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THIRUVALLUVAR UNIVERSITY
SERKKADU, VELLORE – 632 115
APPLICATION FOR SEEKING RECOGNITION AS A SUPERVISOR FOR
Ph.D. DEGREE IN ___________________________
For office use only
Form No.
Affix Passport Size Photograph
Name of the Applicant
(BLOCK LETTERS)
Age and Date of Birth
Designation
Department
College Name with Code & Address
Phone / Mobile Number
Email Id
Details of Academic Qualification :
Academic Qualification
Major
University
Month & Year of Passed
Master's Degree
M. Phil.
Ph.D.
Teaching experience (Enclose Proof) :
Name of the College / Institute
U.G.
P.G.
From
To
No. of Year
From
To
No. of Year
Whether the Department is affiliated for M.Phil. Degree course in the subject concerned. If yes, the Number and Date of Communication should quoted (Enclose Proof)
Date:
Research Experience and Research Publications/Reprints (Enclose copies) after award of M. Phil. Degree :
Book / National / International Journal
ISSN Number / ISBN Number
Published on
Title
Submit