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Registration form for Ph.D. Degree Admission (For Internal/External Candidtates) PERSONAL DATA Name (in block letters)
Male
Res: Mobile:
Female
E-MaiL : Religion: Mother Tongue: Caste: Blood Group: State of Domicile: Nationality: Residence Address With Pin Code:
Office
Residence
ACADEMIC RECORD Examination Passed Specialization Institution University Year of Passing Class Obtained
Note: Bank Draft of Rs 100/- should be in favour of Finance Controller ,Uttarakhand Technical University, Dehradun.
GUIDE DATA
Name of Guide: Address for Correspondence: Qualifications: Exp:
Email:
Place; ________________
I am a recognized guide for the PhD programme of Uttarakhand Technical University as per the communication no. ..dated ..of the Registrar, UTU. I undertake the responsibility of guiding Mr. /Mrs. /Ms. .for his/her PhD degree in the proposed field of research. The student is not related to me. The students who are presently working for PhD programme under my guidance are:
S.No.
Registering University
Date of Registration
Guide/Co-guide
1. 2. 3. 4. 5. 6.
Place: _______________
Date: ________________
______________________
Signature
I am a recognized guide for the PhD programme of Uttarakhand Technical University as per the communication no. ..dated ..of the Registrar, UTU. I undertake the responsibility of guiding Mr. /Mrs. /Ms. .for his/her PhD degree in the proposed field of research. The student is not related to me. The students who are presently working for PhD programme under my guidance are:
S.No.
Registering University
Date of Registration
Guide/Co-guide
1. 2. 3. 4. 5. 6.
Place: _______________
Date: ________________
______________________
Signature
The Department of.of.institute has adequate facilities for conducting the research work by under the guidance of .I recommend that the candidate may be permitted to register for PhD degree under the Uttarakhand Technical University,Dehradun.
Signature
Name
Department Seal
The Department of.of.institute has adequate facilities for conducting the research work by under the guidance of .I recommend that the candidate may be permitted to register for PhD degree under the Uttarakhand Technical University,Dehradun.
Signature
Name
Department Seal
The Department of..of institute has adequate facilities for conducting the research work by..under the guidance of. I recommend that the candidate may be permitted to register for PhD degree under Uttarakhand Technical University, Dehradun. We will provide the research facilities required for the research work of above candidate.
Signature
Name
Department Seal
Note: Attach the list of research facilities available in the department required for the research work of above candidates.
STN-122 ENCLOSURES n. n. n. n. n. n. n. Declaration by the Guide Declaration by the Co-Guide Recommendation by the Head of the Department Recommendation by the Head of the Institution Attested of the degree certificate of qualifying examinations Attested copies of the marks of qualifying examinations Brief description of the research protocol must include the Title, Introduction, Importance of proposed research investigation, objectives, Methodology and References
10- NET/JRF(UGC)GATE/CSIR....................................................... 11- Experience...................................................................................... 12- Annexure All certificate (education qualification)............................ 13- Fee detail ( Bank Draft University , Dehradun ): (i) Name of Bank..............................................(ii) Draft No............................................ (iii) of Rs. 100 in favour of Finance Controller , Uttarakhand Technical
Declaration: I certify that the information mentioned by me are correct to my knowledge. In case of mentioned information found wrong and incorrect , university may cancel my registration.
Date: