Pqe Application Form

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Candidates are expected to give precise Every column to be carefully filled in by the
and correct information on the various candidate.
points Candidate.
required in each column. Failure to do so will 1. Name of Treasury………………….
result in the application being rejected without 2. Chalan No………………………….
further noticed. 3. Amount Rs…………………………
4. Date of Remittance……………….
UNIVERSITY OF CALICUT
FORM OF APPLICATION FOR

Ph.D Degree Preliminary/Final/Qualifying Examination
Evaluation of Final Thesis
1. Name (In block letters)

as entered in original Qualifying Certificate
2. Sex
3. Age and Date of birth
4. Religion & Community with sub-division, if

any
5. Permanent Home Address (in block letters)
6. Address to which communications are to be

sent
(in block letters)
With Pin code & Phone No.
7. Whether the candidate has paid the fees for all

Terms (A certificate to this effect, obtained
from
The H/D, should be forwarded)
8. The year in which and the College through

which He/She has registered as a Matriculate
of the University of Calicut.
9. Year of passing the Qualifying Examinations.

Name of Exam, Register No. and Name of the
University with Branch (Candidates who
have
Passed their qualifying exam, from a
University
Other than Calicut University should state
Whether recognition has been granted by this
University)
Degree certificate to be enclosed.
10. Date of Registration as a Research Student

specifying the centre of Research from which
the candidate is presented quoting the
University order No. and Date.
11. Date of joining as a Research Student.
[A certificate to this effect, obtained from the
supervising teacher should be enclosed.]
12. Whether Full-time/Part-time
13. a) Topic of Research
b) Faculty
c) Subject
14. Whether any change of Topic has been

effected
after the Registration. If so, furnish details.
15. Whether Thesis (4 copies) submitted. If not
specify the period by which they will be
submitted.
16 Whether there is delay in submission of
Thesis.
If so, furnish details of condonation or
extension granted.
17. Whether appearing for the written Exams I &
II
And Oral Examinations.
18. Present position regarding fellowship, if any,

or
occupation.
19. Name and signature of the Supervising

teacher
20. Recommendation of the H/D
I hereby certify that the entries made above are correct to the best of my knowledge and that they have
been made in my own handwriting.
Station :
Date : Signature of the Candidate
Head of Account : The amount should be remitted in any of the Government Treasuries in Kerala
State 8443-00-106 P.D. Account of Calicut University” for remittance in the
Treasuries in Malappuram District and “8658-102-04 (I) B CUS “ for remittance
in other Treasuries in the State.
Examination fee once remitted will not be refunded or adjusted towards a

subsequent Examination.
(To be filled only in the case of candidates appearing for written examination)
Reg. No :
Form to accompany Applications of candidates for admission to University Examinations Ph.D Preliminary/
Final Qualifying Examination June/December 20..
Name of Candidate……………………………………………………….Date of birth…………………………………..

(In block letters)
Address………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………...
-----------------------------------------------------
Identifying Officer’s ----------------------------------------------------- Passport size

Name, Designation, Photograph to be
And address ----------------------------------------------------- pasted here
----------------------------------------------------
Signature of the Identifying Officer with Seal

(To be signed on the photograph)
Station : Signature of the candidate………………………

Date : (To be signed in the presence of the Identifying Officer)
HALL TICKET
Ph.D Preliminary/Final Qualifying Examination June/December 20…
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
Passport size Name, Designation --------------------------------------------------------------------------
photograph to be and Address
pasted 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)

Pqe Application Form

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FORM OF APPLICATION FOR

1. Name (In block letters)

3. Age and Date of birth

4. Religion & Community with sub-division, if

5. Permanent Home Address (in block letters)

6. Address to which communications are to be

7. Whether the candidate has paid the fees for all

8. The year in which and the College through

9. Year of passing the Qualifying Examinations.

10. Date of Registration as a Research Student

12. Whether Full-time/Part-time

13. a) Topic of Research

14. Whether any change of Topic has been

18. Present position regarding fellowship, if any,

19. Name and signature of the Supervising

20. Recommendation of the H/D

Examination fee once remitted will not be refunded or adjusted towards a

Name of Candidate……………………………………………………….Date of birth…………………………………..

Identifying Officer’s ----------------------------------------------------- Passport size

Signature of the Identifying Officer with Seal

Station : Signature of the candidate………………………

Name of candidate Register Number

Signature of the Identifying Officer with Seal

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