CENTRAL UNIVERSITY OF RAJASTHAN
NH-8, Bandar Sindri, Dist-Ajmer-305801, Rajasthan (INDIA)
REGISTRATION FORM FOR ADMISSION TO THE DOCTOR
OF PHILOSOPHY (Ph.D.) PROGRAMME
To
The Hon’ble Vice Chancellor,
Central University of Rajasthan
Bandarsindhri -305801
Affix here a
Recent
Self-Attested
Photograph
Sir,
I apply for admission as research student to the Ph.D. Programme in …………………………………under
the Faculty of/ Centre for/Dept. of …………………………………………… and submit the
following particulars in support of my application alongwith a crossed Demand Draft for
Rs. 1000/- vide no………………… dated…………… issued by (Bank)……………………………
Yours faithfully,
Date…………………… (Signature of the Candidate)
Name:………………………………
(PARTICULARS TO BE FILLED BY THE CANDIDATE)
Name of the Candidate …………………………………………………………………………………………………
Father’s Name ……………………………………………………………………………………………………………
Mother’s Name ……………………………………………………………………………………………
Name of the Spouse (if married) …………………………………………………………………………………
Date of Birth (as given in the Matriculation/ Secondary School Certificate) …………………………
Nationality ……………………………… CURaj Enrolment No. (if any) ………………………………………
Permanent Address ……………………………………………………………………………………………………
……………………………………………………………………………………………………………………………………
……………………………………………………………………………………………………Pin Code………………………
Telephone with STD code: ………… ……………………………………Mobile…………………………………
Local Address (with proof of residence)…………………………………………………………………………
………………………………………………………………………………………………………………………………………
……………………………………………………………………………………………………Pin Code………………………
Telephone with STD code: ………………………………………Mobile: ……………………………………
E-Mail: ………………………………………………………………………………………………………………………
DETAILS OF PREVIOUS EXAMINATIONS
Exam.
Passed
Name of the University Year of
Passing
Division &
Percentage
Subjects
U.G. Course
P.G. Course
M. Phil.
Any Other
Details of Research experience, if any (attach separate sheet, if necessary)……………………………………
Languages, which the candidate knows …………………………………………………………………………………
Details of Scholarship (JRF/Non JRF)…………………………………………………………………………………………
Pre-Ph.D Course Work Completed from (Name of University)…………………………………………………
If employed, write the name of the institution and the position held ………………………………
Attach Complete Research Proposal giving following details:-
(a) Proposed Title of the Research ........................................................................................................................
(b) Introduction ..............................................................................................................................................................
(c) Scope of the study .................................................................................................................................................
(d) Review of literature .................................................................................................................................................
(e) Objectives .................................................................................................................................................................
(f) Research Methodology including sampling and design ...........................................................................
(g) References ..................................................................................................................................
Dated …………………… (Signature of the Candidate)
(RECOMMENDATION OF THE DEPARTMENT BOARD OF STUDIES)
The Board of studies held on ……………………………………………………… Recommended Shri/Smt./Km.
……………………………………………………………………………………… for admission to the Ph.D. Programme in …………………………… on the topic …………………………………………………………………………………………………
………………………………………………………………………………………………………………
Name of the Supervisor, Dept. & Date of Retirement ……………………………………………………………………
Name of the Co-Supervisor, Dept. & Date of Retirement ………………………………………………………………
(Signature of the Members of the Board of Studies)
…………………………………………………………………………………………………………………………………………
(RECOMMENDATION OF THE SCHOOL BOARD)
1. The proposal is accepted for registration
2. The proposal may be accepted for registration after revision
3. The proposal is not accepted for registration
(Signature of the Members of the Board of Studies)
…………………………………………………………………………………………………………………………………………
(APPROVAL OF THE VICE CHANCELLOR)
Hon’ble Vice Chancellor
Note: The following documents will have to be submitted along with the Application Form:
1. Attested copies of all Mark-sheets and Degrees of Graduation, Post-Graduation Examinations and
M.Phil.
2. Proof of the date of birth.
3. Proof of claimed reserved category.
4. An attested copy of the Pre- Ph.D. Course work Result.
5. An attested copy of UGC JRF with valid scholarship or an equivalent examination with scholarship.