MADURAI KAMARAJ UNIVERSITY

Madurai Kamaraj University – Application Form for Non-NET Ph.D. Fellowship
Passport size
photograph,
attested by a
Gazetted
Officer
MADURAI KAMARAJ UNIVERSITY
(University with Potential for Excellence)
Application form for the admission of Non-NET Ph.D., Fellowship in UGC-XII plan
grant for University with Potential for Excellence
Read the terms & conditions, thoroughly before filling up this application form.
Application with incomplete details would not be considered.
1
NAME (IN BLOCK LETTERS)
2
Father’s/Mother’s/ Name
3
Date of Birth & Age as on 1-4-2015
4
Marital Status
5
Sex
6
Nationality
7
Address for Correspondence
8
City with PIN
9
State
10
Mobile No.
11
Email Address
12
Permanent Address
City with PIN
State
13
14
15
Are you belonging to SC/ST category?
(if so, enclose certificate in support) Indicate
the enclosure – Yes / No
Caste and category as per Tamilnadu State
Govt. Reservation Policy
(OC/BC/MBC/SC/ST, etc)
Indicate the enclosure of community
certificate – Yes / No
Are you belonging to Physically
Handicapped Category?
(if so, enclose the certificate)
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Madurai Kamaraj University – Application Form for Non-NET Ph.D. Fellowship
Particulars of Educational Qualifications starting with Under Graduate/Post-Graduate Examination and
onward (Please enclose self attested Photocopies).
16
Exam Passed
17
Year
University / College
Subject
Rank, if any
Indicate your PG degree and Subject
The School of Madurai Kamaraj University, in which you
would like to carry out your Ph.D., if selected for this
fellowship.
Subject in which you would like to enrol for Ph.D.? (It
must be the same or related to your PG degree as per the
research guidelines of MKU)
18
19
20
Present position
21
Are you a registered Ph.D., candidate of MKU or any
other University
If yes, furnish the details
22
Details of any research scholarship or fellowship holding
or held previously (provide the duration of the fellowship
or scholarship, along with a copy of the award letter
amount received per month and details of research work
done)
23
Any other information relevant to the research work, which
you may like to indicate with reference to your application
24
Indicate the city (first three choices in order), where you
would prefer to take online exam: Probable centres are:
Madurai, Chennai, Coimbatore, Trichy, Trivandrum,
Delhi, Mumbai, Kolkotta, Hyderabad (however, shall be
decided upon the number of applicants, their choices and
other factors)
Online Exam Centre - First Choice
Online Exam Centre - Second Choice
25
Online Exam Centre - Third Choice
Enclosures (Please tick)
a)
Post-Graduate degree and Mark statement.
b)
Under-Graduate degree and Mark statement.
c)
SC/ST/BC/ MBC/etc. Certificate.
d)
Passport size photograph
e)
Date of Birth Certificate.
f)
Fee details: Applications without the fee will not be
considered
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Madurai Kamaraj University – Application Form for Non-NET Ph.D. Fellowship
g)
Any other relevant certificate or document.
Note: All certificate/degree/enclosures should be self attested.
DECLARATION
I hereby declare, aware and agree that
1. The particulars given in the form are correct. Any false information would enable me to cancel
the fellowship at anytime, after the award of fellowship by the University.
2. In case I am selected for the fellowship, I shall abide by the terms and conditions of the award
and Madurai Kamaraj University in all aspects.
3. If selected, I shall undertake to engage myself whole time for research work on the subject
under the direction of the supervisor for the entire tenure of the fellowship and Ph.D.
4. Even after selection and admission, lack of progress or any form of anti-institutional action would
lead to the cancellation of fellowship and Ph.D admission by the University
5. University has the rights to not to release any fellowship, while I have not paid research / hostel
fee.
6. The release of fellowship would be as per the release from UGC and MKU will never disburse
advance fellowship in any case.
7. The duration / tenure of the fellowship would be in accordance with the XII plan General
Development Assistance Grant assistance sanctions and release.
8. The decision of the University for the award of fellowship shall be final and no further
correspondence in this regard shall be entertained.
9. If selected, the candidates should submit application for Ph.D., registration form within 30 days,
after joining in the School and failure would result in the cancellation / withhold of fellowship.
10. No TA/DA will be paid for attending the exam or interview.
11. All further communications by University would be through email and I have given the right
email-id.
12. Admission to the hostel would be subject to the availability during the time of admission.
13. Regarding the selection of guides, the decision of admission monitoring committee shall be final.
14. The regulation of MKU Research committee shall be applicable in all the aspects related to
registration and further continuation of Ph.D, etc.
Date
Name and Signature of the Applicant

Candidates shall remit the application fee of Rs.500 prescribed by the University into the State Bank
of India, Palkalai Nagar Branch, Madurai Kamaraj University, in Account No I or fee may be paid into
the credit of SBI Power Jyoti Account of MKU Fee collection Account Number: 30983167593 in any
of the branches of State Bank of India nearer to your place or send a Demand Draft drawn on any
nationalized Bank in favour of “The Registrar, Madurai Kamaraj University”. For SC/ST candidates
25% of the fee is applicable i.e. Rs. 125.

Selection of candidates would be based on NET pattern examination.

Tamilnadu Government roster system would be followed for 125 Fellowship positions.

Full-time registered Ph.D candidates of MKU Schools those registered on or after 1-6-2014 also can
apply and compete, provided not availing any fellowship as on 1-4-2015. The 1) clear details with
certificates of registration, 2) history of fellowships availed with photocopies of award letter, and 3)
certificate indicating the lack of fellowship signed by the Candidate, Supervisor, Head of the Dept.
and Chairperson should be enclosed.

Duly filled application form along with other documents should be submitted to: The
Registrar, Madurai Kamaraj University, Madurai – 625021, on or before Mar 16, 2015.
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Madurai Kamaraj University – Application Form for Non-NET Ph.D. Fellowship
MADURAI KAMARAJ UNIVERSITY
Paste a
passport size
photograph &
get attested by
a Gazetted
Officer
(University with Potential for Excellence)
Particulars of Applicant for Non-NET Ph.D., Fellowship in MKU - UGC-XII plan grant
1
NAME (IN BLOCK LETTERS)
2
Father’s/Mother’s/ Name
3
Date of Birth
5
PG Degree & Subject
6
(a) Address for Correspondence
7
City with PIN & State
8
Mobile No. & Email Address
9
Application No. & Subject (To be filled by MKU office)
10
Sex
Examination Centre & Date (To be filled by MKU office)
Signature of the Applicant
Signature of the Gazetted officer certifying the Photo identity with seal
MADURAI KAMARAJ UNIVERSITY
Paste a
passport size
photograph &
get attested by
a Gazetted
Officer
(University with Potential for Excellence)
Particulars of Applicant for Non-NET Ph.D., Fellowship in MKU - UGC-XII plan grant
1
NAME (IN BLOCK LETTERS)
2
Father’s/Mother’s/ Name
3
Date of Birth
5
PG Degree & Subject
6
(a) Address for Correspondence
7
City with PIN & State
8
Mobile No. & Email Address
9
Application No. & Subject (To be filled by MKU office)
10
Sex
Examination Centre & Date (To be filled by MKU office)
Signature of the Applicant
Signature of the Gazetted officer certifying the Photo identity with seal
4