Application Form

Ph.D. PROGRAMME T A Pai Management Institute, Manipal (recognized as a research centre of Manipal Academy of Higher Education)

PERSONAL DATA

Afx your

recent passport

size photograph

here

Name (In block letters):

Date of Birth (DD/MM/YYYY):

Sex: Male Female

Phone - Residence: Mobile:

E-mail:

Nationality:

Current Address & PIN Code:

Permanent Address & PIN Code:

AREA OF SPECIALIZATION

Economics and Business Policy

Finance and Strategy

Marketing Management

Operations and Information Science

Judgement and Decision-Making

Human Resource Management

General Management and Entrepreneurship

*More than one area can be applied

Indicate whether full time or time part

Full Time Part Time

Financial Aid (Choose the appropriate option)

I need nancial aid from the institute.(tick this only if you are applying for a full-time studentship and are not receiving any other form of nancial aid).

I do not need nancial aid.

Details of Academic RecordPlease tick the admission test(s) if you have taken any of them:

CAT GATE GMAT GRE UGC-JRF

Academic Details Name of Degree Institution/ Duration Specialization Max Marks Class/ % University From-To Marks Obtained Grade obtained

Secondary School Examination

Higher Secondary School Exam

Name of Bachelors’ Degree

Name of Masters’ Degree

Professional Degree (CA/ICWS/CS)

Any Other

Please attach all mark sheets and educational qualication certicates.

*In case of CGPA, please mention converted equivalent percentage and attach conversion detail certicate of your university. Ifconversion percentage is not mentioned or conversion certicate is not attached with the qualication, your application will betreated as incomplete.

Details of Work Experience

Ÿ Total Work Experience as on 1st June 2019 year's months

Ÿ List all your work experience details in descending order (latest rst). Use multiple lines as needed. (Donot include training, project work, work done as an integral part of curricular requirement, and part timework).

Ÿ Please attach proof of all experience, failing which the application will be rejected.

Ph.D. PROGRAMME

Name and address of Designation Period Total Month Remuneration Nature of Jobemployer From -To

Statement of Purpose

1. Briey (but clearly) state your research interests. (Max limit – 500 words)

2. Why do you think you should be selected, given your career goal, personal attributes and achievement?(Max limit –100 words)

3. Have you done any research project/experiment/field work as part of your bachelor’s or master’sdegree? Please write a brief summary of one such work in 100 words.

4. A 5-7 page (roughly 2500-3000 words) STUDY PROPOSAL describing your area of research interestand the broad problem that you intend to work on during the doctoral programme. Explain clearly whythis problem is interesting to study and any methodology you intend to follow. This proposal should beformatted using Arial font in 11 points size, 1.5 line spacing, 1” margins on all sides and bottom pagenumbering.

Ph.D. PROGRAMME

5. Please state how did you get to know about the PhD programme?

6. Please state any other information that you would like to provide

An application in each area of specialization requires two references with their details in below format, who have taught the candidate or with whom he/she has worked closely on scholar work. The supervisor name and details can also be provided if the candidate has been away from the university for a long period.

Names and addresses of the References:

Name Name

Designation Designation

Address Address

Email Email

Mobile Mobile

Your complete application set should contain the following four items:

1. Application form Yes No

2. Photocopies of Educational Certicates Yes No

3. Photocopies of Work Experience Yes No

4. Updated CV Yes No

5. Research Proposal Yes No

I, (your name), declare that the above information is true to

the best of my knowledge.

Date Signature of the applicant Place

Ph.D. PROGRAMME