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Admissions - M.Phil /Ph.

D June2012
Periyar Nagar, Vallam Thanjavur - 613 403, Tamil Nadu, India Phone: 04362 - 264600 Fax: 04362 - 264660 Email: admission@pmu.edu Web: http://www.pmu.edu

NAAC ACCREDITED Application No: Last date for submission: Date of Entrance Test :

Application for Admission to M.Phil /Ph.D Programme


Full Time Part Time

Admission is sought in the Department of. For office use only: Appeared on. Present: Yes/No Result: Yes/No/Waiting Remarks Verified by (With Name) Closed on:

1.Course applied for 2. Discipline 3.Name of the Candidate


(IN BLOCK LETTERS)

: M.Phil :

Ph.D
Recent Passport size photograph with Attestation

: : Ms./Mr : Ms./Mr : : : :

In English In Tamil / Regional Language 4.Date and Place of Birth 5.Name of the Father / Guardian 6. Name of the Mother 7.a. Permanent Address

b. Address for Communication : Phone No. : E-mail : 1

8. Qualifications with % of marks : (Enclose certified copy of consolidated mark list) 9. Nationality 10. Community 11. Caste : : General/ OBC/ SC/ ST :

12. Mother Tongue 13. Occupation of i. Father / Guardian ii. Mother 14. Monthly Income of Parent / Guardian

: : :

15. Do you need Accommodation in the University Hostel?

: YES / NO : YES / NO

16. Physically Challenged (If yes, State the Nature with percentage of disabilities along with an attested copy of medical certificate issued by a registered medical practitioner, not below the rank of civil surgeon) 17. Are you a sponsored candidate? (If yes, attach the sponsored certificate)

: YES / NO

18.a. Details of Academic Record (from degree level): Qualifying Degree Specialisation Name of the College/ Institution University Month & Year of Passing Average % of Marks/Grade*

* Average % must be based on Marks/ Grade obtained in all the Semester examinations 2

b. GATE / UGC / CSIR / Other Score: and Year of appearance (Enclose certified copy of the score sheet) 19. Professional Experience (Research / Industrial) if any, after the Qualifying Degree Sl. No. Name of the Organization Designation & Nature of Work Period From To

20. If employed a) Regular / Temporary b) Name of the Employer _____________________________ _____________________________

c) Nature of work (Teaching / Industry/Other) _____________________________ d) Total Experience in years 21. Details of Papers Published in refereed Journals / Proceedings of Seminars / Conferences (Please add separate sheet, if needed) : 22. Any other relevant information : Candidate In English Parent / Guardian _____________________________

23 .Specimen Signature of the Candidate and Parent /Guardian:

In Tamil/ Regional Language DECLARATION BY THE APPLICANT I ..(Name in full) Daughter /Son of . hereby solemnly declare that the information furnished and the statements given in the application and enclosures are correct and complete. I further declare that if found otherwise, I will be liable to forfeit my admittance and / or removal from the roll of the University whatever stage of study I may be in, besides criminal prosecution. Place: Date : 3

Signature of the Candidate

SPONSORSHIP CERTIFICATE (From the Present Employer)


Certified that Mr./Ms./Mrs. is a permanent employee of and is working as .. She/He is sponsored for the M.Phil/Ph.D. Programme (Full Time/ Part Time) and all facilities will be extended to him/her during the course of study. This Organization/Department has no objection in permitting him/her to undergo the programme. He has practical experience in this Organization/College for .. year/s months and .. days as on .. as detailed below. Sl. No. Designation Period of Service From To Duration of Service Years Months Days

Total

Station:

Signature of the sponsoring Authority

Date & Office Seal:

Name & Designation

This certificate will not be valid if the Office Seal of the issuing authority is not affixed. The application of the candidates who have not furnished the sponsorship certificate in the above format will be rejected without any further communication. If the above certificate is false or contains false information, criminal/legal action will be initiated on the candidate and the concerned.

