Office Reference No.

ANNA UNIVERSITY : CHENNAI - 600 025 CENTRE FOR RESEARCH

APPLICATION FOR ANNA CENTENARY RESEARCH FELLOWSHIPS FOR FULL-TIME Ph.D. PROGRAMME JANUARY 2013. (For candidates intend to work in CEG/A.C.Tech/MIT/SAP campuses)
1. 2. 3. Name (in Block letters) : (As in PG Degree Certificate) Sex : Male/ Female (Affix recent Passport size Photo)

Academic Qualification : M.E./M.Tech/M.Arch/M.Plan/M.S.(By Research)/M.Phil/ M.Sc./M.A/M.B.A./M.C.A./Others Age & Date of Birth :

Photo should be attested by a Grade A/B Officer or by Head of the Institution

4.

5.

Marital Status

: Married/ Unmarried

6. 7.

Social Status Community

: ST/SC/SCA/MBC/BC/BCM/OC :

8.

Address for communication: _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ District : ___________________ Phone : ____________________ State : _________________________ Pin Code : _________________ Mobile : _______________________ e-mail id : _________________

9.

Whether already registered for Ph.D. programme in Anna University, Chennai : YES / NO If YES, provide the following details i. ii. iii. iv. Month and year of Ph.D. Registration Registration No. Category : JULY 2012 : : Full-time/Part-time*

Name, Designation & Full address of the Supervisor : and Joint supervisor, if any

v.

Major area of research

* If selected for ACRF, Ph.D. programme shall be converted to Full-time by producing necessary documents.

10.

If NO, provide the following details i. ii. Whether submitted the application for Ph.D. in January 2013 session : YES / NO Department/Centre in which the candidate proposes to register for Ph.D. :

iii. Campus in which the candidate proposes to register for Ph.D.

: CEG / A.C Tech./ MIT / SAP

iv. Faculty

: CIVIL/MECHANICAL/ELECTRICAL/ INFORMATION &COMMUNICATION/ TECHNOLOGY/ ARCHITECTIRE & PLANNING/SCIENCE & HUMANITIES/ MANGEMENT SCIENCES

v.

Name, Designation and Address of the proposed supervisor :

v.

Name, Designation and Address of the proposed joint supervisor, if any:

11.

Are you availing any other Fellowship/Salary in Project/any other Financial Assistance : YES/NO if YES, provide the details : DECLARATION OF THE CANDIDATE

This is to certify that the particulars given above are true, correct and complete to the best of my knowledge. I am aware that suppression of facts and information will lead to cancellation of Anna Centenary Research Fellowship in addition to withdrawal of my admission to Ph.D. programme. Further, certified that I am not availing any other Fellowship/Salary in Project /any other Financial Assistance.
Place : Date : Signature of the Candidate

IMPORTANT:
1.

Candidates who desire to avail Anna Centenary Research Fellowships shall file this application and also file the application for admission to Ph.D. programme January 2013.

2. Scholars who have already registered for Ph.D. in July 2012 need to file only Anna Centenary Research Fellowship Application form for the award of Fellowship. 3. Attested photocopy of following certificates shall be enclosed i. PG Mark sheets & Degree/Provisional Certificate ii. Community Certificate (if applicable) iii. Certificate for experience (if any) iv. Proof for publication in Journal /Conference /Symposium (if any) 4. Last date for Receipt of the duly completed application form is 25.08.2012.

ANNA UNIVERSITY : CHENNAI 600 025 CENTRE FOR RESEARCH Details of Fellowship Sl. No. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 1. 2. 3. 4. 5. 6. 7. 8. 1. 2. 3. 4. 5. 6. 1. 2. 1. 2. 3. 3. 4. 5. 6. 7. Name of the Department / Centre CEG CAMPUS Dept. of Civil Engineering Dept. of Mechanical Engineering Dept. of Manufacturing Engineering Dept. of Industrial Engineering Dept. of Mining Engineering Dept. of Printing Technology Dept. of Electrical & Electronics Engg. Dept. of Computer Sci. & Engineering Dept. of Information Science & Tech Dept. of Electronics & Communication Engineering Dept. of English Dept. of Mathematics Dept. of Physics Dept. of Medical Physics Dept of Chemistry Dept. of Media Sciences Dept. of Geology Dept. of Management Studies MIT CAMPUS Dept. of Aerospace Engineering Dept. of Automobile Engineering Dept. of Production Technology Dept. of Instrumentation Engineering Dept. of Electronics Engineering Dept. of Information Technology Dept. of Rubber & Plastics Technology Dept. of Computer Technology A.C. TECH CAMPUS Dept. of Chemical Engineering Dept. of Applied Science & Technology Dept. of Ceramic Technology Dept. of Textile Technology Dept. of Biotechnology Dept. of Leather Technology SAP CAMPUS Department of Planning Department of Architecture CENTRE OF EXCELLENCE Centre for Environmental Studies Centre for Water Resources Ramanujan Computing Centre Institute for Ocean Management Institute of Remote Sensing AU-KBC Research Centre Crystal Growth Centre Centre for Nano Science & Technology Total Number of fellowships 2 3 1 1 1 1 2 2 1 2 1 1 1 1 1 1 1 1 1 1 1 1 2 1 1 1 2 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 50