Visves

svaraya Technological Universi

sity
Jnana
a Sangama, Belagavi – 590 018, Karnataka State, India
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APPLICAT
CATION FOR ADJUDICATION OF Ph.D

(Full Time/Part Time)

1. Name of the Candidate::

2. U S N:

3. Research Centre:
(Name of Dept.& Institution)

4. Title of the Research:

5. Area: Electrical Engg. Science/Mechanical

Sci Engg. Science/Civil Engg. Science//General Science

Synopsis: Two copies to be ennclosed duly signed by the candidate, Guide/ Co-Guidee and Head of the
Research Centre

6. Subjects / Courses takken & passed

Sl. Sub-Code Subject Title Moonth& Year of
No Passing
01
02
03
04
05*
06*

7. Date on which the resu

sults of Comprehensive Viva – Voce completeed. (A copy of
comprehensive viva – voce resullt sheet to be enclosed)

CERTIFICATE

I hereby declare that the work submitted in the Ph.D is in line wit
ith the synopsis and
title mentioned abovee. The work to be submitted is the original work
wo of mine and has
not been submitted byb me anywhere for the award of any otherr degree and to the
best of my knowledge
dge has
h been not carried out by anybody else andnd reported.

Place:
Date:

Signatuure of the Candidate