Admissions - M.Phil / Ph. D JUNE2012


Periyar Nagar, Vallam Thanjavur - 613 403, Tamil Nadu, India Phone: 04362 - 264600 Fax: 04362 - 264660 Email: admission@pmu.edu Web: http://www.pmu.edu

NAAC ACCREDITED

Instructions to Candidates
For Admission to M.Phil / Ph.D Programme
1. Courses Offered a) M.Phil courses Bio Technology Bio - Chemistry Chemistry Computer Science Education English Qualifying Examination and Eligibility Criteria Relevant P.G programme with good academic performance b) Research Programme (Ph.D) Department of Architecture Department of Bio - Technology Department of Civil Engineering Department of Computer Applications Department of Computer Science and Engineering Department of Chemistry Department of Chemical Engineering Department of Electrical and Electronics engineering Department of Electronics and Communication Engineering Department of English Department of Education Department of Information Technology Department of Library and Information Science Department of Management Studies Department of Mathematics Department of Mechanical Engineering Department of Physics Department of Physical Education Dr.Kalaignar M.Karunanidhi Centre for Political Science Centre for Periyar Thought Centre for Rural Development Environmental Science Mathematics Periyar Thought Physics Political Science Physical Education Social Work

Qualifying Examination and Eligibility Criteria Relevant P.G programme with good academic performance 5

2.Other State candidates Candidates from other states (other than Tamilnadu) are also eligible for admission to M.Phil and Ph.D programmes. They should furnish the Nativity Certificate and migration certificate issued by the competent authority. 3. Instructions for filling up the application form a) If a candidate wishes to apply for more than one course, she/he should use separate application form for each course. one course will be considered for one application form. b) Serial Number 1, 2, 3, 4, 5, 6, 7, 8, 11, 12, 14, 15, 19, 20, 21, 22, and 23 are self- explanatory. Serial number 9 Nationality: Mention Indian or others Serial number 10, 15, 16, & 17: Mark ( ) just above the appropriate category 4. The overall rank list will be published in the University Website: www.pmu.edu only.

Application form can be downloaded from the University web site www.pmu.edu or obtained from 5. University Admission office. Duly filled in application should be sent along with a bank challan for Rs.750/- (For SC/ST Candidates Rs.500) remitted in Indian Overseas Bank (Core Banking) Periyar Maniammai University Branch A/C.No.020, Pillaiyarpatti (Branch Code: 1961). 6. Attested copies of the following testimonials should be enclosed with the application form. 1. S.S.L.C Mark sheet 2. HSC mark sheet 3. Degree mark sheet 4. Transfer Certificate 5. Community certificate 6. Citizenship (Family card issued by Civil supply office) 7. Sports, NCC, and other co- and extra curricular activities 8. Medical fitness certificate and Blood group certificate 9. Passport size Photos 5 Nos.

7. Those who have appeared for final examinations and awaiting for results can also apply. 8. Completed Application form should be addressed to The Registrar Periyar Maniammai University Periyar Nagar, Vallam, Thanjavur- 613 403. Tamil Nadu, India 9. Last date for submission of Application 31st May2012 10. Contact e-mail for any enquiries: admission@pmu.edu 6

CERTIFICATE FOR DIFFERENTLY ABLED PERSONS


Recent passport size photograph duly attested by Civil Surgeon

This

is

to

certify D/o.

that /

Ms/Mr....

S/o.Mr.aged . years is a differently abled person as defined under G.O.MS.No.198, dated 30.05.2003 of the Higher Education Department of Government of Tamilnadu. The following details regarding her / his were obtained by me after personal Examination. 1. Personal Identification Marks : (a) (b) 2. Nature of Disability 3. Percentage of Disability : :

Further certified that she / he is physically fit to undergo higher studies including Engineering Education.

Signature of the Candidate: Date: Place: Signature of the Registered Medical Practitioner (Not below the Rank of Civil Surgeon) Name Seal Note: 1. For differently abled category a minimum of 40% disability is required subject to the condition that the capability of carrying out all activities related to theory and practical work as applicable to B.Tech / B.Arch. courses without any special concessions and exemptions. 2. Certificate issued on or after 1st January 2011 will only be accepted. : :

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