Name of the Candidate*

Date of Joining Ph. D. Programme*

Roll Number*

Email*

Name of Faculty Advisor*

Employee Number of the Advisor*

Department of Faculty and Campus*

Campus where the Candidate has registered for Ph. D.*

Faculty*
--Select--EngineeringHumanities and Social ScienceScienceMedicineArts/Media and CommerceManagement

Name of the Department or Centre*

Current Validity of Scholarship
From


To

Outstanding Accomplishments in Last 1 Year ( 500 Words)*

Publications with Impact Factor and Citation*

Patent Outcome if any

Targeted Publications with Impact Factor in the Next 1 Year*

Targets/Plan for the Next 12 Months*

Workload Information*

Thesis Advisor’s Recommendation Letter *