THE GANDHIGRAM RURAL INSTITUTE – DEEMED UNIVERSITY

No.

APPLICATION FOR ADMISSION TO Ph.D. PROGRAMME

(Incomplete applications will be summarily rejected)

FULL TIME PART TIME

Teacher Non-Teacher
REGULAR Internal External Internal External

Mode of Remittance of
Registration
Fee(DD)/Challan Affix recent
passport size
Name & Place of Bank photo

Amount Rs.

Date of Remittance

1. Name : M. PONRAJ

2. Date of Birth & Age : 22-05-1970& 41 Yrs

3. Sex : Male / Female

4. Community : SC/ST/OBC/OC

5. Nationality : Indian

• Last date for receiving the filled in application: 31st January / 31st August
• Please read the Regulations of the Ph.D. Programme before filling up the
application form.
• Tick wherever necessary
6. Residential address: 7.Address for Communication:

M. Ponraj M. Ponraj
B-404, Rounak CHS Ltd B-404, Rounak Cooperative
Sector-20 Housing Society Ltd
CBD Belapur Sector- 20
Navi Mumbai CBD Belapur
Maharashtra State Navi Mumbai
Maharashtra State

PIN: 400614 PIN: 400614

Contact No. 9892764877 Contact No. 9892764877

8. Academic Qualifications:

S.No. College/ Degree Month & Subjects Class/ Mode % of

University Obtained Year of Studied Grade/ Regular/ Marks
passing Division Distance
with
Regn.No.
1 GRI B.Sc 1990 Physics First Regular 73.9

GRI M. Sc 1992 Applied

First Regular 72.9
2
Physics

9. a) Have you passed JRF/NET/SLET/GATE/CSIR/ICAR/ICSSR : Yes / No

b) If yes, furnish the Date & Registration : No

Number
10. Teaching / Research / Extension / Administrative Experience:

Position Period of Service Nature of

Duties
From To Name of the
Institution

Teaching
Indian Scientific
1992 Till date Research
Research Institute
Geomagnetism
Extension

Administration
(if any)

Total Service
(in years)

11. a) Have you published any research papers? : Yes/No

b) Which of the above was/were published in

refereed journal? : Yes , International

c) Attach reprints : attached

12. Award / honours / recognitions received, if any : JSPS Ronpaku Fellow

13. Present position : Technical Officer

14. Salary / Emoluments :

15. Declaration of the candidate :

I hereby declare that all the statements made above and information given in
this application are true to the best of my knowledge and belief.

Place :
Date : Signature of the candidate
16. No Objection Certificate from the Employer (for part time candidates only):

We have no objection to permit Mr./Ms. ___________________________

to do his/her Ph.D. programme at Gandhigram Rural Institute (Deemed University)

and to fulfill the 180 day residential requirement of research as per the G.R.I.

regulations. `

Place:

Date : Signature of the Employer

Office seal

17. State the discipline / subject in

which you propose to do your Ph.D. work : Part Time- Non Teacher
Inter Disciplinary Research

18. Specify the field of your Ph.D. work : Crustal Deformation Study using GPS

Signature of the candidate

 For Office Use

Name :

Department / Faculty :

Research Supervisor / Joint Research :

Supervisor

Date of joining :

Minimum period ends on :

Maximum period ends on :

Extension - I :

Extension - II :

Extension - III :

Re-registration on :

18 months over on :

2 years over on :

3 years over on :

Synopsis submitted on :

Thesis submitted on :
 Check list
(To be filled by the candidate and enclose the following enclosures )

Session January /August Remarks

if any
Name
Pasted a passport size photograph in the application Yes / No Yes

Part-Time / Full Time

PT(External)
FT/PT (internal) /PT(External)
Community : SC/ST/OBC/OC OC
Qualification:
Yes, attached
a) Plus Two Mark statement
b) UG Degree yes, attached
c) PG degree certificate with consolidated mark Yes, attached
statement
d) Percentage of marks obtained in PG degree 72.9

e) Whether the PG degree passed in Regular/Distance Regular

Education
f) M.Phil Yes / No/ awaiting for N.A
results
g)UGC -
JRF/NET/SLET/Lecturership/GATE/CSIR/ICAR/ICSSR/
any other fellowship examinations
NO
(copy of the fellowship award certificate)
Whether the NOC is obtained in the format prescribed Yes/No Yes
in the application
Service Certificate if any Yes/No Yes

Sponsorship certificate if any Yes/No

Research Proposal a research proposal (not exceeding Yes/No
Yes
500 words) mentioning the broad area of investigation
and its justification
Copy of Publication(s), if any Yes / No Yes
Research Area Crustal Deformation by GPS

Whether the Research is Inter-disciplinary or not Pure/Inter-disciplinary

Inter-disciplinary
Department to which application is sent Physics

Signature of the applicant