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Personal Details
Name
*
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Father's Name
*
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Mother's Name
*
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Gender
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Date of Birth
*
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Contact No.
*
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Email
*
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Address for Communication
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Details of Educational qualifications
Examination
School /
College /
Institute
Year of
passing
Name of the Board/
University/
Institution
Percentage of
marks
Distinction /
Class /
Division
M.Tech
Please Enter College Name
Please Enter Year of Passing
Please Enter Board / Univ.
Please Enter perc.
Please Enter Class
B.Tech
Please College School Name
Please Enter Year of Passing
Please Enter Board / Univ.
Please Enter perc.
Please Enter Class
12th
Please Enter School Name
Please Enter Year of Passing
Integer value allowed
Please Enter Board / Univ.
Please Enter perc.
decimal value allowed
Please Enter Class
Integer value allowed
10th
Please Enter School Name
Please Enter Year of Passing
Integer value allowed
Please Enter Board / Univ.
Please Enter perc.
decimal value allowed
Please Enter Class
Integer value allowed
M.Tech Project Title
*
M.tech Project Title Can't be left blank
Publication Details
*
Publication Details Can't be left blank
Experience Details
*
Experience Can't be left blank
Gate Examination Details
*
Rank
Gate Score
Year of Examination
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Integer value allowed
Please Enter Gate Score
decimal value allowed
Please Enter Year of Gate Exam
Integer value allowed
Declaration
I hereby declare that I have carefully read the instructions and particulars supplied to me and that the entries made in this application form are correct to the best of my knowledge and belief. If selected, I promise to abide by the rules and discipline of the Institute. I note that the decision of the institute is final in regard to selection for admission and assignment to a particular department and field of study. The institute will have the rights to expel me from the institute at any time after my admission, provided it is satisfied that I was admitted on false particulars furnished by me or my antecedents prove that my continuance in the institute is not desirable. I agree that I shall abide by the decision of the institute, which will be final.
Date :
08/09/2024
Place :
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