VIT

UNIVERSITY
(Estd. u/s 3 of UGC Act 1956)

Vellore 632 014, Tamil Nadu, India.

APPLICATION FOR CANDIDACY FOR Ph.D DEGREE *

( ITEMS 1 TO 10 TO BE FILLED IN BY THE CANDIDATE )

1. Name

2. Address for Correspondence

3. (a) Date of Birth

(b) Place of Birth
(c) Nationality

:
:
:

4. Date of joining the Institute

as research student:
5. Category
Internal Full-Time
(Full-time research student)
Internal Part-Time
(VIT Staff & Project Staff)
External Part-Time
For VIT Staff only:
Designation:
Date of joining:

School/Centre & Area:

Present scale & Salary drawn:

For Project Staff only (A letter of permission from the Project/Scheme authorities
for registering for conferment is to be sent along with this application)
Designation:
Name of the Project/Research scheme:
Date of joining:

Present scale & Salary drawn:

Funding Agency:

Duration of the Scheme:

For External Part-Time:

Name & Address of the employer

Designation:

Date of joining:

Present scale & Salary drawn:

Whether permanent or temporary:

(If temporary, indicate duration)

* This application should be submitted only after completion of Comprehensive Viva

voce Examination and should accompany the report of Comprehensive Examination
Board.
1

6. Qualifications: (from SSLC/X Std onwards)

Sl.
No

Examination

University

7. Previous Experience:
Research:

Year

Yes

No

Teaching:

Yes

No

Design & Development:

Yes

No

Industrial:

Yes

No

Main Subjects

Class /
Rank

(If yes, please attach a short note not exceeding 200 words, against each type of experience
giving details regarding place, period, position etc.)

Publications:

Yes
No
(If Yes, please attach a list giving complete details)

List of Publications attached: Yes

No

8. School/Centre/Laboratory where
the research work is conducted
9. Guide(s)
Name

Designation

School/Centre & Area

1.
2.
10. Name & Address of Research Advisor (if any)

Signature of the applicant

Place:
Date:

CGPA/ %
of Marks

( ITEMS 11-15 TO BE FILLED IN BY THE GUIDE(S) )

11. Has the registration of the Candidate

been accepted
If Yes, date from which accepted:

Yes

No

12. Course work for the Doctoral Programme

(i)

Details of the Program

(ii)

Date of completion of the

course work:

(Attach a list of courses taken together with

an authenticated copy of grade certificate)

13. Comprehensive Examination

Date of examination:
Passed:

Yes

No

Attach a copy of the report.

Report copy attached Yes

No

14. (a) Field of Investigation:

__________________________________
__________________________________

(b) Topic of Research

__________________________________
__________________________________

(c) Research programme envisaged: Attach a note not exceeding 200 words.
Note attached: Yes

No

15. I/We have scrutinised and checked the foregoing declarations, information and
annexures submitted by the candidate under item 1-9 and find them in order. I/We have
also assessed the candidate and consider him suitable for candidacy for Ph.D degree in
__________________ on the topic proposed. I am/we are willing to supervise his work.
1.

______________________ (Signature of Guide)

2.

______________________ (Signature of Co-Guide, if any)

3.

______________________ (Signature of Research Advisor, if any)

Date:

( ITEMS 16,17 AND 18 TO BE FILLED IN BY THE SCHOOL/CENTRE )

16. (a) For VIT Staff

Teaching and / or other School/Centre duties assigned

(If Yes, attach a short note not exceeding 200 words)
Attached:

Yes
Yes

No
No

(b) For VIT and Project/Scheme Staff

Is the candidate likely to continue in the School/Centre till the completion of the
work for the conferment
Yes
No
(If No, indicate his/her position after termination)
17. I recommend the candidacy of the candidate for ___________________ degree in
__________________. Required facilities to the extent available in the School/Centre
will be provided.

Signature of the Director of the School/

Director of the Centre (in VIT) where the
candidate is working
Date:
(For Inter-School/Centre Registration only)
18. I concur. Required facilities to the extent available in the School/Centre will be provided.

Date:

Signature
of
the
Director
of
the
School/Director of the Centre (in VIT) where
the candidate is enrolled.