Ph.D.

Online Application Summer Session 2022 - 23

Application No:VTDSS20220240

Personal Details
Candidate Name Father / Guardian Name Mother Name
BALASUBRAMANIAM RATHINASAMY VIMALA
Date of Birth Age Father / Guardian Occupation Marital Status
1984-08-29 39 STATISTICAL INSPECTOR Married
Gender Community Nationality Aadhaar No
OBC non creamy
Male Indian 590741816350
layer

Contact Details
Door No Street Name City State
RI GANGA NAGAR
1102 CHENNAI Tamil Nadu
KOLLUMEDU
Country PIN/ZIP Code E-mail ID Contact No
India 600062 bala_jc@yahoo.co.in 9003017325
Education Details

Name of the Degree SSLC

Name of the
Mode of Study Full Time MATRICULATION
Board
Name of the VALLAL SABAPATHY
Degree completed SSLC
School MHSS CHETPET
Specialization SSLC
Month and Year
03/2000 Certificate No 0052224
of Passing
Percentage of Marks / CGPA 63

Name of the Degree HSC

Mode of Study Full Time Name of the Board STATE
VALLAL SABAPATHY MHSS
Name of the School Degree completed HSC
CHENNAI-30
Specialization COMPUTER SCIENCE
Month and Year of
03-2002 Certificate No 2074678
Passing
Percentage of Marks / CGPA 63

Name of the Degree UG

UNIVERSITY OF
Mode of Study Full Time University Name
MADRAS
Name of the College /
PACHAIYAPPA Degree completed B.Sc
Institution
Specialization PHYSICS
Month and Year of
11/2005 Certificate No 046504
Passing
Percentage of Marks / CGPA 51

Name of the Degree PG

University
Mode of Study Full Time ANNA
Name
Name of the
VEL SRINIVASA COLLEGE OF Degree
College / M.C.A
ENGINEERING&TECHNOLOGY completed
Institution
COMPUTER
Specialization
APPLICATIONS
Month and Year
06-2009 Certificate No F691919
of Passing
Percentage of Marks / CGPA 68
 National / State level Eligibility Test Details

Do you have valid score in National / State level eligibility test Not Applicable

Professional Experience (Starting from the Present Employment)

Sl. Institution / R&D / Work Regular / Temporary / Total

Designation
No. Industry Period Contract Years
1 Lecturer Pachaiyappa 06/2012 Regular 2

#Note : For Part Time Mode, Minimum. One Year Experience is required,after PG Degree is obtained
Research Details

Course Equivalence applied

Mode of
School Department for PG Degree (if PG in
Study
abroad)
SCHOOL OF COMPUTER SCIENCE AND
Full Time Not Applicable
COMPUTING ENGINEERING

Proposed Area of Research Proposed Title of the Research Work

NIL NIL

Research Supervisor Details

Preference 1 Preference 2 Preference 3
Dr M J Carmel Mary Belinda Dr R Kavitha Dr D Uma Nandhini

Submitted On 2023-05-22 20:37:35

 Check List

Online Fee Receipt

Self attested photocopy of SSLC or its equivalents

Self attested photocopy of HSC or its equivalents

Self attested photocopy of UG Degree Certificate

Self attested photocopy of PG Degree Certificate

Self attested photocopy of the Latest Transfer Certificate

Self attested photocopy of M.Phil. Degree Certificate (if applicable)

No Objection Certificate from Present Employer

Proof for National/State Level Eligiblity Test (if applicable)

Proof for Course Equivalence Certificate (if applicable)

*Note: Kindly Attach the Photocopy of the Check lists along with Submit the Hard Copy(Color Print) of
Application at the time of Entrance Examination / Certificate Verification

Declaration by the Candidate

I solemenly and sincerely affirm that I am an indian national and that all particulars furnished in this
application form are true and correct to the best of my knowledge and that I have not concealed any
information.

I am aware that if any information herein is found incorrect, fradulent or untrue, either before or after the
admission to the program, my application will be cancelled or I have to forgo my seat and the fee. I further
undetake to submit the required certificates and fee as per the rules at the time of admission.

Place

Date (Applicants Signature)