(An Autonomous Institution under MHRD, Government of India)

Melakottaiyur, Off Vandalur-Kelambakkam Road, Chennai-600127

Ph: +91 44 2747 6323 Fax: +91 44 2747 6301

Email:research@iiitdm.ac.in

REQUEST FOR Ph D SEMINAR

1. Name of the Scholar
2. Roll No. Department :
3. Registration Date
4. Guide (s)
5. Type of Registration Reg. Ext. Project Staff Others
6. Venue (By Acad
Details of Seminar Talk: Topic / Title Date
Office)
Seminar 1
Seminar 2
7. Courses Prescribed & Completed : (Continue on reverse if necessary)
Semester Completed
S.No. Course No. Course Title (Odd / Even and Grade obtained
Year)
Core
a.
b.
C.
Elective
a.
b.
c.
8. Date-Comp.Viva Voce Exam
successfully Completed
9. Residence Period Completed
(Ext. Research Scholars / other
scholars who got relief )
10. Publication Details:
A. Enclose copy of either published or accepted contributions in refereed journals or conferences.
11. Certified that all the data given above are true to the best of my knowledge, if anything is found to be
incorrect Institute has the right to take appropriate decision.
Signature of Scholar
12. Forwarded by Guide(s):
Date: Signature of the Guide(s)
13. Remarks with approval of Chairman and DC Members :
Chairman :
Member 1:
Member 2:
Member 3:
14. Remarks of the HoD Forwarded
Date: Head of the Department

To

The Dean Academics

 (An Autonomous Institution under MHRD, Government of India)
Melakottaiyur, Off Vandalur-Kelambakkam Road, Chennai-600127

Ph: +91 44 2747 6323 Fax: +91 44 2747 6301

Email:research@iiitdm.ac.in

FORM FOR Ph D SEMINAR COMPLETION

1. Name of the Scholar
2. Roll No. Department :
3. Registration Date
4. Guide (s)
5. Type of Registration Reg. Ext. Project Staff Others
6.
Details of Seminar Talk: Topic / Title Date and Time Venue

Seminar 1
Seminar 2
7. Certified that the above scholar has presented his/her 1st /2nd Seminar as per the details given above on
the specified and the presentation was good / satisfactory. He answered satisfactorily the queries raised
by the students / dc members and other faculty members / staff present at the seminar.
8. Guide(s):
Date: Signature
9. Chairman : Signature
Member 1: Signature
Member 2: Signature
Member 3: Signature
10. Head of the Department
Date: Signature

To

The Dean Academics

 (An Autonomous Institution under MHRD, Government of India)
Melakottaiyur, Off Vandalur-Kelambakkam Road, Chennai-600127

Ph: +91 44 2747 6323 Fax: +91 44 2747 6301

Email:research@iiitdm.ac.in

FORM FOR CONDUCT OF SYNOPSIS MEETING OF THE Ph D SCHOLAR

1. Name of the Scholar with Mobile No. :
2. Roll Number :
3. Category : PhD (Regular HTRA / Regular NHTRA / Internal)
4. Date of Joining / Registration :
5. Date of Passing Comprehensive Examination :
6. Date & Time of proposed Synopsis Meeting :
7. Title of the Thesis:
______________________________________________________________________________
______________________________________________________________________________
8. Doctoral Committee :
Chairman
Guide (s)
Member
Member
External Member

9. Travel (for External Member) : Institute arrangement / Reimbursement

If the Institute arrangement is required, kindly provide the following:
Time
Name of the Member Address Mobile No. Landline No.
Pickup Drop

10. Honorarium for External Member

a. Account holder’s Name :
b. Bank Account Number :
c. Name of the Bank, Branch :
d. IFSC :

Signature of the Signature of the Signature of the Signature of the

Scholar Guide (s) Chairman Dean (Acad)

ACADEMICS OFFICE
For arrangements and financial sanction of Rs. 1000/-
(Approved / Not Approved)

AR / DR (Acad.) Director

To
1. Academic Section
2. Accounts section
3. Personal File
 (An Autonomous Institution under MHRD, Government of India)
Melakottaiyur, Off Vandalur-Kelambakkam Road, Chennai-600127

Ph: +91 44 2747 6323 Fax: +91 44 2747 6301

Email:research@iiitdm.ac.in

FORWARDING NOTE FOR SYNOPSIS OF Ph D THESIS

1. Name of the Scholar
2. Roll No. Department :
3. Registration Date
4. Guide (s)
5. Type of Registration Reg. Ext. Project Staff Others

6. Title of Thesis

7. Courses Prescribed & Completed : (Continue on reverse if necessary)

Semester
S.No. Course No. Course Title Completed (Odd / Grade obtained
Even and Year)
Core

a.

b.

