FORM 'A'
MANIPUR UNIVERSITY
CANCHIPUR, IMPHAL
APPLICATION FOR PROVISIONAL REGISTRATION FOR PH.D.
PROGRAMME (TO BE SUBMITTED IN TRIPLICATE)
1. Name of the applicant :
2. (i) Father’s/Husband’s:
Guardian’ Name
(ii) Mother’s Name :
3. Full Address :
4. Postal Address :
5. Academic Records :
Examination
Year of Passing
Division
Percentage of
marks obtained
University/Board
HSLC/Matric
HSSLC/PU/+2
BA/BSc/BCom
MA/MSc/MCom
M.Phill.
Ph.D.
6. Present Occupation :
(Not to be left blank)
7. M.U. Registration No. . . . . . Year . . . . . . .
8. State ST/SC/OBC (Male/Female)
with supporting certificate.
9. Place of Research (Deptt/College/School)
10. Title of the Proposed thesis:
11. Name & Designation of Supervisor:
12. Name & Date of Registration of Scholar(s) working under the proposed Supervisor:
(i)
(ii)
(iii)
(iv)
(v)
Certified that the information furnished above are true.
Signature of the Supervisor. Signature of the applicant.
Date: Date:
RECOMMENDATION OF THE DEPARTMENTAL RESEARCH COMMITTEE
Certified that Shri/Km/Smt. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . has been recommended for Provisional Registration for Ph.D. programme on the above mentioned topic (Copy of the proceedings of D.R.C. enclosed).
Date: Signature of the HOD
Place (With Seal and Date)
RECOMMENDATION OF THE DEAN
Shri/Km/Smt. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . may be admitted on the approval of the Committee of Advanced Studies and Research on payment of the necessary Registration fee and Laboratory fee.
Date: Signature of the Dean
Place: (With Seal)
DOCUMENTS TO BE SUBMITTED
1. Attested copy of M.U. Registration.
2. ‘No Objection Certificate’ from the employer concerned if he/she is an employee (The employer should clearly indicate how much time will be made available to the applicant for his/her research; whether leave will be granted to the candidate whenever needed).
3. A synopsis of the proposed Research Topic.
4. Copies of publications, if any, pertaining to the research topic.
5. Attested copies of mark sheets and certificates.
NOTE: Final registration is compulsory. In case of failure to get final registration during the stipulated period, the provisional registration automatically stands as lapsed.
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