Scribd
Upload
85 views5 pages

National Institute of Technology Tiruchirappalli - 620 015, TAMIL NADU

This document contains an application for admission to the MS (by Research) program at the National Institute of Technology Tiruchirappalli for the 2013-2014 academic year. The application requests information such as personal details, educational qualifications, work experience, and enclosures. It provides instructions that the registration fee is non-refundable and the decision of the Director is final in case of any disputes related to the admission process.

Uploaded by

jishnus
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
85 views5 pages

National Institute of Technology Tiruchirappalli - 620 015, TAMIL NADU

This document contains an application for admission to the MS (by Research) program at the National Institute of Technology Tiruchirappalli for the 2013-2014 academic year. The application requests information such as personal details, educational qualifications, work experience, and enclosures. It provides instructions that the registration fee is non-refundable and the decision of the Director is final in case of any disputes related to the admission process.

Uploaded by

jishnus
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 5

NATIONAL INSTITUTE OF TECHNOLOGY TIRUCHIRAPPALLI 620 015, TAMIL NADU

APPLICATION FOR ADMISSION TO MS (by Research) PROGRAMME (2013 2014) Registration Number:
Demand Draft Details : D.D.No._ Date:

(for office use only)

Amount Rs._______ Bank Drawn: ____________ Application category

: Full time / Part-time (Sponsored)


Affix a recent Passport Size Photo (Attested)

DEPARTMENT

AREA OF RESEARCH (USE CAPITAL LETTERS) Name of the Candidate Fathers / Guardians / Husbands Name 1 Date of Birth (DD-MM-YYYY) Sex (strike out the inappropriate) 2 3 4
# #

Age: Male / Female OC YES Marital Status OBC NO SC

Years: Married / Single ST

Category (

in the appropriate)

Physically Challenged (PH) (Persons with disability of 40% and above) Nationality

Address for Communication

Permanent Address

Land Line: E-Mail ID:

Mobile

Candidates applying for more than one department should submit separate application form for each
department. However, a single registration fee is sufficient. The candidates are required to write their full name on the reverse side of the draft.

1.

Qualifying Degree Particulars

UG

PG

Name of the Degree Branch / Specialization Class (Honours / Distinction / First / Second) Name of the Institution Name of the University Year of Passing

2. #Details of marks obtained: Year I II III IV Semester Maximum Marks/GPA Marks / GPA obtained Remarks

I II III IV V VI VII *VIII * Write as RA if results awaiting


Score & Percentile Year of validity Year Appeared

3. #GATE Score (if applicable) 9. Details of Professional Experience:


Name & Address of Employer Position Held
#

Duration From To

I do hereby declare that the information given in this application are true and correct to the best of my knowledge. If any of the particulars furnished above are found to be incorrect at the time of admission, the admission will be cancelled.

Date:

Signature of the Applicant

# Attach photocopies of certificates. Original certificates should be produced at the time of admission. Note: The M.S. Part time (Sponsored) applicant should attach the duly filled in sponsorship certificate. Otherwise, the application will be rejected.

Sponsorship Certificate
(Sponsored candidates should get the following certificate from the employer in the official letter head)

The applicant Mr./Ms. our Institute / organization since department of

is employed as

in

. He/She is sponsored to pursue MS in the ,National Institute of Technology, Tiruchirappalli 15.

He/She will be relieved from his/her duty during the programme, if selected.

Name and address of the Sponsoring authority:

Signature of the Head of the Seal Sponsoring Institution /Organization

ADDRESS SLIPS (All the slips should be filled by the candidate with the same address for communication)
(IN BLOCK LETTERS)

To Mr. / Ms... . ................ ... PIN

To Mr. / Ms... . ................ ... PIN

To Mr. / Ms... . ................ ................ PIN

To Mr. / Ms... . ................ ................ PIN

CHECK LIST List of Enclosures:


(Put tick mark in the space provided and strike out whichever is not applicable)

1. 2. 3. 4.

Application fee (DD) - Original GATE Score card (if applicable) Photograph (Affixed) 10th or HSC certificate Degree / Provisional certificate / Mark sheets

5. OBC / SC / ST and PH Certificates (if applicable) 6. 7. 8. Sponsorship certificate (If applicable) Experience Certificate (If applicable) Journals/conference papers (if applicable)

9. Awards/Prizes/Sports/NCC (if applicable)

*Important Note* If a candidate is admitted due to an inadvertent error during processing and admission stage, the institute reserves the right to cancel the seat at any time. The registration fee is non-refundable. Office of the Dean Academic, National Institute of Technology, Tiruchirappalli is not responsible for the non-receipt of applications sent by post or by courier or late receipt of applications due to postal delay or for any reason whatsoever.
In case of any dispute arising out of the M.S. (by Research) Admission process, the

decision of Director, NIT, Tiruchirappalli shall be final. The jurisdiction for legal disputes, if any, will be limited to Tiruchirappalli City only.

Those candidates who have appeared/appearing for final semester/year examination, provisional admission is permitted provided that their final marks are made available on or before 15th September, 2013. Else, their admission shall be cancelled automatically.

You might also like