CENTRE FOR RESEARCH Ph.D.

FT / PT
ANNA UNIVERSITY :: CHENNAI 600025 Reg. No.

PROFORMA FOR SUBMISSION OF THESIS

I. Registration Details:
Name of the Scholar : Registration No:
Contact No :
Email ID :
Name of the Supervisor : Name of the Joint Supervisor :
Contact No : Contact No :
Email ID : Email ID :
Category at the time of Change of category, if any
Registration
Month and Year of Period of break of study
Registration granted, if any
Date of confirmation Date of completion of
minimum period
Date of completion of Extension of period upto:
maximum period approved (mention date)
Date of DC meeting for Date of submission of
approval of synopsis thesis

II. Extension of time for Thesis submission beyond 3 months after the submission of synopsis
(if any):
Late fee details :
Amount (Rs.) D.D.No. D.D.Date Name of the Bank Branch
Rs.1,000/-

III. Whether No Dues Certificate is enclosed :

Certify that the informations furnished above are true and correct to the best of my knowledge.

Signature of the Scholar

Signature of the Supervisor Signature of the Joint Supervisor

(Name with Seal) (Name with Seal)

(For Office use only) Checked and Accepted

Assistant Registrar Superintendent Dealing Hand