes No

Name of the Dept of University/College / Institution where the candidate proposes to do research as FULL TIME Scholar.
a) Department*
b) College / University / Institution*

Thesis Information


Title of the Thesis*
State whether the subject title of the thesisis interdisciplinary in nature or not: If interdisciplinary,state the subjects related.
Whether the certificate from the supervisor stating that the topic proposed by the candidate is not earlier for the award of any degree or diploma in this University or diploma in this University or elsewhere is enclosed.

Particulars of research work.If any,previously done by the candidate.
a) If already registered for M Litt /Ph.D degree in this University or at any other university,give details.
b) Date of Registration
c) Name,designation and address of the Supervisor /Members of the Doctoral Committee.
d) Reason for seeking fresh registration.

If undergoing any other course of study in this University / in any other University leading to any Degree Certificate /Diploma course,give details

Whether propose to persue research UNDER SUPERVISOR OR UNDER DOCTORAL COMMITTEE

Guide Information

The details of names and other particulars of the candidate who are doing Ph.D research work under the supervisor may be given in the Columns provided below.

(TO BE FILLED IN BY THE SUPERVISOR)

Name of the Candidate	Ph.D / M.Litt	Date of Registration and number


Name of the Guide :*

Total Number of Full-Time Research Scholars working under the supervisor

Total Number of Part-Time Research Scholars working under the supervisor for one year full time research

If there is a co-guide,the co-guide should give it in writing the number of full time & part time scholars doing Ph.D research under him,in a seperate letter.

Date of Retirement of the Guide
Date of Retirement of the Co-Guide

a) Name,Designation and Full official Address of Supervisor(s) under whom the candidate proposes to do research.
b) Date On Which the candidates has joined in the Department for pursuing research work.

DD Information


Bank Details :
DD Amount :		DD Date : [DD-MM-YYYY]