View/Print Submitted Application
PhD CourseWork Application Form
Name of the Scholar
*
Please Enter valid name(only alphabetic characters and capital letters spaces allowed)
Registration Number
*
Registration number should be up to 8 digits
Scholar Email address
*
Please Enter valid email address
Scholar Phone
*
+91
Please Enter valid 10-digit mobile number
Faculty
*
Engineering
Pharmacy
Architecture
CAS
Management
Branch
*
Name of the Supervisor
*
Please Enter valid supervisor name(only alphabetic characters and capital letters spaces allowed)
Contact No of the Supervisor
*
+91
Please Enter valid 10-digit mobile number
Email Id of the Supervisor
*
Please Enter valid email address
Coursework Nodal Centre (if any)
Examination Centre Preference
*
Rourkela
Bhubaneswar
Coursework Subject Details
*
Regulation
Subject Code
Subject Name
Regular/Back
Regular
Back
Add
Select
Regulation
SubjectCode
SubjectName
Regular/Back
Delete
Upload Scholar Photo
(size must not exceed 300kb)
Choose Photo
Upload Scholar Signature
(size must not exceed 300kb)
Choose Signature
Upload PhD Coursework approval letter
*
(only pdf)
Choose approval letter
Save & Confirm
View PhD CourseWork Application Form
Registred Number
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