Ph.D Admission form
Application for pursuing Ph.D in Anna University approved KCG Research Center
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Degree
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Name *
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Date of Birth
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Gender
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Marital Status
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Community
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E mail *
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Mobile
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Nationality
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Category
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Faculty
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UG Specialisation *
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PG Specialisation *
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Phone Number
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Contact Details (Residential Address)
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Supervisor Details from KCG-(Refer KCG Website) *
Supervisor Reference No
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Supervisor Recognized department
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Joint Supervisor Details (If any)
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Academic Background ( of the latest degree obtained)
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(i) Qualification
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(ii) Branch
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(iii) Mode
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(iv) College and University
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(v) Year of Passing
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(vi) Percentage of Marks/CGPA
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Total Number of Years of Professional Experience
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Details of current employment : Employee
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Name of the employer
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Address of the employer
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Nature of employment
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Pay Scale & Working Since
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Details of Publications
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Column 2
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No. of Journals
No. of Conferences
Proposed Research Area for Ph. D work : *
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