MANONMANIAM SUNDARANAR UNIVERSITY

TIRUNELVELI 627 012. TAMILNADU, INDIA

APPLICATION FOR RECOGNITION AS Ph.D., GUIDE

Subject: _________________________________

Area of Specialization ______________________

1. 2. 3. 4. 5. 6.

Name (in Block Letters) Designation with Official Address Age and Date of Birth Sex Date of Retirement : :

: :

Male/Female

Guideship Recognition fee payment details* :

Amount D.D.No Date

: : :

7.

Educational Qualification Degree Under Graduate Post Graduate Master of Philosophy Ph.D Subject

: Institution (College/ University) Year of Passing Marks/Class/Rank obtained

Copies of PG, M.Phil and Ph.D., degree certificates and mark sheets should be attached

External Guideship Recognition fee is Rs.5000/-. The DD must be taken in a nationalized bank in favour of The Registrar, Manonmaniam Sundaranar University, Tirunelveli.

8.

Teaching/Research Experiences (No. of Years) Sl.No Position Institution (College/University)

: From To Period

9.

Name of the University which has recognized you as a Ph.D Guide (copy of the Communication approving him/her as Guide should be enclosed) No. of Candidates under your guidance a. Completed Ph.D b. Guiding Ph.D

: : : : :

10.

11.

Number of Publications (Please attach list of Publications and sent a copy of one of the best Publications) Category of your organization Any other relevant information

12. 13.

: Govt/Quasi Govt/Private
Education/Research Institution

DECLARATION I, _____________________________ (M/F) aged _______, S/O,D/O,W/O,H/O, _______________________certify that the particulars given above are true to the best of my knowledge and belief. I will abide by the rules and regulations of the Manonmaniam Sundaranar University for Part-Time External Ph.D. Registration. Place : Date : Address for Communication: Signature: Name :

Phone( Land Line): (including ISD/STD code)

Mobile : E Mail ID