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University of Calicut: Form of Application For

This document is an application form for the Preliminary Qualification Examination for the PhD Programme at the University of Calicut. It requests information such as the applicant's name, gender, age, address, registration details, subject and topic of research, and details of any previous exam appearances. The applicant must attach documents like a chalan receipt, registration order copy, and qualifying degree certificate. The form also serves as a hall ticket that will be filled out by the Controller of Examinations with the applicant's registration number and center of examination.

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Sidhique MP
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185 views2 pages

University of Calicut: Form of Application For

This document is an application form for the Preliminary Qualification Examination for the PhD Programme at the University of Calicut. It requests information such as the applicant's name, gender, age, address, registration details, subject and topic of research, and details of any previous exam appearances. The applicant must attach documents like a chalan receipt, registration order copy, and qualifying degree certificate. The form also serves as a hall ticket that will be filled out by the Controller of Examinations with the applicant's registration number and center of examination.

Uploaded by

Sidhique MP
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Mode of remittance :………………………..…….….

Place of remittance :…………………...……….…....


Chalan / Reference No :………………………...…….....
Amount(in Rs) :…………………...…...………..
Date of Remittance :……………………........……….
Passport size
photograph to be
affixed here UNIVERSITY OF CALICUT
FORM OF APPLICATION FOR
Preliminary Qualification Examination (Ph.D. Programme)

1. Name ( in block letters)


as entered in Qualifying Degree Certificate
2. Gender

3. Age and Date of birth

4. Religion & Community with sub-division, if any

5.
Address to which communications are to be sent
(a) (in block letters)

Pin code:
(b) Phone

(c) e-mail ID

6. Registration order No. and Date

7.(a) Faculty

(b) Subject

(c) Topic of Research

8. Whether Full – time / Part-time

9. Date of joining as a Research Student

10.Papers appearing for Paper I

Paper II
11.Details of previous appearances, if any

Exam Reg.No. whether Appeared/applied/name


included in the list

Name & dated Signature Name and dated Signature

of the Supervising Teacher of the Head of the Institution

I hereby certify that the entries made above are correct to the best of my knowledge .

Station :

Date : Signature of the Candidate

Documents to be attached (1) Chalan receipt (2) Copy of the registration order (3) Self attested copy of Qualifying
Degree Certificate(4) Attendance statement in prescribed format from the HoI

UNIVERSITY OF CALICUT
HALL TICKET
Ph.D Preliminary/Final Qualifying Examination

Centre of Examination……………………………………………………………………………

Name of Candidate Register Number


(in block letters) Subject (This column will be filled in by the
Controller of Examination’s Office)

Identifying Officer’s
Name, Designation and
Address
Passport size
photograph to be
affixed here

Signature of the Identifying Officer with Seal


(To be signed on the photograph) Signature of the Candidate ………………………..
(To be signed in the presence of Identifying Officer)

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