Office Reference No.

ANNA UNIVERSITY : CHENNAI - 600 025 CENTRE FOR RESEARCH

APPLICATION FOR TEACHING AND RESEARCH ASSISTANTSHIP UNDER TEQIP PHASE II PROJECT JANUARY 2013 Teaching and Research Assistantships are available to the candidates who possess Master degree in Engineering discipline and desire to do Full-time Ph.D. in the following Government Engineering Colleges which are TEQIP Institutions. The number of such assistantships in each Institution is 30. 1. Government College of Technology, Coimbatore 2. Alagappa Chettiar College of Engineering & Technology, Karaikudi 3. Government College of Engineering, Salem 4. Government College of Engineering, Bargur The stipend for the selected candidates shall be provided as per AICTE norms for a period of three years.
1. 2. 3. 4. 5. 6. 7. 8. Name (in Block letters) : (As in PG Degree Certificate) Sex :

Male/ Female

Academic Qualification : M.E. / M.Tech. / M.S. (By Research) Age & Date of Birth Marital Status Social Status Community : : Married/ Unmarried : ST/SC/SCA/MBC/BC/BCM/OC :

(Affix recent Passport size Photo)

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

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

9.

Whether already registered for Ph.D. programme : YES / NO in the above four Institutions If YES, provide the following details i. ii. iii. iv. Month and year of Ph.D. Registration Registration No. Category Name, Designation & Full address of the Supervisor and Joint supervisor, if any : : : : Full-time/Part-time* JULY 2012

v.

Major area of research

* If selected for Assistantship, the Ph.D. registration category shall be converted to Full-time by producing necessary documents.

10.

If NO, provide the following details i. ii. iii. 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. : (one of the Departments of the above 4 Institutions) Campus in which the candidate proposes to register for Ph.D. : GCT, Coimbatore / ACCE&T, Karaikudi GCE, Salem / GCE, Bargur Faculty : CIVIL/MECHANICAL/ELECTRICAL/ INFORMATION &COMMUNICATION/ TECHNOLOGY :

iv.

v.

Name, Designation and Address of the proposed supervisor (Supervisor shall be in the above four Institutions)

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

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IMPORTANT
1.

Fresh Candidates who desire to avail TEQIP Teaching & Research Assistantships shall file this application and also file the application for admission to Ph.D. programme January 2013 session.

2. Scholars who have already registered for Ph.D. in the above Institutions during July 2012 are also eligible to file TEQIP Application form for the award of Teaching & Research Assistantships. 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.
5. To avail this Assistantship, Supervisor shall be in the above four Institutions.