OPJS UNIVERSITY
Established by Act No. 33 of 2013 Rajasthan State Legislature & Approved by UGC under
Section 2(F) of the UGC Act, 1956
VPO – Rawatsar Kunjla, Near Sankhu Fort,Rajgarh (Sadulpur) -Jhunjhunu Road, Churu – Rajasthan.
Email ID: rd@opjsnuniversity.edu.in | Website: www.opjsuniversity.edu.in
Contact : 8266963445 ,8265963445
APPLICATION FORM FOR RECOGNITION OF CO-SUPERVISOR (Co- Guide) FOR Ph.D. IN THE
FACULTY OF SUBJECT
To,
The President,
OPJS University
Rawatsar – Kunjla Rajgarh –
Jhunjhunu Road Rajgarh
(Sadulpur) Churu ,
Rajasthan , India – 331303
Sir/ Madam,
I hereby apply for acquiring recognition as a Co-Supervisor (Co-Guide) for Ph.D. in the
Faculty of Subject ____________________of OPJS University, Churu, Rajasthan.
1) Name in full : (In Block Letters)
2) Name of Father/ Husband :
3) Date of Birth :
4) Gender :
5) Permanent Address :
6) Address for Correspondence :
Contact : _____________________________________Email : ________________________________________________________
7) Nationality :
8) Mother Tongue :
Language Known :
9) Name of the University from where qualifying degree has been obtained :
10) Academic Record from 10th onwards: (Attach copies of marksheet, certificates) :
Total (%)
Name of the Examinations Name of Major Year of Remarks
Marks Marks/ CGPA
Examinations Passed Institute/ University Discipline Passing if any
Obtained
11) Topic of the Ph.D. Thesis with specialization :
12) Particulars of employment as a full time teacher in College/ University, if any :
(Attach true copies of the certificates of the Employer in support of statement )
Teaching Experience
Name of Post Held
Institute/ University
Under Graduate Under Graduate
From To Total From To Total
(I) Total Research Experience (Years) :
(II) Number of Parts Papers Published :
(III) No. of Book authored :
(IV) Number of Books/ Journals edited :
(13) Details of Conferences/ Seminars/ Workshops :
Year Conferences/ Seminars/ Workshops attend Title of Paper Presented
(14) Awards and Recognitions :
(15) Additional Informs, if any :
Place :
Date :
Documents Required:
1. Latest Coloured Passport Size Photograph.
2. Copy of all the certificates i.e. Matriculation, 10+2, Graduation, Post-Graduation, Ph.D.
3. Aadhar Card, PAN Card
I confirm that the information given in this form is true, complete and accurate and none of the Information requested
or other material information has been omitted. I accept if it is discovered that I have supplied false, inaccurate or
misleading information, OPJS University reserves the right to withdraw my services and I shall have no claim
against OPJS University in relation thereto.
Please e-mail the application form to rd@opjsnuniversity.edu.in
Email ID: rd@opjsnuniversity.edu.in | Website: www.opjsuniversity.edu.in
Contact : 8266963445 ,8265963445
(Signature of the Candidate)
