Regn. No. HINDUSTAN UNIVERSITY ECOGR. Bb EAEeL Larry M.S. (By Research) MPhil almission PARTTIME PARTTIME Category FULL TIME (INTERNAL) (EXTERNAL) Department: ‘Area of Research (Enclose 1000 - words write-up about the proposed area of research) Ht 2 3 Bc sc NoFor Full Time: Do you need Campus Accommodation? —_- YES NO (Enclose photocopy of UG / PG degree Certificates - Provisional is acceptable only for one year from graduation.) * for Candidates under Marks System # for Candidates under Grade System No. of publications (Attach a separate list of publications): Name, Designation and Address of the Research Supervisor (needed only if already identified):This is to certify that the particulars given above are true, correct and complete to the best of my knowledge and belief, | also understand that if at a later date any of the above information furnished by me is found to be false, my registration will be cancelled without any refund of the fees paid by me. | also note that the decision of the University is final in regard to selection for admission and further choice of schools, departments and area of research. Place: Date: Signature: This is to certify that . is a member of our Institution / Organisation and we have no objection to his / her carrying out Ph.D / M.S. (by Research) / M.Phil programme at Hindustan Institute of Technology and Science. We also agree to relieve the candidate as per the norms of the University to carry out Ph.D / M.S. (by Research) /M.Phil programme. Place: Date: nature of Head of the Institution / Organisation (with Seal) Application with enclosures to be despatched t. Manager (Admissions) No. 40, G.S.T. Road, St. Thomas Mount Chennai - 600 016 A registration fee of Rs. 500/- (non - refundable) by Demand Draft in favour of “Hindustan Institute of Technology and Science” payable at ChennaiDean (Research) Chairman Selection Ph.D. Co-Ordinator Committee Registrar Vice Chancellor Deputy Director (Admissions) Name of the Candidate : ..