APPLICATION FORM FOR RECOGNITION AS M.TECH.

PROJECT GUIDE
(To be submitted to Pro Vice-Chancellors Office, Jagan Nath University, Plot No. IP-2 & 3, Phase IV,
Sitapura Industrial Area, Opp. Choki Dhani, Jaipur-302022)
1. Name of the Applicant (In Block Letters)
2. Home Address
3.
4.
5.
6.

Present Position

Past Post (held if any)

Date of Birth

Academic Qualification (beginning from High School or Equivalent and onward):-

S. No.

Name Of Examination

Year

7. Total Teaching experience Post Graduate Classes

Board/Univ.

Division

Subject

..

8. Research Experience:Ph.D.

Title of Thesis

Year of Award

9. Post Doctoral Experience:Place

Nature of work

Period

10. Are you a recognized M.Tech./Ph.D. guide? If yes give name of institution and year of recognition.
..
11. How many students are registered with you (for M.Tech./Ph.D.)?
12. How many students have been awarded M.Tech./Ph.D. degree under your supervision? .
13. Details of published work/ if any (Separate sheet to be attached if necessary) (Photocopies of Three
important Publications ......
.
I certify that the details given above are correct to the best of my knowledge.

Dated

Signature of Applicant