Application Form For Recognition As Research Supervisor

1. Essential Information
Ph.D.
Total Teaching Exp.
Total Experience
Subject / Stream/ Branch
Area of Research /
Specialization


2. Applying in: (Indicate the relevant School)
School of Engineering School of Management

School of Basic and Applied Sciences School of Commerce

School of Planning and Architecture School of Economics

School of Design School of Arts and Social Sciences


3. 3. 4. Name (In capital letters):Dr.(Mr/Ms) ..

5. 4. 6. Present Designation: ..
..
7. 5. 8. Details of Institution: .....
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9. 6. 10. DOB: (DD/MM/YY) .............
11. 7. Communication Address (Office)
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(Residence
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12. 8. 13. Phone Numbers: (Office):
(Residence):
(Mobile):
STD Code : ..Number
STD Code : ..Number:..
Number: ...
9. Fax ..
10. E-Mail ..




Paste
Passport size
Recent
Photograph



9. 11. Academic Qualifications :-
S.No Name of Examination Year Board /University %age Subject







12. Total Teaching Experience (including Post graduate classes with specialization)/post doctoral
research work/other experience:-

Sr.No Institute Subject Taught Period





13. Research Experience
A. Details of Research Publications
Sr.No Title of Research Paper Journal Year



B. Research Guidance (If any)
Sr.No University Year Topic




14. Attachments
a) Photocopies of Marksheets (X, XII, UG, PG, Ph.D)
b) Details of published paper (if any)
c) Any Other Distinctions Achieved
d) NOC from the present employer/HOD
e) P.G Teaching/ research/other experience certificate from Principal/Director of the Institute
f) Curriculum vitae (C.V)
DECLARATION OF THE CANDIDATE
The information given is true to the best of my knowledge and extends my service to the University
obeying the rules and regulations in operation as per the norms of the University.
Date:.......................................
Place: Signature of Applicant