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INDIAN INSTITUTE OF TECHNOLOGY DELHIApplication Form for Admission to Ph.D. Programme
Please read the instructions given in the Information Brochure BEFORE you fill up the formVisit : http://www.iitd.ac.in/pgadmission for details)
Tick (✓) the relevant box wherever provided.
Ph.D.(Closing Date 14 April, 2011)
Paste yourUnattestedPhotograph
Full time with Assistantship
INSTITUTEM.Tech. Degree
OR
Employed Candidates (No assistantship)
Part -time
Experience
Years .....................
QUA
LIFY
ING
DEG
REE
Qualifying Exam ................................ Duration of the course (Years) .................... Discipline .......................................Year of Passing .................................Name of University / Institute : ............................................................................
CGPA/MarksObtained
Marks Obtained Max. Marks Marks Obtained Max. Marks
Year 1 Semester I ................. ................. Semester II ................. .................
Year 2 Semester I ................. ................. Semester II ................. .................
Year 3 Semester I ................. ................. Semester II ................. .................
Year 4 Semester I ................. ................. Semester II ................. .................
CA
TE
GO
RY
Details of Marks secured in the Examinations other than qualifying examination
CSIR
UGC NET
Source of Assistantship
Department / Centre(Write here name of onlyONE Department/Centreyou are appying to) .....................................................................................................
Ph.D. Code(See Annexure-Iof Information Brochure)
CH
OIC
E
Proposed Area of Research
CGPA Secured out of OR Aggregate % of marks (of all years/semesters)
PREV
. ACA
D.RE
C. Exam./ Discipline Institute/ Year of % Marks/ Rank in Class/ Degree University Passing CGPA University
10+2/EquivalentB.Sc.M.Sc./B.TechOther (specify)
PE
RS
ON
AL
Name (in CAPITAL)Gender / D.O.B. Male Female Date-of-birth (dd/mm/yyyy)Father’s NameMothers Name
Address forCorrespondence PIN: Tel No. with STD Code
Email : Mobile No. :PermanentAddress
PIN: Tel No. with STD CodeEmail : Mobile No. :
Tickwhichever
is applicable
GENERAL SC ST PHOBC
(Non-Creamy Layer)
GATE Discipline Year GATE Score GATE Marks (%)
................ ................ ................ ................
Sponsored (Full-time)
Experience
Years .....................
Downloaded Form
If YES, give Entry number and the particulars of the programme earlier
attended and the reason for discontinuation.
Date____________ (Signature of the Candidate)
PAYM
ENT
Mode of obtaining the Form From Bank By Post Downloaded
EXPE
RIEN
CE IF
ANY Experience (From date to date) Designation Organisation with address
Payment details ofapplication form
Bank Draft No. :
Date :
Drawn on :
Amount Rs.
Have you ever studied and discontinued your studies at IIT Delhi ? YES NO
FOR P.G. SECTION USE ONLY
(Recommendations/observations of the office)
The candidate may be provisionally admitted/not admitted subject to the following :
1) Submission of attested copies of the qualifying degree certificate and marks sheet showing the required% of marks/CGPA by 21.7.2011/ 31.10.2011.
2) Submission of proof from the University/Head of the Institution of having appeared/passed in the qualifyingDegree Examination by 21.7.2011.
3) Submission of GATE Score Card/CSIR/NET award letter (in original) by 21.7.2011.
4) Submission of relieving certificate from Employer by 21.7.2011.
DR/AR (PGS&R) Signature of OS (PGS&R)
FOR DEPARTMENT/CENTRE’S USE
List of Publications (Attach Separate Sheet if required)
INDIAN INSTITUTE OF TECHNOLOGY DELHIApplication Form for Admission to M.Des. Programme
Please read the instructions given in the Information Brochure BEFORE you fill up the formVisit : http://www.iitd.ac.in/pgadmission for details)
Tick (✓) the relevant box wherever provided.
M.Des.(Closing Date 26 April, 2011)
Paste yourUnattestedPhotograph
Full time with Assistantship
Sponsored (Full-time)
Experience
Years ......................
Employed Candidates (No assistantship)
CA
TE
GO
RY
CEED Percentile Year Discipline
.................... ............. .........................................
QU
ALI
FYIN
G
DE
GR
EE
Qualifying Exam ................................ Duration of the course (Years) .................... Discipline .......................................Year of Passing .................................Name of University / Institute : ............................................................................
CGPA/MarksObtained
Marks Obtained Max. Marks Marks Obtained Max. Marks
Year 1 Semester I ................. ................. Semester II ................. .................
Year 2 Semester I ................. ................. Semester II ................. .................
