PANIMALAR CENTRE FOR RESEARCH
Ph.D. Course Work Examination- Registration Form (April / November 20 )
Name of the Research Scholar/ Registration Number :
Affix Recent
Month/ Year of Registration :
Passport Size
Name of the Faculty : Photograph
Scholar Research Centre Department and College Name :
Category : Full Time / Part Time
Date of Birth : Sex: Male / Female
Address for Communication :
Email Id : Mobile Number :
Name of the Supervisor : Reference No .:
Name of the Joint Supervisor : Reference No .:
Contact Details of the Supervisor :
E-mail Id :
Mobile Number :
Course No .of Name, Designation and Signature, Address of the Course
[Link] Name of the Course Core/ Elective
Code Credits Instructor
Signature of the Research Scholar Signature of the HoD of Research Scholar with Seal
Signature of the Supervisor with Seal Signature of the HoD of the Supervisor with Seal Dean Research with
Seal
OFFICE OF THE CONTROLLER OF EXAMINATIONS
Ph.D Course Work Examination- Registration Form (April / November 20 )
Name of the Research Scholar :
Affix Recent
Registration Number :
Passport Size
Month/ Year of Registration :
Photograph
Name of the Faculty :
Category : Full Time / Part Time
Date of Birth : Sex : Male /
Female
Address for Communication :
Email Id : Mobile Number :
Name of the Supervisor : Reference No. :
Contact Details of the :
Supervisor
E-mail Id:
Mobile Number:
Details of Course Work:
Signature of
S. Name of the Faculty
Sem Course Code Name of the Course Course HoD of the Course
No handling the course
Instructor Instructor
Signature of the Research Scholar Signature of the HoD of Research Scholar with Seal
Signature of the Supervisor Signature of the HoD of the Supervisor with Seal Dean - Research
Note: The Registration form shall be duly filled and submitted to the Office of the Controller of Examinations along with:
1. Enrolment Form
2. Minutes of the First Doctoral Committee Meeting
3. Approved copy of the syllabus, duly signed by the supervisor
4. Copy of the Course Work Registration Form submitted to Research Co-ordinator
5. The Exam Fees Shall be Paid in Demand Draft in favour of “Controller of Examinations, Panimalar Engineering
College” payable at Chennai.
Controller of Examinations Principal
CERTIFICATE FROM THE HEAD OF THE POST GRADUATE DEPARTMENT
(To be submitted before the commencement of Examination)
I certify that the candidate _________________________________ attended the Classes in
accordance with the Regulation _________ of the Panimalar Engineering College in which he/ she offers to
be examined. The details of his/ her studies since admission into the _________ semester Courses in the
Department are as below:
Date No. of Lectures Percentage
Course Code Signature of
Start of End of Delivered Attended of
Department - Name of the the Course
the the Attendance
Course Instructor
Course Course
__________________________________________
Signature of the Head of the Post Graduate Department
________________ ______________________________
Date: Signature of the Dean - Research
__________________________
Controller of Examinations