INDIAN INSTITUTE OF TECHNOLOGY BHUBANESWAR

Academic Section

Recommendations of the Doctoral Scrutiny Committee regarding composition of the Board of
Examiners for adjudication upon the thesis for Ph.D. Degree
(Please fill the form typed (not handwritten))

1.	Name of the candidate	:  	________	

2.	(In Block Letter)
Roll No.	
:  	__________	
3.	Deptt./School attached to      :  	_________ 
4.	Date of Enrolment                    : _____________________________    Date of Registration:  	_________

5.	Subject of Research/
Title of the Thesis	:  	________
6.	Degree for which the thesis
is to be submitted	:  	________

7.	Name of the supervisor (s)	:  	________

8.	Panel of names for composition of the Board of Examiners (should be at the level of Professor): 

(A)  For adjudication of thesis

(a)  External Part I : Foreign

List of Examiners for the evaluation of the Ph.D Thesis
1.	Name:
Designation & Affiliation:
Email: 
Phone: 
Areas of Expertise: 
Experience (approx. in Years): 
One most significant recognition (in terms of award, fellow, editor, etc.):
Examiner is guide’s Phd/post-doc supervisor/student (Yes/No): 
	
2.	Name:
Designation & Affiliation:
Email: 
Phone: 
Areas of Expertise:
Experience (approx. in Years): 
One most significant recognition (in terms of award, fellow, editor, etc.):
Examiner is guide’s Phd/post-doc supervisor/student (Yes/No): 	
3.	Name:
Designation & Affiliation:
Email: 
Phone: 
Areas of Expertise:
Experience (approx. in Years): 
One most significant recognition (in terms of award, fellow, editor, etc.):
Examiner is guide’s Phd/post-doc supervisor/student (Yes/No): 	

(b)  Part II : Indian

List of Examiners for the evaluation of the Ph.D Thesis
1.	Name:
Designation & Affiliation:
Email: 
Phone: 
Areas of Expertise:
Experience (approx. in Years): 
One most significant recognition (in terms of award, fellow, editor, etc.):
Examiner is guide’s Phd/post-doc supervisor/student (Yes/No): 
	
2.	Name:
Designation & Affiliation:
Email: 
Phone: 
Areas of Expertise:
Experience (approx. in Years): 
One most significant recognition (in terms of award, fellow, editor, etc.):
Examiner is guide’s Phd/post-doc supervisor/student (Yes/No): 
	
3.	Name:
Designation & Affiliation:
Email: 
Phone: 
Areas of Expertise:
Experience (approx. in Years): 
One most significant recognition (in terms of award, fellow, editor, etc.):
Examiner is guide’s Phd/post-doc supervisor/student (Yes/No): 	

(B) For conducting the Viva-Voce :

(i) External Member: any one of the following: (i)  	

     (ii)  	

(ii) All members of the Doctoral Committee.

The Doctoral Scrutiny Committee certifies that the candidate named above duly appeared at the comprehensive viva-voce held today, the                                       20            and his performance was found satisfactory.

The committee has also scrutinized the synopsis of the thesis and consider that the work is of the standard required. We recommend the composition of the Board of Examiners and viva-voce Board as given in A & B above.

Signature of the Members of the Doctoral Scrutiny Committee

1.	 		4.  		

2.	
 		
5.  		

		

3.	
 		
6.  		

			

Supervisor (s)	Head of the School – Chairman

INDIAN INSTITUTE OF TECHNOLOGY BHUBANESWAR

Certified   that   Research   work   of   Shri/Ms. 	

a   Ph.D.

student   in   the   School   of     	

is   almost

completed and the candidate will be able to submit his/her thesis within the time limit of two

months prescribed by the Ph.D. regulation.

________________________________ Signature of Supervisor(s)

Date :

Countersigned

_______________________________________ Signature of Head of the School

N.B.  :  This  certificate is  required  to be  sent to the  Registry  with the  panel  of  examiners recommended by the Head of the School.