Year 3 Semester I ................. ................. Semester II ................. .................
Year 4 Semester I ................. ................. Semester II ................. .................
Details of Marks secured in the Examinations other than qualifying examination
CGPA Secured out of OR Aggregate % of marks (of all years/semesters)
PREV
. ACA
D.RE
C. Exam./ Discipline Institute/ Year of % Marks/ Rank in Class/ Degree University Passing CGPA University
10+2/Equivalent
B.Sc.
M.Sc./B.Tech
Other (specify)
PE
RS
ON
AL
Name (in CAPITAL)Gender / D.O.B. Male Female Date-of-birth (dd/mm/yyyy)Father’s NameMothers Name
Address forCorrespondence PIN: Tel No. with STD Code
Email : Mobile No. :PermanentAddress
PIN: Tel No. with STD CodeEmail : Mobile No. :
Tickwhichever
is applicable
GENERAL SC ST PHOBC
(Non-Creamy Layer)
Downloaded Form
FOR P.G. SECTION USE ONLY
(Recommendations/observations of the office)
The candidate may be provisionally admitted/not admitted subject to the following :
1) Submission of attested copies of the qualifying degree certificate and marks sheet showing the required% of marks/CGPA by 21.7.2011/ 31.10.2011.
2) Submission of proof from the University/Head of the Institution of having appeared/passed in the qualifyingDegree Examination by 21.7.2011.
3) Submission of CEED Score / Percentile Card (in original) by 21.7.2011.
4) Submission of relieving certificate from Employer by 21.7.2011.
DR/AR (PGS&R) Signature of OS (PGS&R)
FOR DEPARTMENT/CENTRE’S USE
If YES, give Entry number and the particulars of the programme earlier
attended and the reason for discontinuation.
Date____________ (Signature of the Candidate)
PAYM
ENT
Mode of obtaining the Form From Bank By Post Downloaded
EXPE
RIEN
CE IF
ANY Experience (From date to date) Designation Organisation with address
Payment details ofapplication form
Bank Draft No. :
Date :
Drawn on :
Amount Rs.
Have you ever studied and discontinued your studies at IIT Delhi ? YES NO
INDIAN INSTITUTE OF TECHNOLOGY DELHIApplication Form for Admission to M.S. (R) Programme
Please read the instructions given in the Information Brochure BEFORE you fill up the formVisit : http://www.iitd.ac.in/pgadmission for details)
Tick (✓) the relevant box wherever provided.
M.S. (Research)(Closing Date 14 April, 2011)
Paste yourUnattestedPhotograph
PRO
GR
AMM
E
Depatment Name ..................................................................................................................
M.S.(R) Code
QUA
LIFY
ING
DEG
REE
Qualifying Exam ................................ Duration of the course (Years) .................... Discipline .......................................Year of Passing .................................Name of University / Institute : ............................................................................
CGPA/MarksObtained
Marks Obtained Max. Marks Marks Obtained Max. Marks
Year 1 Semester I ................. ................. Semester II ................. .................
Year 2 Semester I ................. ................. Semester II ................. .................
Year 3 Semester I ................. ................. Semester II ................. .................
Year 4 Semester I ................. ................. Semester II ................. .................
Details of Marks secured in the Examinations other than qualifying examination
CGPA Secured out of OR Aggregate % of marks (of all years/semesters)
PREV
. ACA
D.RE
C. Exam./ Discipline Institute/ Year of % Marks/ Rank in Class/ Degree University Passing CGPA University
10+2/EquivalentB.Sc.M.Sc./B.TechOther (specify)
PE
RS
ON
AL
Name (in CAPITAL)Gender / D.O.B. Male Female Date-of-birth (dd/mm/yyyy)Father’s NameMothers Name
Address forCorrespondence PIN: Tel No. with STD Code
Email : Mobile No. :PermanentAddress
PIN: Tel No. with STD CodeEmail : Mobile No. :
Full time with Assistantship Employed Candidates (No assistantship)
CA
TE
GO
RY
Tickwhichever
is applicable
GENERAL SC ST PHOBC
(Non-Creamy Layer)
GATE Discipline Year GATE Score GATE Marks (%)
................ ................ ................ ................
Sponsored (Full-time)
ExperienceYears ......................
Part -time
ExperienceYears .........................
Downloaded Form
FOR P.G. SECTION USE ONLY
(Recommendations/observations of the office)
The candidate may be provisionally admitted/not admitted subject to the following :
1) Submission of attested copies of the qualifying degree certificate and marks sheet showing the required% of marks/CGPA by 21.7.2011/ 31.10.2011.
