Application form for Submission of Ph. D.

Research Proposal (2018-19)

Ph. D. in Computer Science Subject

To,
The Professor & Head
Department of Computer Science,
Saurashtra University,
Rajkot-360005.

Sir,

I submit this application for Ph.D. Research Proposal for the academic year 2018-19

I hereby agree, if admitted to conform the Rules and Regulations of the Department, presently
in force or that may be thereafter from time to time and I undertake that so long as I am a
student of the Department. I will do nothing either inside or outside the Department that will
interfere with its orderly management and discipline.

I give below the necessary particulars. All the statements made by me are correct.

You’re faithfully,

Place: Porbandar Date: 04/10/2018

(Signature) ____________________

1. Name
AGAL SANJAY KUMAR
SURNAME FIRSTNAME MIDDLENAME

2. Address for
Correspondence:
Plot No. 03, Ramvir Park Society,
Nr. Saibaba Mandir,
Porbandar-360575.
Permanent
H.No 15 – J, Road no 13
Shakti Nagar
Udaipur, Rajasthan 313001

Contact No. : 9928292870

E-Mail : sanjayagal@yahoo.com
3. Sex : Male
4. Date of Birth : 02/12/1984
5. Nationality : Indian
6. Category : General
7. Are you Physically Handicapped? : No
8. Academic Information :
Sr. Name of Year of Subject Mark in % Class
Examination University
No. Course Passing Offered Obtained Obtained
1. Bachelor B. E. Rajasthan 2008 I.T. 64% First Class
Degree (I. T.) University
2. Post Graduate M. Tech. Mewar 2012 Computer 7.07 First Class
Degree University Science CGPA
3. M.Phil. - - - - - -
4. Ph.D. - - - - - -
Eligibility Test
5. Other (Ph. D.) Ph. D. Pacific 2016 Computer NA NA
University Engineering

9. Title of Research Proposal :

DESIGN AND EVALUATION OF AVAILABLE BANDWIDTH ESTIMATION

SYSTEMS FOR ADAPTIVE VIDEO STREAMING SERVICES

10. Name of College last attended : Pacific University, Udaipur

(From where the transfer is to be obtained)
11. Name of the University last attended : Pacific University, Udaipur
(From where Migration Certificate be obtained)
12. Do you want admission in the hostel : No
13. Are you engaged with any job/business?
If yes, give details (Timings etc) : Yes (Monday to Saturday)
(Time: 08-30 am to 01:30 pm)

Signature of Candidate
Enclosed:
1) Research Proposal
2) SU PhD Entrance Exam Certificate
3) PhD Degree
4) MTech Degree
5) BE Degree
6) 12th Certificate