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GTU/Ph.D.

/Gen_Application/20 / Date:

General Application
(Only for those requests for which specific formats are not available)

1. Name of Research Scholar:………………………………………………………………….


2. Enrollment No.
3. Faculty/Discipline
4. Mobile No.
5. Registered email ID
6. Name of Supervisor (with Designation)
Institute Name & Address
Email
Mobile No.:
7. Name of DPC Member 1 (with Designation)
Institute Name & Address
Email
Mobile No.
8. Name of DPC Member 2 (with Designation)
Institute Name & Address
Email
Mobile No.
9. Specify the reason for the application:

10. Enclose documents related to the application (if any):

(Signature of the Candidate/ Research Scholar)

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11. Remarks/Comments of the Supervisor on the request/application of the Candidate/
Research Scholar

(Signature of the Supervisor)

FOR OFFICE PURPOSE ONLY

Remarks/Recommendation(s) of concerned DRC/DRCs (if any)

Remarks of the Section (if any)

Dealing Person I/c Section

Registrar

Page 2 of 2 Ph.D. Programme, GTU

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