1

Application Form Ph.D. programme

T. A. PAI MANAGEMENT INSTITUTE
(recognized a a reearch center o! Manipal Uni"erit#$

Please print this application form on separate A4 sheets (not back-to-back) and then complete by hand
PE%S&NA' DATA
Affix passport size
photo here
Name (block letters)
Date o! (irth
(dd/mm/yyyy)

Se) Male Female
Phone
Residence:
Mobile:
E*mail
Nationalit# State
%eligion Mother Tong+e
,+rrent addre -
PIN code

Permanent addre
- PIN code


A,ADEMI, %E,&%D (bachelors degree onwards$
Degree o(tained
Specialization (i!
an#$
Intit+tion and.or
Uni"erit#
/ear o!
Paing
,la .
Mar0
o(tained




2

P%&P&SED STUD/
Indicate the area in which you wish to conduct your doctoral research
Decision Theory
Economics
Entrepreneurship
Finance
Human Resources
n!ormation Technolo"y
Mar#etin"
$perations and %upply &hains
$r"ani'ation Theory
$r"ani'ational (eha)iour
*uantitati)e Techni+ues
%trate"y
$ther (please describe): ,,,,,,,,,,,,,,,,,
,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Indicate whether Full Time or Part Time Financial Aid (choose the appropriate option)
Full Time
-art Time (available only for employees of
Manipal University and APM!).
need !inancial aid !rom the institute.
(tick this only if yo" are applyin# for a f"ll-
time st"dentship and are not receivin# any
other form of financial aid).
do not need !inancial aid.
STATEMENT &F PU%P&SE
Describe why you wish to pursue a doctoral study and what you intend to do after completing it

/


0 ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, (yo"r name)0 declare that the abo)e
in!ormation is true to the best o! my #no1led"e.
,,,,,,,,,,,,,,,,,,,,,,,,,,
%i"nature o! the applicant
Date:
-lace:
/o+r complete application et ho+ld contain the !ollo1ing !o+r item2
1. This 2--3&2T$4 F$RM !illed 1ith all details.
2. 2 567 pa"e (rou"hly 25886/888 1ords) %T9D: -R$-$%23 describin" your area o! research interest
and the broad problem that you intend to 1or# on durin" the doctoral pro"ramme. E;plain clearly
1hy this problem is interestin" to study and any methodolo"y you intend to !ollo1. This proposal
should be !ormatted usin" 2rial !ont in 11 points si'e0 1.5 line spacin"0 1< mar"ins on all sides and
bottom pa"e numberin".
/. -hotocopies (not ori#inals) o! your ED9&2T$423 &ERTF&2TE% !rom bachelor=s de"ree on1ards.
>. :our updated &?.

Mail application et to: 2ssociate Dean (Research)0 T. 2. -ai Mana"ement nstitute0 Manipal 57@18>.
'at date !or recei"ing application et at TAPMI3 Manipal: Aanuary /1
st
0 281>.

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(do not $rite belo$ this line)