FORM OF APPLICATION FOR RECOGNITION AS Ph.D.

SUPERVISOR

1. Name (in Block Letters) :

2. Designation/Official Address :



3. Date of Birth :

4. Phone No. & E-Mail :

5. Qualifications (start with highest to lowest) :

Degree*
Name of College /
School & Location
University
Period attended
From To
Area of
Specialization
Class / Rank /
Percentage
Furnish the details in separate sheet as per the format
* State whether Part time (P) Full time (F) Correspondence (C)

6. i) Total Experience (No. of Years) ** :

Name of Institution &
Place
Duration
Designation
Reasons for
Leaving
From To
Furnish the details in separate sheet as per the format
** Attach copies of certificates / proof
ii) Teaching Experience (No. of years) :
iii) Practical / Industrial Experience (No. of yrs). :
7. Membership in Professional Societies :




8. Number of Sponsored Research Projects :
(as Principal Investigator give details separately)

[Declared as Deemed to-be-University under Sec.3 of the UGC Act, 1956]
KARUNYA NAGAR, COIMBATORE 641 114
9. Research Guidance (No. of Thesis guided)
(a) Ph.D Thesis :
(b) Master's/M.Phil. Thesis :

10. Publications (Please attach list of publications and reprints of at least
two publications published recently in National/International J ournals/
refereed Conference Proceedings)

(a) Number of papers in Referred J ournals
i) National J ournals :
ii) International J ournals :
(b) Number of Papers published in refereed
Conference Proceedings :

11. Any other information :
Signature with date
Note : All the attachments should bear the candidates signature

Encl: (1) List of Publications (2) Reprints
(3) Other Information & Xerox copy of Ph.D. Degree Certificate

No-Objection Certificate from the employer (for external candidates only)

I forward the application of our employee Dr . who wish
to guide the Research Scholars of Karunya University. Our organization has no objection in guiding
Research Scholars of Karunya University by him / her.

Name & Designation : Head of the Organisation


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Whether the certificates of the candidate are verified: YES / NO

Remarks :

RECOMMENDED / NOT RECOMMENDED



Head of t he Depar t ment


Di r ect or of School

Approved by the Board of Research & Consultancy in its meeting held on ......

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RECOMMENDED AND FORWARDED TO ACADEMIC COUNCIL


DEAN (RESEARCH)