Proforma-A - Rayalaseema University

PROFORMA – ARAYALASEEMA UNIVERSITY(A State University Established by Govt. of A.P)KURNOOL ‐ 518 002 (A.P), INDIA.RECOGNISTION OF RESEARCH GUIDERecognition. No.(Office use only)Registration fee AmountPaid / Exempted Rs. 1,000/-DD. No. & Date:Affix recentPassport SizePhotographApproved / Not Approved1. Name of the Research guide :(IN BLOCK LETTERS)2. DOB/ AGE :3. Office Address :with designation4. Address for Correspondence :5. Phone(s) Land :Cell :6. Fax :7. E-mail :

8. Educational Qualifications :(Enclose list separatelyif space is not adequate)2S.NoDEGREE /DIPLOMAUNIVERSITY/INSTITUTEYEARTOPIC / SPECIALIZATION1. P. G.2. M.Phil.,3. Ph.D.,4. Others9. Post Graduate Teaching / Executive Work Experience :(Enclose list separately if space is not adequate)S.No.DESIGNATIONUNIVERSITY / INSTITUTE/ORGANISATIONTOTALEXPERIENCE10. Present Designation of :Research guide11. If retired Designation :at the time of superannuation12. Research Experience :A. Details of Research Publications :(Enclose list)S.No. TITLE OF RESEARCH PAPER JOURNAL YEAR

3B. Research Guidance (Enclose list) :S.No.NAME OF THESCHOLARRESEARCHDEGREEUNIVERSITY YEAR TOPICC. Any other Distinctions achieved :(Enclose list)DECLARATIONTHE INFORMATION GIVEN ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE AND EXTENDMY SERVICE TO THE UNIVERSITY OBEYING THE RULES AND REGULATIONS IN OPERATIONAS PER THE NORMS OF THE UNIVERSITY.PlaceDateSIGNATURE(with office seal)Note:The Research guides from affiliated colleges and Institutes other than Universities &National reputed Institutes has to:A. Pay Rs 1000/- (One Thousand only) towards recognition fee through a DD infavour of Registrar, Rayalaseema University, Payable at Kurnool.B. Express consent to at least Two research scholars to be registered and Admitted toget recognition of Research Guidance.C. Verify the Original Ph.D. Degree/Notification and PG Teaching / Work experience.D. Certificates of work experience other than the present institute need to be sent alongwith this service certificate enclosed with the Proforma – A.

4SERVICE CERTIFICATE FROM PRESENT EMPLOYERThis is to certify that Prof./Dr. ……………………………………………………………..is an employee of this institution (name of the institution) ……………………………..and working in the Dept. of ……………………………………………………………......With designation of ………………………………………………………………………..from ……………………………….. till to date.The details of his / her total service in this institution are as follows:Sl.No.DesignationFromDateToTotal yearsand monthsType of serviceGovt. / Aided/Unaided / Private/RecognisedHe / She has a total service of ………………....years……………. months in thisinstitution in the designations mentioned above.Place:Date:Signature of Principal/Director/EmployerOffice Seal