Application Form – Ph.D.

programme
T. A. PAI MANAGEMENT INSTITUTE
(recognized as a research center of Manipal University)

Please print this application form on separate A4 sheets (not back-to-back) and then complete by hand

PERSONAL DATA
Name (block letters)

Date of birth Affix passport size

(dd/mm/yyyy) photo here
Sex ⃝ Male ⃝ Female
Residence:
Phone
Mobile:
E-mail

Nationality State

Religion Mother Tongue

Current address &

PIN code

Permanent address
& PIN code

ACADEMIC RECORD (bachelor’s degree onwards)

Degree obtained Class /
Specialization (if Institution and/or Year of
(Start from the Marks
any) University Passing
highest) obtained

1
 PROPOSED STUDY
Indicate the area in which you wish to conduct your doctoral research

⃝ Decision Theory ⃝ Operations and Supply Chains

⃝ Economics ⃝ Organization Theory
⃝ Entrepreneurship ⃝ Organizational Behaviour
⃝ Finance ⃝ Quantitative Techniques
⃝ Human Resources ⃝ Strategy
⃝ Information Technology ⃝ Other (please describe): _________________
⃝ Marketing ________________________________________

Indicate whether Full Time or Part Time Financial Aid (choose the appropriate option)

⃝ Full Time ⃝ I need financial aid from the institute.

(tick this only if you are applying for a full-
⃝ Part Time (available only for employees of
time studentship and are not receiving any
Manipal University and TAPMI).
other form of financial aid).

⃝ I do not need financial aid.

STATEMENT OF PURPOSE
Describe why you wish to pursue a doctoral study and what you intend to do after completing it

2
I, ________________________________________________ (your name), declare that the above
information is true to the best of my knowledge.

__________________________
Signature of the applicant
Date:
Place:

Your complete application set should contain the following four items:
1. This APPLICATION FORM filled with all details.
2. A 5-7 page (roughly 2500-3000 words) STUDY PROPOSAL describing your area of research interest
and the broad problem that you intend to work on during the doctoral programme. Explain clearly
why this problem is interesting to study and any methodology you intend to follow. This proposal
should be formatted using Arial font in 11 points size, 1.5 line spacing, 1” margins on all sides and
bottom page numbering.
3. Photocopies (not originals) of your EDUCATIONAL CERTIFICATES from bachelor’s degree onwards.
4. Your updated CV.

Mail application set to: Associate Dean (Research), T. A. Pai Management Institute, Manipal 576104.
Last date for receiving application set at TAPMI, Manipal: January 31st, 2015.

---------------------------------------------------------FOR OFFICE USE ONLY--------------------------------------------------------

(do not write below this line)