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Directorate of Research University of Kota
MBS Marg, KOTA (Rajasthan)-324005 Phone No.: 0744-2471037
Format-XX Application for
Preparation of Provisional Certificate of the Ph.D. Degree
(Submitted by the candidate on the day of Ph.D. Viva-voce)
Subject: ………..………...….. Faculty: ………..…
Ph.D. Registration Number & Date: ……,………..… Enrollment No.: ………..………...…
Date of Ph.D. Viva-Voce: …………..………... Year of Award of the Degree: ……...
Fee for Provisional Certificate, if any: ……….
1. Name of the Research Scholar (in English and in BLOCK Letters): ………....….
2. Name of the Research Scholar (in Hindi): ………..……….…..…
3. Father’s Name of the Research Scholar (in English and in BLOCK Letters): ……...……
4. Father’s Name of the Research Scholar (in Hindi): ………...……
5. Title of the Ph.D. Thesis (in English and in BLOCK Letters): …………...………..
………..……….
………..……….
………..……….
6. Title of the Ph.D. Thesis (in Hindi): ……….……...………..
………..……….
………..……….
………..……….
Signature of the Research Scholar Address:
Mobile No.:
E-mail ID:
Counter Signed by the Research Supervisor(s) Name:
Department:
College / University:
Mobile No.:
E-mail ID:
