Professional Documents
Culture Documents
BELAGAVI, KARNATAKA
Part time
Category : GM
Male
SC
VTU-R&D
Architecture
ST
CAT-I
Science
M.Sc.(Engg)
VTU-RRC
Management Studies
Physically Challenged
Others
Female
Teaching:
Research:
Patents:
Awards:
Year of
passing
Subject Code
14PHDRM
Subject Title
Research Methodology
2
3
4
5
6
Research Centre
1. VTU-RC: .Department:....Recognized: Yes
No
No
.
Phone/Cell
No..
email_id: ..
Information
of the Supervisor
Information of the Supervisor
University
Regular /
Distance
Specialization
% Marks obtained
with Class
Year of
passing
2. International Journal
Conference:
Technical Reports:
1.
2. International Journal
Book:
Patents:
Awards:
Sl.
No.
Programme
Please tick ()
Name of the
Candidate/s
Ph.D.
University
Category
Specify
Year of whether acting
Area of
registration as Supervisor Specialization
or
Co Supervisor
Whether
Final Thesis
Submitted
(Y/N)
M.Sc.
(Engg)
1
2
3
4
5
6
7
8
Total
applied candidates is (in Words) The information provided above is true to the best of my knowledge.
Date:
Place:
Signature : _________________________________________
Forwarded by ,...
Date:
University
Regular /
Distance
Specialization
% Marks obtained
with Class
Year of
passing
2. International Journal
Conference:
Technical Reports:
1.
2. International Journal
Book:
Patents:
Awards:
Sl.
No.
Programme
Please tick ()
Name of the
Candidate/s
Ph.D.
University
Category
Whether
Specify
Final
Year of
whether
Area of
Thesis
registration
acting as
Specialization
Submitted
Supervisor or
(Y/N)
Co Supervisor
M.Sc.
(Engg)
1
2
3
4
5
6
7
8
Total
applied candidates is (in Words). The information provided above is true to the best of my knowledge.
Date:
Place:
Signature : _________________________________________
Forwarded by ,...
Date:
Signature of the Head of the Institution where the research work is proposed:.
Organisation
has
our
employeefor carrying out research for his/her Ph.D./ M.Sc. (Engg.) by research
at .... on part
time / full time basis. The information provided by the candidate is found correct as per our records.
Organisation: ..
2.
3.
4.
5.
6.
7.
Degree
Certificates
8.
of
the
Ph.D./M.Sc.(Engg)
VISVESVARAYA
TECHNOLOGICAL
Application
No.
UNIVERSITY
Jnana sangama
Belagavi-590 018, Karnataka, India
Bengaluru
Belagavi
Kalaburagi
None
7. Bio-Technology
13. Maths
8. Polymer Science
14. Physics.
3. Electrical Engineering
9. Silk Technology
15. Chemistry
4. Civil Engineering
10. Textile
5. Environmental Engineering
11. Chemical
6 . Architecture.
Statistics
12. Geology
1 17.
Degree Awarded
Specialisation
Percentage of
Marks/CGPA with
Class
UG
PG
Nationality: Indian
Category:
General
Others (NRI/FN/PIO):
SC
ST
Cat-1
Yes
To be filled by candidates
Gender: Male
OBC
No
Seat No.:
Female
Any Other.
: If Yes, Nature of disability:....
Name:
Address.
Specify
the status of VTU TAT: Cleared in July 2010
Cleared in Jan 2011
Write the TAT Seat No.
.......................................
National
Test qualified with valid score
Date of VRAT:
.
Programme
Test Centre:
Are you
a facultyapplied
under for:
QIP/FIP:
Yes
No
Address for correspondence:
Reporting Time:
..
Cleared in
Candidates Signature
by me are true to the best of my knowledge. In the event of any information being found incorrect or
misleading, my candidature shall be liable to cancellation by the University at any time and I shall not be
entitled for refund of any fee paid by me to the University. I have carefully studied the Regulations(Amended)
Governing the Degree of Doctor of Philosophy (Ph.D.)-2014 framed under Section 32 of VTU Act 1994.
Date:
Visit www.vtu.ac.in for Recognized Research Centres, Fee Structure and Syllabus for
VRAT.