GTU
Ph.D. Pre-Registration Form for Change of Supervisor
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EnrollmentNo:
Full Name :
Father Name :
Mother Name :
Permanant Address :
(Please do not enter single qoute (') or apostrophe ('s) in between text.)
Correspondence Address:
(Please do not enter single qoute (') or apostrophe ('s) in between text.)
Telephone No.:
Mobile No.:
Email :
Date of Birth :
Nationality :
Ph.D. Registration Status :
Select
FullTime
PartTime
Gender:
Select
Male
Female
Other
Category :
Select
General
SEBC
SC
ST
Aadhar Card/Voter-ID/Any Photo-ID No :
Physically Challenged (As Per Published Advertisement Percentage)
Not Applicable
One Leg Left or Right
One Arm
Hearing Handicap
Photo :
Signature :
Approved Research Topic:
(Please do not enter single qoute (') or apostrophe ('s) in between text.)
Institute/Organization in which the candidate is working:
Institute/Organization where candidate prefers to do Research work:
Name, Designation and address of the supervisor:(as displayed on GTU website):
Consent of the supervisor:
Name supervisor:
No. of Ph.D. Scholars supervising as a supervisor at present :
GTU :
Other than GTU :
No of M.Phil. Students supervising:
Address of the Institute/Organization:
Telephone Office :
Telephone Resi. :
Mobile :
Email ID:
For any queries please email:
phd@gtu.edu.in