Professional Documents
Culture Documents
GATE Discipline Year GATE Score GATE Percentile GATE Marks (%) Sponsored (Full-time) Part -time
(applicable for GATE 2009 only)
Experience Experience
................ ................ ................ ................ ................ Years ...................... Years .........................
GENERAL OBC SC ST PH
Tick
whichever
is applicable
(Non-Creamy Layer)
OR
The name of the Interdisciplinary M.Tech. Prog.
Note : Only one of these options is allowed in one form ..................................................................................................................
Candidate can indicate upto four preferences using Option 1 Option 2 Option 3 Option 4
M.Tech. programmes codes in the same deptt. /
centre.
In case of application to interdisciplinary M.Tech
programme, only option 1 box to be filled with
the desired IDP Code
Mothers Name
Address for
Correspondence
PIN: Tel No. with STD Code
Email : Mobile No. :
Permanent
Address
PIN: Tel No. with STD Code
Email : Mobile No. :
Qualifying Exam ................................ Duration of the course (Years) .................... Discipline .......................................
Year of Passing .................................Name of University / Institute : ............................................................................
QUALIFYING DEGREE
Drawn on :
Have you ever studied and discontinued your studies at IIT Delhi ? YES NO
If YES, give Entry number and the particulars of the programme earlier
attended and the reason for discontinuation.
1) Submission of attested copies of the qualifying degree certificate and marks sheet showing the required
% of marks/CGPA by 22.7.2010/ 31.10.2010.
2) Submission of proof from the University/Head of the Institution of having appeared/passed in the qualifying
Degree Examination by 22.7.2010.
GATE Discipline Year GATE Score GATE Percentile GATE Marks (%) Sponsored (Full-time) Part -time
(applicable for GATE 2009 only)
Experience Experience
................ ................ ................ ................ ................ Years ...................... Years .........................
GENERAL OBC SC ST PH
Tick
whichever
is applicable
(Non-Creamy Layer)
PROGRAMME
M.S.(R) Code
Mothers Name
Address for
Correspondence
PIN: Tel No. with STD Code
Email : Mobile No. :
Permanent
Address
PIN: Tel No. with STD Code
Email : Mobile No. :
Qualifying Exam ................................ Duration of the course (Years) .................... Discipline .......................................
Year of Passing .................................Name of University / Institute : ............................................................................
QUALIFYING DEGREE
Drawn on :
Have you ever studied and discontinued your studies at IIT Delhi ? YES NO
If YES, give Entry number and the particulars of the programme earlier
attended and the reason for discontinuation.
1) Submission of attested copies of the qualifying degree certificate and marks sheet showing the required
% of marks/CGPA by 22.7.2010/ 31.10.2010.
2) Submission of proof from the University/Head of the Institution of having appeared/passed in the qualifying
Degree Examination by 22.7.2010.
Experience
.................... ............. .........................................
Years ......................
GENERAL OBC SC ST PH
Tick
whichever
is applicable
(Non-Creamy Layer)
Mothers Name
Address for
Correspondence
PIN: Tel No. with STD Code
Email : Mobile No. :
Permanent
Address
PIN: Tel No. with STD Code
Email : Mobile No. :
Qualifying Exam ................................ Duration of the course (Years) .................... Discipline .......................................
Year of Passing .................................Name of University / Institute : ............................................................................
DEGREE
M.Sc./B.Tech
Other (specify)
EXPERIENCE IF ANY
Experience (From date to date) Designation Organisation with address
Drawn on :
Have you ever studied and discontinued your studies at IIT Delhi ? YES NO
If YES, give Entry number and the particulars of the programme earlier
attended and the reason for discontinuation.
1) Submission of attested copies of the qualifying degree certificate and marks sheet showing the required
% of marks/CGPA by 22.7.2010/ 31.10.2010.
2) Submission of proof from the University/Head of the Institution of having appeared/passed in the qualifying
Degree Examination by 22.7.2010.
INSTITUTE CSIR
M.Tech. Degree
OR
Experience Experience
GATE Discipline Year GATE Score GATE Percentile GATE Marks (%)
(applicable for GATE 2009 only) UGC NET
Years ..................... Years .....................
................ ................ ................ ................ ................
Mothers Name
Address for
Correspondence
PIN: Tel No. with STD Code
Email : Mobile No. :
Permanent
Address
PIN: Tel No. with STD Code
Email : Mobile No. :
Qualifying Exam ................................ Duration of the course (Years) .................... Discipline .......................................
Year of Passing .................................Name of University / Institute : ............................................................................
QUALIFYING DEGREE
Drawn on :
Have you ever studied and discontinued your studies at IIT Delhi ? YES NO
If YES, give Entry number and the particulars of the programme earlier
attended and the reason for discontinuation.
1) Submission of attested copies of the qualifying degree certificate and marks sheet showing the required
% of marks/CGPA by 22.7.2010/ 31.10.2010.
2) Submission of proof from the University/Head of the Institution of having appeared/passed in the qualifying
Degree Examination by 22.7.2010.