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Application for QIP M.Tech (CSE)

Filled Application, with a application fee ofRs. 100/- in the form of Draft drawn in favour of HOD CSE or Cash

reach the Department of Computer Science & Engineeringon or before 20-06-2011

Tuition & Other Fee to be paid by VTU(QIP) M.Tech Students for the Year 2011-2012

Sl.No. Fee Particulars I Year II Year III Year

1 Tuition Fee Faculty 30,000.00. 30,000.00. 30,000.00.

Industry Employees 40,000.00. 40,000.00. 40,000.00.

2 Eligibility Fee Karnataka Student 500.00. --- ---

Non-Karnataka student 1,500.00. --- ---

3 Other Fee 4535.00. 1035.00. 1035.00.

Entrance Test for QIP , M.Tech CSE :

The QIP(M Tech CSE) test will be conducted on 30-06-2011. The Objective test is conducted in the CSEDepartment from 10.00 AM to 11.00 AM the topics for the test will be C, C++, System Software, Operating

System, DBMS, CO, OOPs, Data Structure, Software Engineering and Networks.

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Visvesvaraya Technological UniversityJnana Sangama, Belgaum-590 014, Karnataka State

APPLICATION FORM FOR ADMISSION TO MASTER OF TECHNOLOGY(Part-Time QIP) Programme in M.TECH IN COMPUTER SCIENCE & ENGINEERING

(Course Name)

EXTENSION CENTRE: R .V. COLLEGE OF ENGINEERING, Dept of Computer Science &

Engineering, Mysore Road, Bangalore

1. Name of the candidate in Full :(as per University Marks card in block letters)

2. Date of Birth / Caste :3. Sex :4. Address of the Candidate for Correspondence : Name :

Address :

Phone :

Mobile:

E-mail:

5. Address of the Sponsoring Institute :Including Phone Nos.

____

6. Details of Academic Record of Qualifying

Examination.

i) Qualifying Degree / Year :ii) Branch of Engg. / Specialization :iii) Name of the College :iv) University :

v) University Reg No :

vi) Year of passing :

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7. Details of Professional Experience: (Attach relevant documents)

Name of

Employer

Nature of Organization

(Govt./SemiGovt./Private)

Post Held Date of

Joining

Date of

Leaving

Length

ofService

NO OBJECTION CERTIFICATE

(Note : Get it forwarded in the application form itself, do not attach No Objection Certificate)

The Undersigned is pleased to permit Mr. / Ms.

who is working in this organization from

and presently holding the rank / position of for pursuing the M.Tech.

Programme in (Part-Time QIP) course. The Institute / Organization would

permit him / her immediately for joining M.Tech. Programme in Computer Science & Engineering

(Part-Time QIP) course, if selected for admission. The candidate will be allowed to be present at the institute as

required by the academic schedule for a period of three years and will be in service till the completion of the

course.

Organization: Govt. Semi Govt. Private

Firm Registration No._________________________ Signature of Head of the Institution / Organization

(in case of private) with Name, Designation, date & seal

.

Name :Designation :

Date :

Sl. No. Particulars of Qualifying Examination

passedMax. Marks

Marks

Obtained

Office use

Year Month Semester

1I Year I Semester

II Semester

2II Year III Semester

IV Semester

3III Year V Semester

VI Semester

4IV Year VII Semester

VIII Semester

Total

D D M M Y Y

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8. List of Enclosures: (Photo copy only)

i) Statement of marks of SSLC /Class X or DOB proof

ii) Marks list of each semester / Year of Qualifying Degree

iii) Demand Draft of requisite amount

iv)Certificate of Professional Experience

v) Degree Certificate issued by University

DECLARATION BY THE APPLICANT

I declare that all the information given by me is true and authentic to the best of my knowledge and belief. If I

admitted on the basis of incorrect / false information, I agree that, VTU reserves the right of prosecution and

cancellation of seat without notice.

Place :Date:

Signature of the Applicant

FOR OFFICE USE ONLY

Aggregate % of all the examination of degree______________________________

Eligible / Not eligible

Co-ordinators Signature

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