NIT-Silchar Admission Form

8/7/2019 NIT-Silchar Admission Form

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Application Form for Admission into M.Sc./M.Tech./Ph.D. Programme, July-December 2011 session

1. Name: ....

..... (Tick )

2. Fathers/Husbands name: ....

3. Mothers name:..

4. Address:(a) For correspondence (b) Permanent

(c) Email: (d) Phone : (e) Fax :

5. (a) Date of Birth:. (b) Marital Status:

(c) Age on 01.01.2011: . (d) Nationality : ..(e) Whether SC/ST/OBC/PWD: . (if yes, a certificate must be attached)

(f) Specify if you belong to any Other Backward Class:

6. (a) Department to which the candidate seeks admission: .

(b) Programme in which admission is sought : ..

(c) Specialization to which admission is sought: .

(d)Are you also applying to any other Department/Specialization?If yes, list the other Department(s)/Specialization:

(e) Category : Regular Sponsored Project Staff(Tick )

Part-time Institute Staff

(f) Choice in order of preference, for area of specialization (please check the website) :

(i) (ii) (iii)

NATIONAL INSTITUTE OF TECHNOLOGY SILCHARSILCHAR-788 010 (ASSAM)

Male Female Affix Recent

Passport size

Photograph

Yes/No.

For Office Use

Degree: DateofReceipt:

De artment: Re . No.:


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7. Details of Universities/Institutions attended (from 10th Standard onwards)(attested copies of certificates and mark sheets/grade cards must be attached).

University/College/Board

Degree obtained(with discipline)

Year%

Marks/CGPA/CPI

ClassObtained

(if applicable)Subjects taken

8. (a) Professional Qualifying Examination passed (attested copy of certificate must be attached):

(I) GATE (II) UGC/CSIR NET

Subject Date ofqualifying

Valid up to

(b) Any other source for fellowship/scholarship:

9. (a) Professional Experience (Teaching/Research/Industrial) if any (proof to be attached).

Name of organization Position held Type of workPeriod

From To

(i)

(ii)

(iii)

(b) Attach a list of publications/projects etc. separately, if any:

10. (a) If employed, name of the present employer ..(b) Whether employers permission obtained?:

(c) If yes, whether NOC in form-I/II/III is enclosed:

11.List of Enclosures:

DeclarationI hereby declare that the entries made in this application form are correct to the best of my knowledgeand belief. If selected for admission, I promise to abide by the rules and regulations of the Institute as

amended from time to time.

I note that the decision of the Institute is final in regard to selection for admission and assignment to aparticular department and field of study. The Institute shall have the right to take any action it deemsfit, including expulsion, against me at any time after my admission, if it is found that informationfurnished by me are false or incorrect. I shall abide by the decision of the Institute, which shall be final.

Place :

Date :

Signature of the applicant

Subject Score Valid up to

(a) (c)

(b) (d)

Yes No


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a. To be filled in by Departmental Admission Committee after verification and selection test

Recommendation for admission:

Signature of member Signature of member Signature of member

Chairman,Departmental PG Admission Committee

b. To be filled by central admission committee:(i) Verified and found suitable and recommended to Chairman, Senate for

admission

(ii) Recommendation for M.Sc/M.Tech/Ph.D Assistantship

(iii)Not recommended for admission

(Signature of members): ........ .......................

c. Admitted on approval from Chairman, Senate.

Date: Dean, Academic

(iv) Performance of Selection Test

(v) Position in order of merit

(vi) Category(General/SC/ST)

(i) % of B.Sc/B.Tech marks/Grade

(ii) % of M.Tech/M.Phil/M.Sc marks/ Grade

(iii) GATE/NET score

For office use only


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Form I SPONSORSHIP LETTER

(This should be typed on the letter head of the sponsoring organization)

No.

Date:

ToThe Director,

National Institute of Technology,Silchar.

Sub: Sponsoring an Employee for M.Sc/M.Tech/Ph.D. Programme(Strike out which is not applicable)

Dear Sir,

We hereby sponsor the candidate of Mr./Ms

who is an employee in our organization, for joining

M.Sc/M.Tech/Ph.D. Programme in . at your Institute as a full-

time student.

We shall relieve him/her of his/her duties in the organization during the (i) first two

years of M.Sc/M.Tech. Programme (ii) first three years of the Ph.D. Programme (Strike out which

is not applicable)

Signature and Seal of theSponsoring Authority


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Form II No Objection Certificate for Part-Time Students


Reference No.

Date :To

The Director,

National Institute of Technology Silchar,Silchar 788 010.

Sub: No objection Certificate

Dear Sir,

We have no objection if Mr./Ms.

An employee in our organization, is admitted to the M.Sc./M.Tech/Ph.D. Programme in

. at your Institute as a part-time student.

We shall give him/her leave of absence to attend classes and research work at NIT Silchar

during first two years for M.Sc./M.Tech/Ph.D. programme (Strike out which is not applicable).



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Form III Sponsorship Certificate of External Registrationfor Ph.D Programme


Reference No.

Date :

1. Name of the sponsoring organization:

Address:

2. Designation of the applicant:

3. Present status of the applicant:

4. Division/Section where research work is proposed to be done:

5. Name of the Local Supervisor:

(Bio-data of the Local Supervisor to be enclosed giving details of designation, qualification,research experience etc.)

6. Details of relevant facilities which will be made available to the candidate:

7. Statement of Local Supervisor:

If Mr./Ms. is admitted to the Ph.D.

programme at National Institute of Technology, Silchar, I agree to supervise his/her research

programme jointly with the Supervisor from NIT, Silchar.

Signature of Local Supervisor(Sponsoring Organisation)

If Mr./Ms. is admitted to the Ph.D.

Programme, we agree to relieve him/her to enable him/her to be in residence at NIT, Silchar

during the first semester of his/her Ph.D. Programme.

Mr./Ms will be permitted to carry out

research leading to the Ph.D. degree at our organization under the guidance of Dr.

The necessary facilities will be provided for the

purpose.


Documents

NIT-Silchar Admission Form