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    Indian Institute of Technology Rajasthan: Application Form For Admission To M.Tech. Programme

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    Mohit Gupta
    The document is an application form for admission to the M.Tech. program at the Indian Institute of Technology Rajasthan. It requests information such as the applicant's personal details, educational qualifications, GATE exam scores if applicable, work experience, publications, referee contact information, and a declaration signed by the applicant. It also specifies the required documents to be submitted along with the processing fee in the form of a demand draft.

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    Indian Institute of Technology Rajasthan: Application Form For Admission To M.Tech. Programme

    Uploaded by

    Mohit Gupta
    61 views5 pages
    The document is an application form for admission to the M.Tech. program at the Indian Institute of Technology Rajasthan. It requests information such as the applicant's personal details, educational qualifications, GATE exam scores if applicable, work experience, publications, referee contact information, and a declaration signed by the applicant. It also specifies the required documents to be submitted along with the processing fee in the form of a demand draft.

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    mtech-app-2011

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    The document is an application form for admission to the M.Tech. program at the Indian Institute of Technology Rajasthan. It requests information such as the applicant's personal details, educational qualifications, GATE exam scores if applicable, work experience, publications, referee contact information, and a declaration signed by the applicant. It also specifies the required documents to be submitted along with the processing fee in the form of a demand draft.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    61 views5 pages

    Indian Institute of Technology Rajasthan: Application Form For Admission To M.Tech. Programme

    Uploaded by

    Mohit Gupta
    The document is an application form for admission to the M.Tech. program at the Indian Institute of Technology Rajasthan. It requests information such as the applicant's personal details, educational qualifications, GATE exam scores if applicable, work experience, publications, referee contact information, and a declaration signed by the applicant. It also specifies the required documents to be submitted along with the processing fee in the form of a demand draft.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 5

    Indian Institute of Technology Rajasthan

    Application Form for Admission to M.Tech. Programme

    Web Advertisement No.: IITJ/ ACAD/ 2011/ 02,


    dated 30-03-2011 For office use : Sl. No. ACAD/MTech/2011/

    Demand Draft Amount:…………………Draft. No..................…….....Draft Date:......……..........

    Drawn in Bank:................................................................... (Write Name of the Applicant on


    the back side of the draft)

    1.(a) Name:……...........................................................………………………… Affix


    passport
    (b) Father/ Guardian’s size
    Name: ..........................................................................
    Photograph
    (c) Addresses:

    i) For correspondence ii) Permanent


    ............................................................................ ............................................................
    ...............
    ............................................................................ ............................................................
    ...............
    ............................................................................ ............................................................
    ...............
    ............................................................................ ............................................................
    ...............

    Email: Phone:
    Fax:
    2. (a) Date of Birth (dd/mm/yyyy): …………………………..…… (b) Age (as on 20-04-2011):
    …………………..
    (c) Gender (Male / Female): …………………………………… (d) Marital Status:
    ……….................................
    (e) Nationality:……………..….…….… (f) Category:
    ………………………………..….
    Please specify category GENERAL / OBC (Creamy layer) / OBC(Non-creamy layer) / SC / ST / PD (Person
    with Disability)
    (In case of OBC(Non-creamy layer), SC/ ST/ PD, Enclose attested copies of necessary certificate)

    1
    3.(a) Centre(s) of Excellence to which the M.Tech. admission is sought by the
    candidate:

    ………….
    ………………………………………………………………………………………………………….
    ……..
    (b) Are you applying to M.Tech.. programme in other Centre of Excellence in IIT
    Rajasthan? YES / NO
    If yes, write the name of other CoE(s) to which applied M.Tech.:
    …………………………………………………

    (c) Student Status: Regular and Full Time

    (d) Your Qualifying Degree with Discipline:

    4. Details of Universities/Institutions attended (from 10th standard onwards)


    (Attested copies of certificates and mark sheets/grade cards must be attached)
    Degree/ University/College/ Year % Class Subjects taken
    Exam (with Board Marks/ Obtai
    discipline) CGPA/ ned
    CPI*
    10th Class
    12th Class

    * If final year qualifying degree examination results are awaited, please indicate average percentage of marks or
    CPI of examinations up to the last year (in case of system with annual examination)/last semester (in case of
    semester system). Final Results Expected by…..………………………….

    5. a) GATE Qualification (Attested copy of certificate must be enclosed. Also, fill-in the required
    information by going through the prescribed eligibility criteria):

    Subject GATE GATE All India Valid up to


    Score Marks* Rank

    GATE cut-off marks for GN: OBC: SC/ST:


    qualifying =
    * GATE marks above cut-off shall only be considered.

    2
    b) Any other source for fellowship/ scholarship:

    6. a) Professional Experience (Teaching/ Research/ Industrial) if any ( proof to be


    attached).

    Name of Organization Position held Type of work


    Period

    (i)

    (ii)

    (b)List of publications/projects if any:


    (Attach a separate sheet with details, if required)

    3
    7. Names and addresses (including Email and Phone Number) of two referees who
    are familiar with your academic background and credentials:

    (i) (ii
    )

    8. Enclosures

    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.

    I note that the decision of the Institute is final in regard to


    selection for admission and assignment to a particular CoE/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 any information furnished by me is incorrect.

    Place:

    Date: Signature of the


    Applicant
    Note:. The completed application form with all necessary enclosures
    and along with the processing fee of Rs.300/- for General/ OBC
    candidates and Rs.150/- for SC/ ST / Person with Disability (PD)
    candidates in the form of demand draft drawn in favour of “Director, IIT
    Rajasthan” payable at Jodhpur should be submitted to
    Convener – M.Tech Admissions
    Centre of Excellence in
    …………………………………………….
    Indian Institute of Technology Rajasthan
    4
    Old Residency Road, Ratanada
    Jodhpur – 342 011, Rajasthan

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