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  • Downloaded Form Ph.D. (Closing Date 14 April, 2011) Paste your INDIAN INSTITUTE OF TECHNOLOGY DELHI Unattested Application Form for Admission to Ph.D. Programme Photograph Please read the instructions given in the Information Brochure BEFORE you fill up the form Visit : http://www.iitd.ac.in/pgadmission for details) Tick (✓) the relevant box wherever provided. Full time with Assistantship Employed Candidates (No assistantship) Source of Assistantship Sponsored (Full-time) Part -timeC A T E G O R Y INSTITUTE CSIR M.Tech. Degree OR Experience Experience GATE Discipline Year GATE Score GATE Marks (%) UGC NET Years ..................... Years ..................... ................ ................ ................ ................ Tick GENERAL OBC SC ST PH whichever is applicable (Non-Creamy Layer) Department / Centre Ph.D. Code (Write here name of only (See Annexure-ICHOICE ONE Department/Centre of Information Brochure) you are appying to) ..................................................................................................... Proposed Area of Research Name (in CAPITAL) Gender / D.O.B. Male Female Date-of-birth (dd/mm/yyyy) Father’s NamePERSONAL Mothers Name Address for Correspondence PIN: Tel No. with STD Code Email : Mobile No. : Permanent Address PIN: Tel No. with STD Code Email : Mobile No. : Qualifying Exam ................................ Duration of the course (Years) .................... Discipline ....................................... Year of Passing .................................Name of University / Institute : ............................................................................QUALIFYING DEGREE Marks Obtained Max. Marks Marks Obtained Max. Marks CGPA/ Year 1 Semester I ................. ................. Semester II ................. ................. Marks Year 2 Semester I ................. ................. Semester II ................. ................. Obtained Year 3 Semester I ................. ................. Semester II ................. ................. Year 4 Semester I ................. ................. Semester II ................. ................. CGPA Secured out of OR Aggregate % of marks (of all years/semesters) Details of Marks secured in the Examinations other than qualifying examinationPREV. ACAD.REC. Exam./ Discipline Institute/ Year of % Marks/ Rank in Class/ Degree University Passing CGPA University 10+2/Equivalent B.Sc. M.Sc./B.Tech Other (specify)
  • EXPERIENCE IF ANY Experience (From date to date) Designation Organisation with address List of Publications (Attach Separate Sheet if required) Mode of obtaining the Form From Bank By Post Downloaded PAYMENT Payment details of Bank Draft No. : Amount Rs. application form Date : Drawn on :Have you ever studied and discontinued your studies at IIT Delhi ? YES NOIf YES, give Entry number and the particulars of the programme earlierattended and the reason for discontinuation. Date____________ (Signature of the Candidate) FOR DEPARTMENT/CENTRE’S USE FOR P.G. SECTION USE ONLY (Recommendations/observations of the office) The candidate may be provisionally admitted/not admitted subject to the following :1) Submission of attested copies of the qualifying degree certificate and marks sheet showing the required % of marks/CGPA by 21.7.2011/ 31.10.2011.2) Submission of proof from the University/Head of the Institution of having appeared/passed in the qualifying Degree Examination by 21.7.2011.3) Submission of GATE Score Card/CSIR/NET award letter (in original) by 21.7.2011.4) Submission of relieving certificate from Employer by 21.7.2011. DR/AR (PGS&R) Signature of OS (PGS&R)
  • Downloaded Form M.Des. (Closing Date 26 April, 2011) Paste your INDIAN INSTITUTE OF TECHNOLOGY DELHI Unattested Photograph Application Form for Admission to M.Des. Programme Please read the instructions given in the Information Brochure BEFORE you fill up the form Visit : http://www.iitd.ac.in/pgadmission for details) Tick (✓) the relevant box wherever provided. Full time with Assistantship Employed Candidates (No assistantship)C A T E G O R Y CEED Percentile Year Discipline Sponsored (Full-time) Experience .................... ............. ......................................... Years ...................... GENERAL OBC SC ST PH Tick whichever is applicable (Non-Creamy Layer) Name (in CAPITAL) Gender / D.O.B. Male Female Date-of-birth (dd/mm/yyyy) Father’s NamePERSONAL Mothers Name Address for Correspondence PIN: Tel No. with STD Code Email : Mobile No. : Permanent Address PIN: Tel No. with STD Code Email : Mobile No. : Qualifying Exam ................................ Duration of the course (Years) .................... Discipline ....................................... Year of Passing .................................Name of University / Institute : ............................................................................DEGREE Marks Obtained Max. Marks Marks Obtained Max. Marks CGPA/ Year 1 Semester I ................. ................. Semester II ................. ................. MarksQUALIFYING Year 2 Semester I ................. ................. Semester II ................. ................. Obtained Year 3 Semester I ................. ................. Semester II ................. ................. Year 4 Semester I ................. ................. Semester II ................. ................. CGPA Secured out of OR Aggregate % of marks (of all years/semesters) Details of Marks secured in the Examinations other than qualifying examinationPREV. ACAD.REC. Exam./ Discipline Institute/ Year of % Marks/ Rank in Class/ Degree University Passing CGPA University 10+2/Equivalent B.Sc. M.Sc./B.Tech Other (specify)
  • EXPERIENCE IF ANY Experience (From date to date) Designation Organisation with address Mode of obtaining the Form From Bank By Post Downloaded PAYMENT Payment details of Bank Draft No. : Amount Rs. application form Date : Drawn on :Have you ever studied and discontinued your studies at IIT Delhi ? YES NOIf YES, give Entry number and the particulars of the programme earlierattended and the reason for discontinuation. Date____________ (Signature of the Candidate) FOR DEPARTMENT/CENTRE’S USE FOR P.G. SECTION USE ONLY (Recommendations/observations of the office) The candidate may be provisionally admitted/not admitted subject to the following :1) Submission of attested copies of the qualifying degree certificate and marks sheet showing the required % of marks/CGPA by 21.7.2011/ 31.10.2011.2) Submission of proof from the University/Head of the Institution of having appeared/passed in the qualifying Degree Examination by 21.7.2011.3) Submission of CEED Score / Percentile Card (in original) by 21.7.2011.4) Submission of relieving certificate from Employer by 21.7.2011. DR/AR (PGS&R) Signature of OS (PGS&R)
  • Downloaded Form M.S. (Research) (Closing Date 14 April, 2011) Paste your INDIAN INSTITUTE OF TECHNOLOGY DELHI Unattested Photograph Application Form for Admission to M.S. (R) Programme Please read the instructions given in the Information Brochure BEFORE you fill up the form Visit : http://www.iitd.ac.in/pgadmission for details) Tick (✓) the relevant box wherever provided. Employed Candidates (No assistantship)C A T E G O R Y Full time with Assistantship GATE Discipline Year GATE Score GATE Marks (%) Sponsored (Full-time) Part -time Experience Experience ................ ................ ................ ................ Years ...................... Years ......................... GENERAL OBC SC ST PH Tick whichever is applicable (Non-Creamy Layer)PROGRAMME M.S.(R) Code Depatment Name .................................................................................................................. Name (in CAPITAL) Gender / D.O.B. Male Female Date-of-birth (dd/mm/yyyy) Father’s NamePERSONAL Mothers Name Address for Correspondence PIN: Tel No. with STD Code Email : Mobile No. : Permanent Address PIN: Tel No. with STD Code Email : Mobile No. : Qualifying Exam ................................ Duration of the course (Years) .................... Discipline ....................................... Year of Passing .................................Name of University / Institute : ............................................................................QUALIFYING DEGREE Marks Obtained Max. Marks Marks Obtained Max. Marks CGPA/ Year 1 Semester I ................. ................. Semester II ................. ................. Marks Year 2 Semester I ................. ................. Semester II ................. ................. Obtained Year 3 Semester I ................. ................. Semester II ................. ................. Year 4 Semester I ................. ................. Semester II ................. ................. CGPA Secured out of OR Aggregate % of marks (of all years/semesters) Details of Marks secured in the Examinations other than qualifying examinationPREV. ACAD.REC. Exam./ Discipline Institute/ Year of % Marks/ Rank in Class/ Degree University Passing CGPA University 10+2/Equivalent B.Sc. M.Sc./B.Tech Other (specify)
