Documente Academic
Documente Profesional
Documente Cultură
100/-)
APPLICATION FORM
A.
Latest passport
size photograph
CATEGORY (1)
Indian National for Ph.D study in India
CATEGORY (2)
National of other Asian Country
for Ph.D. study in India
Name of the Country/Nationality
B.
C.
PERSONAL DETAILS
1.
S.Ranjeeth Kumar
2.
Fathers/Husbands Name
Late.Mr.R.Sundararajan
3.
Date of birth
21-06-1981
4.
PIN 620003
Permanent address
PIN
621302
ranjeethkumar@sastra.edu
Mobile
9585389911
6.
Supervisors Name
Dr.A.Umamakeswari
Designation
04362-264101-108 Extn:171
Email ID aum@cse.sastra.edu
7.
Mobile
09-07-2012
30-06-2016
9443451898
8.
Please attach a synopsis of not more than 1500 words (about 3 pages of 1.5 spaced text) setting out
clearly in different paragraphs what the proposed thesis is about, notable arguments/positions
on this topic, what exactly will your research add to existing knowledge, specifying the methods
and techniques you will use and what has already been done and what remains to be done.
9.
Please attach a letter from your Supervisor/Guide containing an academic assessment of your
doctoral research project.
10.
Yes
No
If yes
(a) Date of your appointment
(b) Your designation
(c) Full address of the employer
11.
If you are getting scholarship/financial assistance from any source at present, please indicate :
(a) Name of the source with full address
(b) Scholarship amount per month
(c) Contingency amount per year
(d) Any other financial assistance being
received with details thereof
(e) Scholarship/Financial Assistance
to Continue up to (month, year)
12.
Languages known :
Read
Tamil, English
Write
Tamil, English
Speak
13.
Examination
Passed
Name of Board/
University
Year of
Passing
Division/
Grade
Percentage
of Marks
Subjects Taken
SSLC
Matriculation
1997
First class
83.5
HSC
Matriculation
1999
First class
77
B.Sc
Madras University
2002
First class
78
Computer Science
M.Sc
Anna University
2004
First class
70
Computer Technology
M.E
Anna University
2008
First class
distinction
80
D.
1.
Ye s/No
2.
A s ynopsis of not more than 1500 words or about 3 pa ges of 1.5 spaced tex t
Y es/No
3.
Yes/No
4.
Yes/ No
5.
Yes/No
En closed
Declaration:
I declare that the statements made and documents enclosed with the a pplication form are true to the
best of my knowledge and belief. If any information is found to be incorrect, my candidature is l iable
to be cancelled.
Place: Thanjavur
Date :
/05/2015