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Paste your
Application Form for MS (Research) and PhD Programmes photograph
Please read the instructions carefully before filling up the form here
1. Full Name :
8. Contact Details:
E-mail address :
C. Other Degrees obtained after 10+2 (Do not include the degree listed in 12 B)
13. State something about why you are interested in MS (Research) or PhD?
Pref. 1 Pref. 2
Pref. 3 Pref. 4
Certified, that all information provided by me on this form is correct to the best of my knowledge and belief. I understand that any
willful misrepresentation of facts will result in my dismissal from the institute. If admitted, I shall abide by all the rules and regulations
of the institute.
Date : Signature :
IN S T R U C T I O N S FOR FIL LING THIS FORM
1. Date of Birth (DOB) Certificate or High School (Class Ten) Certificate with DOB
6. Copies of mark/grade sheets of qualifying degree or higher (Items 12B & 12C)
The completed application form alongwith self-attested copies of all the necessary documents may be sent to the following address:
PG Admission Cell,
IIIT SriCity,
Chittoor District,
Alternatively, the scanned copy of the signed application form alongwith the scanned copies of the necessary documents may be sent
through the emailid:
pgadmissions@iiits.in