C.

Elective

a.

b.

c.

8. Date-Comp.Viva Voce Exam

successfully Completed
9. Residence Period Completed
(Ext. Research Scholars / other
scholars who got relief )
10. Details of Seminar Talk:

Date Topic of Seminar Talk Date

a.

b.

11. Publication Details:

A. Enclose copy of either published or accepted contributions in refereed journals and conferences.
 12. Plagiarism report:

Enclose a copy of the plagiarism report from turnitin giving the similarity index.

Signature of the Scholar

13. Certification by Guide(s):

The final draft of the thesis has been seen by me/us. The Scholar is likely to submit the thesis within ONE
month from date of acceptance of synopsis.

Date: Signature of the Guide(s)

14. Chairman : Signature

Member 1: Signature
Member 2: Signature
Member 3: Signature
15. Forwarded by Head of the Department Signature

To

The Dean Academics

 (An Autonomous Institution under MHRD, Government of India)
Melakottaiyur, Off Vandalur-Kelambakkam Road, Chennai-600127
Ph: +91 44 2747 6323 Fax: +91 44 2747 6301
Email:research@iiitdm.ac.in

SUBMISSION OF THESIS BY THE Ph D SCHOLAR FOR EVALUATION

Name of the Scholar : ______________________ Roll No. : ____________________

Department : ______________________________________________________________
Date of Enrolment : _______________________ Date of Registration : ________________

Title of the thesis :

_____________________________________________________________________
______________________________________________________________________
______________________________________________________________________

I hereby submit my thesis to the Institute for consideration and award of

 Ph. D. Degree

Encl : (1) 4 copies of thesis

(2) A copy of the thesis in electronic media (in PDF format)
(3) Report of Guide(s)

_______________ __________________________
Date Signature of Scholar
-------------------------------------------------------------------------------------------------------------------------------
Recommended for acceptance for the purpose of evaluation.
__________________ _______________________ _______________________

Guide(s) Chairman, DC Head of the Department

To

The Dean Academics

 (An Autonomous Institution under MHRD, Government of India)
Melakottaiyur, Off Vandalur-Kelambakkam Road, Chennai-600127
Ph: +91 44 2747 6323 Fax: +91 44 2747 6301 Email: research@iiitdm.ac.in

PROFORMA TO BE SUBMITTED BY THE Ph D SCHOLAR AT THE TIME OF

SUBMITTING THE THESIS
I. ACADEMIC DETAILS
1. Name of the Scholar :
2. Roll No. :
3. Department :
4. Name of the Guide :
5. Programme :
6. Category :
7. Date of Registration :
8. Date of submission of Synopsis :
9. Date of submission of Thesis :
II. PLACEMENT DETAILS
1. Whether got placement :
2. IF YES 3. Name of the Organization & Address :
III. Two-line summary of thesis (for convocation purpose; Please add this in CD of thesis also)
IV. PERSONAL DETAILS
1. Email id (i.e. in regular use) :
2. Mobile No./Phone No. :
3. Address for communication :
4. Permanent Address :

Signature of the Scholar

Signature of the Guides(s)