2) Submission of proof from the University/Head of the Institution of having appeared/passed in the qualifyingDegree Examination by 21.7.2011.
3) Submission of GATE Score Card (in original) by 21.7.2011.
4) Submission of relieving certificate from Employer by 21.7.2011.
DR/AR (PGS&R) Signature of OS (PGS&R)
FOR DEPARTMENT/CENTRE’S USE
If YES, give Entry number and the particulars of the programme earlier
attended and the reason for discontinuation.
Date____________ (Signature of the Candidate)
PAYM
ENT
Mode of obtaining the Form From Bank By Post Downloaded
EXPE
RIEN
CE IF
ANY Experience (From date to date) Designation Organisation with address
Payment details ofapplication form
Bank Draft No. :
Date :
Drawn on :
Amount Rs.
Have you ever studied and discontinued your studies at IIT Delhi ? YES NO
INDIAN INSTITUTE OF TECHNOLOGY DELHIApplication Form for Admission to M.Tech. Programmes
Please read the instructions given in the Information Brochure BEFORE you fill up the formVisit : http://www.iitd.ac.in/pgadmission for details)
Tick (✓) the relevant box wherever provided.
M.Tech.(Closing Date 14 April, 2011)
Paste yourUnattestedPhotograph
Downloaded FormP
RO
GR
AM
ME
Write the name of the Depatment/Centre (in caseof Deptt/Centre M.Tech Programmes)
ORThe name of the Interdisciplinary M.Tech. Prog.Note : Only one of these options is allowed in one form ..................................................................................................................
Option 1 Option 2 Option 3 Option 4Candidate can indicate upto four preferences usingM.Tech. programmes codes in the same deptt. /centre.In case of application to interdisciplinary M.Techprogramme, only option 1 box to be filled withthe desired IDP Code
PE
RS
ON
AL
Name (in CAPITAL)Gender / D.O.B. Male Female Date-of-birth (dd/mm/yyyy)Father’s NameMothers Name
Address forCorrespondence PIN: Tel No. with STD Code
Email : Mobile No. :
QUA
LIFY
ING
DEG
REE
Qualifying Exam ................................ Duration of the course (Years) .................... Discipline .......................................Year of Passing .................................Name of University / Institute : ............................................................................
CGPA/MarksObtained
Marks Obtained Max. Marks Marks Obtained Max. Marks
Year 1 Semester I ................. ................. Semester II ................. .................
Year 2 Semester I ................. ................. Semester II ................. .................
Year 3 Semester I ................. ................. Semester II ................. .................
Year 4 Semester I ................. ................. Semester II ................. .................
Details of Marks secured in the Examinations other than qualifying examination
CGPA Secured out of OR Aggregate % of marks (of all years/semesters)
PREV
. ACA
D.RE
C. Exam./ Discipline Institute/ Year of % Marks/ Rank in Class/ Degree University Passing CGPA University
10+2/EquivalentB.Sc.M.Sc./B.TechOther (specify)
PermanentAddress
PIN: Tel No. with STD CodeEmail : Mobile No. :
Full time with Assistantship Employed Candidates (No assistantship)
CA
TE
GO
RY
Tickwhichever
is applicable
GENERAL SC ST PHOBC
(Non-Creamy Layer)
GATE Discipline Year GATE Score GATE Marks (%)
................ ................ ................ ................
Sponsored (Full-time)
ExperienceYears ......................
Part -time
ExperienceYears .........................
FOR P.G. SECTION USE ONLY
(Recommendations/observations of the office)
The candidate may be provisionally admitted/not admitted subject to the following :
1) Submission of attested copies of the qualifying degree certificate and marks sheet showing the required% of marks/CGPA by 21.7.2011/ 31.10.2011.
2) Submission of proof from the University/Head of the Institution of having appeared/passed in the qualifyingDegree Examination by 21.7.2011.
3) Submission of GATE Score Card (in original) by 21.7.2011.
4) Submission of relieving certificate from Employer by 21.7.2011.
DR/AR (PGS&R) Signature of OS (PGS&R)
FOR DEPARTMENT/CENTRE’S USE
If YES, give Entry number and the particulars of the programme earlier
attended and the reason for discontinuation.
Date____________ (Signature of the Candidate)
PAYM
ENT
Mode of obtaining the Form From Bank By Post Downloaded
EXPE
RIEN
CE IF
ANY Experience (From date to date) Designation Organisation with address
Payment details ofapplication form
Bank Draft No. :
Date :
Drawn on :
Amount Rs.
Have you ever studied and discontinued your studies at IIT Delhi ? YES NO
