'kks/kkfkhz dk fooj.k

Transkript

1 'kqyd : 'kcnksa esa jlhn Ø fnukad glrk{kj 'kqyd fyfid iafmr,l-,u-'kqdyk fo ofo ky;] 'kgmksy ¼e-iz-½ ih&,p-mh- ikb;øe dkslz odz esa izos'k gsrq vkosnu i= fo"k; Hkkx &,d ¼01½ 'kks/kkfkhz dk fooj.k Lo;a dh lr;kfir Nk;kfp= 1- vkosnd dk iwjk uke fgunh esa ¼vaxzsth ds cms+ v{kjksa esa½ vkosnd dk LFkkbZ irk i= O;ogkj dk gsrq irk eksckby vkbz-mh firk dk dk uke ¼fookfgr efgyk gksus dh volfkk esa½ ekrk dk uke ukxfjdrk fyax jdr lewg fo ofo ky; dk uke,oa ukekadu Øekad ¼d½ ;fn fdlh esa dk;zjr~ gks rks mldk fooj.k ¼[k½ ;fn ¼d½ dh tkudkjh gk gs rks fu;ksdrk dk vukifr izek.k&i= lyaxu djsaa 12- ¼d½ D;k vkosnd e-iz- dh vuqlwfpr vuqlwfpr finm+k oxz fpduh ijr dks izoxz ls gsa ¼[k½ ;fn gk rks fdl laoxz ds gsaa ¼izek.k i= dh Lo;a lr;kfir izfr layxu djsa½

2 13- vkosnd dh 'ks{kf.kd ;ksx;rk% Ø- ijh{kk dk uke f k{kk cksmz@ fo fo ky; dk uke 1- gkbz Ldwy gk;j lsd.mjh 10$2 3- Lukrd 4- LukrdksRrj 5-,e-fQy- 6- LysV o"kz xzsm@ izkirkad izfr kr uksv% dafmdk 13 ls lacaf/kr Lo&vfHkizekf.kr izek.k i= layxu djsaa Js.kh fo"k; 14- fo'ofo ky; }kjk vk;ksftr ih&,pmh- izos'k eksf[kdh ik=rk ijh{kk mrrh.kz gksus laca/kh fo'ofo ky; dh osclkbv ij tkjh lwph ¼ftl ij vkidk uke gks½ layxu djsaa 15- 'kks/k dk;z ds fy;s izlrkfor 'kh"kzd (Topic of Proposed Research Work) vxj 'kks/kkfkhz us mdr 'kh"kzd ij dqn 'kks/k fd;k gks rks mldk fooj.k lfgr izdkf kr 'kks/k i=ksa dh izfr;ka layxu djsaa 16- D;k vkosnd vu; fdlh mikf/k ds fy;s lalfkkxr@ ugha vlalfkkxr :i esa bl fo ofo ky; vfkok vu; fo ofo ky; }kjk vk;ksftr ijh{kk esa lfeefyr gks jgk gsa ;fn gk ] rks mldk iw.kz fooj.k fnukad LFkku vkosnd ds glrk{kj 2

3 Hkkx & nks ¼02½ kks/k funsz kd dh lgefr esa] ds 'kks/k&funsz'kd ds :i esa 'kks/k dk;z djokus gsrq lgefr iznku djrk gw ] tks ladk; ds fo"k; ds 'kks/kkfkhz gsaa esaus 'kks/kkfkhz ls 'kks/k ds 'kh"kzd ds laca/k esa folr`r ppkz dh gsa 'kks/kkfkhz us mi;qzdr 'kh"kzd ij 'kks/k dk;z djus dh bpnk O;Dr dh gsa esa fo'ofo ky; ds vf/kfu;e&11 ds varxzr mi;zqdr 'kks/kkfkhz ds 'kks/k&dk;z dk funsz'ku d: xka esjs funsz'ku esa iwoz ls 'kks/kkfkhz iath r gsaa LFkku % 'kks/k funsz kd ds glrk{kj fnukad % 'kks/k funsz kd dk uke in uke irk bz esy eksckbzy@nwjhkk"k Øekad

4 Fee Rs.... in words Receipt No.... Date... Sign. Fee Cleark Pandit S. N. Shukla University, Shahdol (M.P.) Application for Admission in Ph.D. Course Work Programme Subject... PART - I (First) DETAILS OF RESEARCH SCHOLAR Affix Attested Passport Size Photo 1. Full Name of Applicant (Hindi) (In English Capital Letters) Permanent Address Address for Correspondence Mobile / Telephone No. / ID Father's / Husband's Name (In case of married woman) Mother's Name Domicile Gender Blood Group University Enrollment Number (a) If employed anywhere, give details (b) If, Yes then enclose N.O.C from employer 12. (a) Does the applicant belong to SC/ YES / NO ST/OBC (Non Creamy Layer/Physically Handicapped) (b) If, Yes then enclose self attested certificate 4

5 13. Educational qualification of applicant - Sl. N o. Name of Examinatio n Educational Board / University Name Year Grade / % of Marks obtai ned Divisi on Subject 1 Secondary / High School 10 2 Hr. Secondary Graduation 4 Post Graduation 5 M. Phil 6. NET / SET / SLET Note: Enclose self attested certificates of Point Enclose list of successful candidate's of Ph.D. Entrance Viva-Voce Eligibility Test conducted by the University and published on University Website. 15. Topic of proposed research work (If any work done on the proposed topic by the candidate then enclose research paper and give details) 16. Is the applicant appearing in any examination for any degree from this University or any other University then give details Date :... Place :... 5 Applicant's Signature

6 PART - II (Two) CONSENT OF SUPERVISOR I do hereby give my consent to supervise Mr. / Mrs. / Ku Research Scholar of faculty Subject I have discussed with research scholar on the proposed topic for research and the scholar is interested to peruse the research work on the above topic. I am willing to supervise the research scholar as research supervisor according to University Act 11. Under my supervision research scholars are registered. Place Signature of research supervisor Date Name of research supervisor Designation Address Mobile / Telephone No