VINAYAKA MISSIONS UNIVERSITY

Directorate of Distance Education

SALEM 636 308, TAMILNADU, INDIA.

Application for M.Phil Guideship

1. Name of the Applicant 2. Address with Pincode : : T. PUSHPANATHAN NO: 117, BIG STREET, NELLOREPET, PANAPAKKAM, VELLORE DISTRICT, TAMILNADU, PIN 631052. Mobile No. E-mail ID 3. Date of Birth & Age 4. Designation 5. Subject 6. Qualification
Degree Subject

: : : : : :

09894217135 drpush.eng@gmail.com 17.05.1983 & 27 Lecturer in English English

University

Class

Month & Year of passing

PG Degree M.Phil Ph.D.

English English

Madras University Annamalai University

II Class II Class

April 2005 September 2007

(Xerox copies of the above certificates should be enclosed). 7. Teaching Experience :

Name of the College / University Kanchi Shri Krishna College of Arts & Science No. of years From Lecturer June 2005 To Till Date... Both 5 years

S.No

Designation

UG / PG

Total

(Enclose service certificate)

8. Research Experience 1 2 3

: 11 -

List of Research papers published in National and International Journals (Enclose as Annexure) No. of Conferences / Seminars / Workshops attended (Enclose as Annexure) No Of M.Phil. Awarded Under Your Supervision (List of Topics Enclose as Annexure) :

9. List of M.Phil Candidates willing to guide S.No Name of Candidate

Enrolment No.

Subject

The rules and regulations of the University, concerning to the courses and relevant matters are fully acceptable to me and will be abided.

Signature of the Head of the Institution With Seal

Signature of the Applicant