  • EXPERIENCE IF ANY Experience (From date to date) Designation Organisation with address Mode of obtaining the Form From Bank By Post Downloaded PAYMENT Payment details of Bank Draft No. : Amount Rs. application form Date : Drawn on :Have you ever studied and discontinued your studies at IIT Delhi ? YES NOIf YES, give Entry number and the particulars of the programme earlierattended and the reason for discontinuation. Date____________ (Signature of the Candidate) FOR DEPARTMENT/CENTRE’S USE FOR P.G. SECTION USE ONLY (Recommendations/observations of the office) The candidate may be provisionally admitted/not admitted subject to the following :1) Submission of attested copies of the qualifying degree certificate and marks sheet showing the required % of marks/CGPA by 21.7.2011/ 31.10.2011.2) Submission of proof from the University/Head of the Institution of having appeared/passed in the qualifying Degree Examination by 21.7.2011.3) Submission of GATE Score Card (in original) by 21.7.2011.4) Submission of relieving certificate from Employer by 21.7.2011. DR/AR (PGS&R) Signature of OS (PGS&R)
  • Downloaded Form M.Tech. (Closing Date 14 April, 2011) Paste your INDIAN INSTITUTE OF TECHNOLOGY DELHI Unattested Photograph Application Form for Admission to M.Tech. Programmes Please read the instructions given in the Information Brochure BEFORE you fill up the form Visit : http://www.iitd.ac.in/pgadmission for details) Tick (✓) the relevant box wherever provided. Employed Candidates (No assistantship)C A T E G O R Y Full time with Assistantship GATE Discipline Year GATE Score GATE Marks (%) Sponsored (Full-time) Part -time Experience Experience ................ ................ ................ ................ Years ...................... Years ......................... GENERAL OBC SC ST PH Tick whichever is applicable (Non-Creamy Layer) Write the name of the Depatment/Centre (in case of Deptt/Centre M.Tech Programmes)PROGRAMME OR The name of the Interdisciplinary M.Tech. Prog. Note : Only one of these options is allowed in one form .................................................................................................................. Candidate can indicate upto four preferences using Option 1 Option 2 Option 3 Option 4 M.Tech. programmes codes in the same deptt. / centre. In case of application to interdisciplinary M.Tech programme, only option 1 box to be filled with the desired IDP Code Name (in CAPITAL) Gender / D.O.B. Male Female Date-of-birth (dd/mm/yyyy) Father’s NamePERSONAL Mothers Name Address for Correspondence PIN: Tel No. with STD Code Email : Mobile No. : Permanent Address PIN: Tel No. with STD Code Email : Mobile No. : Qualifying Exam ................................ Duration of the course (Years) .................... Discipline ....................................... Year of Passing .................................Name of University / Institute : ............................................................................QUALIFYING DEGREE Marks Obtained Max. Marks Marks Obtained Max. Marks CGPA/ Year 1 Semester I ................. ................. Semester II ................. ................. Marks Year 2 Semester I ................. ................. Semester II ................. ................. Obtained Year 3 Semester I ................. ................. Semester II ................. ................. Year 4 Semester I ................. ................. Semester II ................. ................. CGPA Secured out of OR Aggregate % of marks (of all years/semesters) Details of Marks secured in the Examinations other than qualifying examinationPREV. ACAD.REC. Exam./ Discipline Institute/ Year of % Marks/ Rank in Class/ Degree University Passing CGPA University 10+2/Equivalent B.Sc. M.Sc./B.Tech Other (specify)
  • EXPERIENCE IF ANY Experience (From date to date) Designation Organisation with address Mode of obtaining the Form From Bank By Post Downloaded PAYMENT Payment details of Bank Draft No. : Amount Rs. application form Date : Drawn on :Have you ever studied and discontinued your studies at IIT Delhi ? YES NOIf YES, give Entry number and the particulars of the programme earlierattended and the reason for discontinuation. Date____________ (Signature of the Candidate) FOR DEPARTMENT/CENTRE’S USE FOR P.G. SECTION USE ONLY (Recommendations/observations of the office) The candidate may be provisionally admitted/not admitted subject to the following :1) Submission of attested copies of the qualifying degree certificate and marks sheet showing the required % of marks/CGPA by 21.7.2011/ 31.10.2011.2) Submission of proof from the University/Head of the Institution of having appeared/passed in the qualifying Degree Examination by 21.7.2011.3) Submission of GATE Score Card (in original) by 21.7.2011.4) Submission of relieving certificate from Employer by 21.7.2011. DR/AR (PGS&R) Signature of OS (PGS&R)