VISVESVARAYA TECHNOLOGICAL UNIVERSITY VTU Office Copy Of

Admission Ticket for : Ph.D . M.Sc.(Engg.) For the Month :_____________

1. University Seat No : Paste ( do not pin )
passport size
photograph in this
2. Name of the candidate: space and get it
attested by Principal /
Head of College /
University last attended
or a Gazetted Officer
3. Research Centre :_______________________________________________
4. Exam Centre :_____________________Branch :______________________
5. Subjects Applied: Candidate Signature
GROUP SUBJECT CODE SUBJECT ATTEMPT * EXAM DATE

Office use only

Office use only

Office use only

Office use only

6.Note:
D.D. foronly
Chose Rs.one
_________/- No.:_______________________Date:______________
subject from each group
* Mention the attempt/s (i.e. 1, 2, or 3) for the course work/specified subject/s in application, Also refer Ph.D. 5.9 in regulation
* Absentee is considered as attempt/s
Declaration by the Candidate
1. I declare that all the information given by me true and authentic to the best of my knowledge and belief
2. I have read the instructions carefully and agree to abide by the rules and regulations of admissions.

Signature of the candidate

CERTIFICATE
This is to certify that Mr. Ms.___________________________________bearing USN:___________________________
is a student of the college and he/ she may be permitted to register for the examination. He/She shall satisfy the conditions
of admission requirements, minimum attendance & above mention attempts as prescribed by the University before writing
the examination, failing which his/her application may be rejected.
Signature of the principal with College seal and date

Signature of the Guide Signature of the HOD Registrar (Eval)/ Special Officer
NOTE: Candidate shall be enclosed with 2 self addresses Envelop/s
POSTAL ADDRESS FOR POSTING ADMISSION TICKET

To,
_______________________________________________

From,
_______________________________________________
The Registrar (Eval), _______________________________________________
Visvesvaraya Technological University,
“Jnana Sangama”, Belgaum-590 018 _____________________PIN:______________________
Karnataka State.
Cell/Phone No.:___________________________________
 VISVESVARAYA TECHNOLOGICAL UNIVERSITY Candidate Copy Of

Admission Ticket for : Ph.D . M.Sc.(Engg.) For the Month :_____________

1. University Seat No : Paste ( do not pin )
passport size
photograph in this
2. Name of the candidate: space and get it
attested by Principal /
Head of College /
University last attended
or a Gazetted Officer
3. Research Centre :_______________________________________________
4. Exam Centre :_____________________Branch :______________________
5. Subjects Applied: Candidate Signature
GROUP SUBJECT CODE SUBJECT ATTEMPT * EXAM DATE

Office use only

Office use only

Office use only

Office use only

6.Note:
D.D. foronly
Chose Rs.one
_________/- No.:_______________________Date:______________
subject from each group
* Mention the attempt/s (i.e. 1, 2, or 3) for the course work/specified subject/s in application, Also refer Ph.D. 5.9 in regulation
* Absentee is considered as attempt/s
Declaration by the Candidate
1. I declare that all the information given by me true and authentic to the best of my knowledge and belief
2. I have read the instructions carefully and agree to abide by the rules and regulations of admissions.

Signature of the candidate

CERTIFICATE
This is to certify that Mr. Ms.___________________________________bearing USN:___________________________
is a student of the college and he/ she may be permitted to register for the examination. He/She shall satisfy the conditions
of admission requirements, minimum attendance & above mention attempts as prescribed by the University before writing
the examination, failing which his/her application may be rejected.
Signature of the principal with College seal and date

Signature of the Guide Signature of the HOD Registrar (Eval)/ Special Officer
NOTE: Candidate shall enclose 2 self addressed Envelopes
POSTAL ADDRESS FOR POSTING ADMISSION TICKET

To,
_______________________________________________
_______________________________________________
From,
The Registrar (Eval), _______________________________________________
Visvesvaraya Technological University,
“Jnana Sangama”, Belgaum-590 018 _____________________PIN:______________________
Karnataka State.
Cell/Phone No.:___________________________________
 College /Centre Copy Of
VISVESVARAYA TECHNOLOGICAL UNIVERSITY

Admission Ticket for : Ph.D . M.Sc.(Engg.) For the Month :_____________

1. University Seat No : Paste ( do not pin )
passport size
photograph in this
2. Name of the candidate: space and get it
attested by Principal /
Head of College /
University last attended
or a Gazetted Officer
3. Research Centre :_______________________________________________
4. Exam Centre :_____________________Branch :______________________
5. Subjects Applied: Candidate Signature
GROUP SUBJECT CODE SUBJECT ATTEMPT * EXAM DATE

Office use only

Office use only

Office use only

Office use only

Note: Chose only one subject from each group

6.* D.D. for Rs. _________/- No.:_______________________Date:______________
Mention the attempt/s (i.e. 1, 2, or 3) for the course work/specified subject/s in application, Also refer Ph.D. 5.9 in regulation
* Absentee is considered as attempt/s

Declaration by the Candidate

1. I declare that all the information given by me true and authentic to the best of my knowledge and belief
2. I have read the instructions carefully and agree to abide by the rules and regulations of admissions.

Signature of the candidate

CERTIFICATE
This is to certify that Mr. Ms.___________________________________bearing USN:___________________________
is a student of the college and he/ she may be permitted to register for the examination. He/She shall satisfy the conditions
of admission requirements, minimum attendance & above mention attempts as prescribed by the University before writing
the examination, failing which his/her application may be rejected.
Signature of the principal with College seal and date

Signature of the Guide Signature of the HOD Registrar (Eval)/ Special Officer

POSTAL ADDRESS FOR POSTING ADMISSION TICKET

To,
_______________________________________________
_______________________________________________
From,
The Registrar (Eval), _______________________________________________
Visvesvaraya Technological University,
“Jnana Sangama”, Belgaum-590 018 _____________________PIN:______________________
Karnataka State. Cell/Phone No.:___________________________________