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4601845-168275Proforma – IX (c)00Proforma – IX (c)KARUNYA INSTITUTE OF TECHNOLOGY AND SCIENCES(Declared as Deemed to be University under Sec. 3 of the UGC Act 1956) A CHRISTIAN MINORITY RESIDENTIAL INSTITUTIONAICTE Approved & NAAC AccreditedKarunya Nagar, Coimbatore - 641 114, Tamil Nadu, India467423514224000PROFORMA FOR SUBMISSION OF SYNOPSIS FOR Ph.D PROGRAMMEI. Registration Details:Name of the Scholar :Registration No:Date of Birth (dd/mm/yyyy)Address of the Scholar:(Permanent Residential Address)Mobile Number:Land Line Number:Email id:Supervisor’s Name :Supervisor’s Mobile Number:Supervisor’s e mail id:Joint Supervisor’s Name:Joint Supervisor’s Mobile Number:Joint Supervisor’s e mail id:Category at the time of RegistrationChange of category if any (Please enclose order)Month and Year ofRegistrationPeriod of Break of Study granted if anyDate of ConfirmationDate of completion of minimum periodDate of completion of maximum periodExtension of period approved (Mention Date)Up to:Date of Pre-Synopsis DC meetingDate of the Synopsis DC meeting Date of Submission of SynopsisII. Semester Fee Payment Details:Date of PaymentReceipt NoAmountIII. Course Work Details: (As per regulations)Total no of Credits EarnedIV. Course work Subject Details: (Copy of the Grade Statement to be attached)CodeSubjectGradeCodeSubjectGradeV. Details of the Doctoral Committee meetingsSL. NO123456DATE* Copy of the Notification and Minutes of the Doctoral Committee meetings should be attached.VI. Publication Details: (Proof is mandatory)JournalPublishedAcceptedConferencePublishedAcceptedNationalNationalInternationalInternational VII. Synopsis Fee Payment Details: (Original receipt to be attached)Amount (Rs.)DD / Receipt No.DD / Receipt DateBank NameBranchThe above information furnished are true and correct to the best of my knowledge.Signature ofResearch ScholarSignature ofJoint-Supervisor(with name and seal)Signature of Supervisor(with name and seal)HoD(with name and seal)Coordinator-AR(with name and seal)Director (R&C)(with name and seal)KARUNYA INSTITUTE OF TECHNOLOGY AND SCIENCES(Declared as Deemed to be University under Sec. 3 of the UGC Act 1956) A CHRISTIAN MINORITY RESIDENTIAL INSTITUTIONAICTE Approved & NAAC AccreditedKarunya Nagar, Coimbatore - 641 114, Tamil Nadu, IndiaPh.D SYNOPSIS SUBMISSION ACKNOWLEDGEMENT(For Office use only)Checked and AcceptedName of the Student:Register Number:Department:No of Copies of the Synopsis:Date of Submission of Synopsis:Date of Acknowledgment Issued:Staff in-ChargeCoordinator-ARDirector (R&C) ................
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