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Application Form MTech Spot 2014 15

This document contains an application form for spot admission into the M.Tech program at the National Institute of Technology Silchar for the July-December 2014 session. The form requests information such as the applicant's name, address, date of birth, educational qualifications, professional experience, employment details if applicable, and choice of specialization. The applicant is required to submit attested copies of relevant documents and declare that the information provided is true. The form will then be reviewed by the Departmental and Central Admission Committees who will assess the applicant's eligibility and recommend them for admission and possible assistantship.

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Ravish Yadav
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134 views2 pages

Application Form MTech Spot 2014 15

This document contains an application form for spot admission into the M.Tech program at the National Institute of Technology Silchar for the July-December 2014 session. The form requests information such as the applicant's name, address, date of birth, educational qualifications, professional experience, employment details if applicable, and choice of specialization. The applicant is required to submit attested copies of relevant documents and declare that the information provided is true. The form will then be reviewed by the Departmental and Central Admission Committees who will assess the applicant's eligibility and recommend them for admission and possible assistantship.

Uploaded by

Ravish Yadav
Copyright
© © All Rights Reserved
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
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ForOfficeUse

Degree:

DateofReceipt:


Department: Reg.No.:




NATIONAL INSTITUTE OF TECHNOLOGY SILCHAR
Silchar-788010, Assam


Application Form for SPOT Admission into M.Tech program, July-Dec. 2014 session
(Tick )

1. Name: ..


Male Female



.....



2. Fathers name: ...

3. Mothers name:..

4. Address:

(a) For correspondence (b) Permanent
Affix Recent
Passport size
Photograph








(c) Email: (d) Phone/Cell No :
5. (a) Date of Birth:. (d) Marital Status:

(b) Age on 01.01.2014: . (e) Nationality: .... .

(c) Whether SC/ST/OBC/PWD: . (if yes, a certificate must be attached)

(d) Specify if you belong to any Other Backward Class:

6. (a) Department to which the candidate seeks admission: .

(b) Programme in which admission is sought : ..

(c) Specialization to which admission is sought:: .


(d) Are you also applying to any other Department/Specialization?


Yes/No.



If yes, list the other Department(s)/Specialization:



(e) Category : Regular

Sponsored
Project Staff



(Tick )

Part-time Institute Staff


(f) Choice in order of preference, for area of specialization (please check the website) :

(i) (ii) (iii)

7. Details of Universities/Institutions attended (from 10
th
Standard onwards)
(attested copies of certificates and mark sheets/grade cards must be attached).

University/College/ Degree obtained % Marks/CGPA/ Class Obtained

Year Subjects taken

Board (with discipline)

CPI (if applicable)










2

8. (a) Professional Qualifying Examination passed (attested copy of certificate must be attached):
(I) GATE (II) UGC/CSIR NET

Subject Score Valid up to Subject Date of qualifying Valid up to


(b) Any other source for fellowship/scholarship:

9. (a) Professional Experience (Teaching/Research/Industrial) if any (proof to be attached).
Name of organization Position held Type of work Period
From To





(b) Attach a list of publications/projects etc. separately, if any:

10. (a) If employed, name of the present employer:..
(b) Whether employers permission obtained?:


Yes

No

(c) If yes, whether NOC in form-I/II/III is enclosed:

11. List of Enclosures:

(a) (c)
(b) (d)


Declaration
I hereby declare that the entries made in this application form are correct to the best of my knowledge
and belief. If selected for admission, I promise to abide by the rules and regulations of the Institute as amended
from time to time.

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 shall have the right to take any action it deems fit,
including expulsion, against me at any time after my admission, if it is found that information furnished by me
are false or incorrect. I shall abide by the decision of the Institute, which shall be final.
Place :

Date : Signature of the applicant



For office use only


a. To be filled in by Departmental Admission Committee after verification and selection test



(i) % of B.Sc/B.Tech marks/Grade



(iv) Performance of Selection Test

(ii) % of M.Tech/M.Phil/M.Sc marks/ Grade


(v) Position in order of merit

(iii) GATE/NET score



(vi) Category(General/SC/ST)


Recommendation for admission:


Signature of member Signature of member Signature of member Chairman,

Departmental PG Admission Committee


b. To be filled by Central Admission Committee:
(i) Verified and found suitable and recommended to Chairman, Senate for admission
(ii) Recommendation for MTech Assistantship

(iii) Not recommended for admission

(Signature of members): ........ .......................
c. Admitted on approval from Chairman, Senate.
Date: Dean (Academic Affairs)

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