-:J
Application - A
KUVEMPU UNIVERSITY
Application Form for Registration for Ph.D Programme in ......... ................j.'.'
01. Name of the Candidate (in Block Letters)
02. Address for Communication :
Passport Size
Photo of the
Applicant
Phone No.
E-mail Cell No.
03. category : crvr l-l sc [-l sr l-l cat-I l-l IIA l-lrm [-lrrr,t [-l rrle l-l others
I
(if belonss to SC/ST & Cateqory enclose Caste Certifrcate)
04. Details of Post-Graduate Degree Examination Passed :
o/o of Marks
P.G. Degree Year of Specialization University
and Subject Passing Secured
05 Whether passed [Link]? Yes | |
No E
06. Whether cleared cATErucc/csrR NET, JRF, sET, TNSPTRE FELLowsHrp? YES E NO E
07. Ifsponsored/whether candidate is a permanent employee of educational and/ research
insiitution or public/private sector organizationrubplprojectFellow? YES n NO
08. Whether the candidate is foreign citizen? YES
[if your reply to any of the above four items (i.e. items 05 to 08 ifYes
L--l No I r
please enclose the relevant certificate]
09. Whether the Research work is on fulltime or part time basis?
Part Time Full Time
Date
Place (Signature of the Applicant)