Forwarded Head of the Department

To

The Dean Academics

 (An Autonomous Institution under MHRD, Government of India)
Melakottaiyur, Off Vandalur-Kelambakkam Road, Chennai-600127
Ph: +91 44 2747 6323 Fax: +91 44 2747 6301 Email: research@iiitdm.ac.in
COMPLIANCE REPORT BY THE Ph D SCHOLAR AND THE GUIDE
ON PH.D. THESIS REPORTS
Name of the Scholar
Roll No
Department
Guide (s)
Thesis Title
Date of Joining
Date of clearing Comprehensive Examination
Date of Synopsis meeting
Date of Submission of Thesis
Date of receipt of report from Indian Examiner
Date of receipt of report from foreign Examiner
Doctoral Committee Chairman
Member 1
Member 2
Member 3
list of papers based on thesis (to be enclosed)
UNDERTAKING
DECLARATION BY THE SCHOLAR AND THE GUIDE ON THE COMPLIANCE OF THE THESIS
I (Scholars Name)____________________________, Roll No______________, Department
______________________________, have addressed all the queries and comments raised by the both
examiners as well as the DC members under the supervision of my guide (name of the guide)
_____________________. The point-by-point responses to the comments have also been prepared.
Attachments:
 The point-by-point response to examiners’ and the DC’s comments
 The revised thesis

Signature of the Scholar with Date

Signature of the Guide(s) with Date

Forwarded by the Head of the Department

Recommendations by the Dean Academics

___________________________________________________________________________

___________________________________________________________________________

Dean Academics
REMARKS OF DIRECTOR
Based on the submission of the compliance form by the scholar and the guide and the recommendation of the
Dean Academics after verifying the response submitted by the scholar, approval is granted to conduct the Viva-
Voce examination of the scholar. The guide(s) may be asked to suggest list of 4 internal examiners to conduct
the viva voce examination.
Director
 STUNDENTS CLAIM FOR TRAVELLING ALLOWANCE

Name
Roll No. and Course
Purpose of Journey
1.Journey details (Air/Train/Bus)

Mode Departur Arrival Amoun

Date Time e Place Date Time Place t in
Rs.

Total
2. Road Mileage (Taxi/Auto/Bus)

Mode Date Time From To Distance Amount

Total
3. Registration/Poster charges paid

Receipt No. Date Amount

4. Accommodation/Food charges

Stay period ( No of days) Bill No./Date Amount

5. Total Amount Claimed: Rs.______________________

Advance drawn : Rs.______________________

Balance : Rs.______________________
 Certificate
Certified that the tour has been performed as per the approval and the information furnished is true and
correct. The Participation Certificate is enclosed / not enclosed.

Signature of Student/Scholar with date

Recommendation by the Guide

Certificate by Library:

___________________________________________________________________________________

OFFICE USE

The Tour claim verified with tour approval and forwarded to Accounts section for Payment

AR (Academic)

__________________________________________________________________________________________

Claim Amount (Rs.)

1. Journey (Air fare / Train fare)

2. Hotel Rent

3. Road mileage (local Travel)

4. Registration / Poster Fees

5. Daily Allowance

6. Per diem

Total

Less : Advance Paid (Advance No - adjusted)

Net Payable

TA bill for payment for Rs……………………………………………………………

JR (Accounts) IAO
 INDIAN INSTITUTE OF INFORMATION TECHNOLOGY DESIGN AND MANUFACTURING, KANCHEEPURAM

Application for Financial Assistance Scheme for Students/Scholars to present research papers at
International/ National Conferences/Workshop, etc
(Please tick whichever is applicable)
A) Details of the Student
1. Name :
2. Roll Number :
3. Programme : B. Tech / M. Des. / M. Tech. / Ph. D
Stream:
4. Date of joining / Registration :
(month & year)

B) Details of the International/ National Conferences/Workshop, held in India etc

1. Title :

2. Organized by :

3. Duration : From __________To__________

4. Venue :

C) Details of the Paper

(a) Whether accepted for
Oral / Poster presentation? :
(b) Name(s) of Co‐author(s) with
designation(s) :
(c) Whether Co‐author(s) is/are attending? :

D) Whether any conference visits made Yes No

during the calendar year? If yes, details
:
E) Duration :

Details of proposal of the leave or with attendance to be availed

during this period (to be specified) : From ___________To__________

(maximum of two days before & after the conference days only will be permitted for out station events)

F) Registration Fee :
(TA / DA as per rules in force)

G) Whether the lodging / Boarding charges are included in the registration fee. (Yes / No)

Encl: 1. Acceptance letter

2. Copy of full paper or abstract
3. Reviewers comments and reply Signature of the Student/Scholar
Date:

(to be certified & forwarded by Faculty Advisor / Guide) (Signature of FA/Guide)

APPROVED / NOT APPROVED

Director