Jawaharlal Nehru Technological University Hyderabad Research and Development Cell, Hyderabad-85

Telefax:(040) 23152331 Email : randdunit@ gmail.com

Nomination form for the Best Ph. D Thesis Award for the year 2008-09 (Cash award: Rs.10,000/- plus Citation)
(for the thesis submitted during the period 01. 04. 2008 to 30. 04. 2009 and publications/patents based upon it)

Last date for receipt of filled in applications: June 6th, 2009

Please submit: a) One hard copy of the filled-up Nomination form b) 6 sets (on CDs) of Nominations complete with (i) the complete thesis,(ii) Papers published, accepted for publication, submitted for publication)

Application Form
1. Name of the Candidate 2. Date of Birth 3. Contact address Tel : Email : 3. Educational background beginning with Bachelors degree : Graduate Program/Class Institute/University Subject(s) Percentage of marks/C.G.P.A : : :

4. Title of the Ph.D. Thesis

5. Date of Registration & Date of Viva-Voce 6. Name of the Institution where Ph.D work was carried out

7. Number of years taken for completion of Ph.D. thesis: 8. Copy of the Provisional Certificate for Ph.D. :

9. Remarks of the Examiners in the confidential report: (For Office use only) 10. Contact Address of Research Supervisor: 11. Nature of Research Contributions in thesis related to: (i) Fundamental/Theoretical contributions/New theories: (ii) Experimental/applied research/new insight in experimental analysis: (iii) Is work carried out under sponsored research? (iv) Patents acquired/applied (vi)Complete list of Publications in reputed International/National Journals (vii) Any Best Paper Awards received (viii) Presentation of work in the Seminars/ Conferences/Symposia : 12. Any other information : :
(v) Any technology transfer/commercialization :

: :

SIGNATURE OF THE CANDIDATE