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MADURAI KAMARAJ UNIVERSITY Ph.D. THESIS SUBMISSION FORM (To be carefully filled in by the candidate) ‘Name of the Bank : Photo wih Anente Branch: Amount: Date of Payment : The fee for submission of thesis for those registered as full time / part time candidate is Rs. 7,000/-. The fee may be remitted in the State Bank of India in Madurai Kamaraj University A/c. No. | and the chalan should be enclosed. . 1. (@) Name of the candidate in English in Block Letters (As entered in the previous Degree Certificate) (b) Name of the candidate in Tamil Part time/ Full time Present Position if employed, occupation and official address 4. Residential address / Permanent address 5. Qualifying Examination passed, month and year of passing and the name of the University| 6. Date, month and year of Convocation at which the degree was taken and whether original degree is enclosed 7. Registration number and date of registration 8. Thename of the supervisor & Mobile No: 9. Name of the Institution where the candidate conducted research and the number of years worked 10. Whether passed Methodology test, if'so, give particulars (see instructions) . Whether Research Fee paid 12. Whether applied for extension of time for submission of thesis with prescribed fee for the period of research after the maximum registration period of 5 years (see instruction) Student: TO) Mobile.Ni E-Mail