Professional Documents
Culture Documents
7. Father’s Name:
Codes for Items 10-13 are given overleaf
8. Address of Correspondence:
10. Department/Programme
E-mail address :
C. Other Degrees obtained after 10+2 (Do not include the degree listed in 17 B)
Pref. 1 Pref. 2
Pref. 3 Pref. 4
16. Names and addresses of two referees from whom letters of reference have been obtained (For Ph.D. applicants only)
1. 2.
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 :
INSTRUCTIONS FOR F ILLING THIS FORM
3. Go through the codes for Items 10-13 given below, and fill them carefully in the boxes on Page 1.
Item 10: Department/Programme Codes: {Aerospace Engg. = AE}, {Civil Engg. = CE}, {Computer Science & Engg. = CSE}, {Cognitive
Science = CGS}, {Earth Sciences = ES}, {Economic Sciences. = ECO} {Electrical Engg. = EE}, {Industrial & Management Engg.
= IME} {Mechanical Engg. = ME}, {Materials Science & Engg. = MSE} {Chemistry = CHM}, {Mathematics and Statistics =
MTS}, {Humanities & Social Sciences = HSS}, {Materials Science Programme = MSP}, {Nuclear Engg. & Technology = N ET},
{Photonics Science & Engg. = PSE}, {Biological Sciences and Bio - Engineering = BSBE}.
Item 11: PH = Ph.D. MT = M.Tech. DS = Design, MS = MS (By Research) only in (Aerospace Engg. = AE, Chemical Engg. = CHE, Civil
Engg. = CE, Cognitive Science = CgS, Electrical Engg. = EE, Mechanical Engg. = ME, Photonics Science & Engg. = PSE)
Sponsored = SD; Institute Assistantship requested = IA; Fellowship (if CSIR/UGC/DBT/ICAR/ICMR) = FEL;
1. Date of Birth (DOB) Certificate or High School (Class Te n) Certificate with DOB
4. Copies of mark/grade sheets of qualifying degree or higher (Items 14B & 14C)
5. No Objection Certificate from employer (only for part-time/external) (Item 13). Full time students currently working must
produce NOC or Relieving Certificate from the employer at the time of admission.