Birla Institute of Technology and Science

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Birla Institute of Technology and Science, Pilani Off-Campus Work-Integrated Learning Programmes Second Semester 2011-2012 Application for Admission to MS Manufacturing Management Dear ABHYANKAR ABHIJEET VISHWAS,
Your Application Code is : MSMM Your Application Number is: 20327

Please note that this page is ONLY cover page of your application form. Please click here to download your application form NOW .doc / .pdf File format. The Application Number given above is unique. In all subsequent correspondence with the Institute until admissions are finalized, you must to quote this Application number failing which, it may not be possible to connect your correspondence with your Application form. The Institute will not be responsible for any kind of negligence on your part. You must write this Application Number on the top of those pages of the Application Form where space is provided, as well as on the top right corner of each enclosure. OPTION - 1: Net Banking. OPTION - 2: If you are paying the Application Fee through cash by ICICI Bank Challan then, Please check that the application Number and Name on the Challan are the same as given above. Please click here for printing a PDF version of ICICI Bank Challan form. Walk into any ICICI Bank branch with the printed challan and the amount of Rs.1525/- in cash for depositing this fee. The branch staff will return the Student copy and Institution Copy part of the challan along with the Branch transaction Id noted on the Challan. Keep the Student Copy for your records and mail the Institution Copy to BITS, Pilani at the address mentioned below along with the application form. OR OPTION - 3: If you are paying the Application Fee through Demand Draft, then please check the demand draft and ensure that it is correct and complete in all aspects such as date, drawee name, bank manager signature, name and code of issuing bank branch and drawee bank branch, amount in words and figures. Please ensure that the application number and applicants name is written clearly on the backside of the demand draft.
If you choose OPTION 3 (Demand Draft) then provide the details of the demand draft in the space provided below.

Email
DD Issuing Branch Code DD Number DD Amount

avabhyankar@gmail.com DD Date: Rs. 1600/Any other bank payable at Jaipur (specify)

Rs. 1500/SBBJ, Pilani (Code : 10398) / UCO Bank, Vidya Vihar, Pilani (Code : 0150) /SBI, Pilani (Bank Branch Code 11309) / ICICI Bank Pilani (Branch Code 1538)

Payable At

Print this page and attach it to the top of the duly completed downloaded Application Form and send it to Dean, WILPD, BITS, Pilani - 333031 (Rajasthan) India along with the Net Banking Receipt / ICICI Bank Challan (Institution copy) / Demand Draft.

http://wilpdar.bits-pilani.ac.in/application/12011/first_page.asp

10/18/2011

Birla Institute of Technology and Science

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Please retain a copy of this information with you for your reference. The completed Application Form is attached herewith.

Date: Place:

Signature: Name of Applicant:

Print this Page Click to Download the Application Form: Microsoft Word [DOC Format] (70 kb) Adobe Acrobat [PDF Format] (40 kb)
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http://wilpdar.bits-pilani.ac.in/application/12011/first_page.asp

10/18/2011