This document appears to be an application form for admission to a part-time M.Tech program. It requests information such as the applicant's name, date of birth, gender, contact details, academic qualifications including marks/grades from Class X onwards, GATE/PGECET exam scores if applicable, and any relevant work experience. The applicant is required to sign declaring that the information provided is true and agreeing to abide by the admission procedures and policies.
This document appears to be an application form for admission to a part-time M.Tech program. It requests information such as the applicant's name, date of birth, gender, contact details, academic qualifications including marks/grades from Class X onwards, GATE/PGECET exam scores if applicable, and any relevant work experience. The applicant is required to sign declaring that the information provided is true and agreeing to abide by the admission procedures and policies.
This document appears to be an application form for admission to a part-time M.Tech program. It requests information such as the applicant's name, date of birth, gender, contact details, academic qualifications including marks/grades from Class X onwards, GATE/PGECET exam scores if applicable, and any relevant work experience. The applicant is required to sign declaring that the information provided is true and agreeing to abide by the admission procedures and policies.
This document appears to be an application form for admission to a part-time M.Tech program. It requests information such as the applicant's name, date of birth, gender, contact details, academic qualifications including marks/grades from Class X onwards, GATE/PGECET exam scores if applicable, and any relevant work experience. The applicant is required to sign declaring that the information provided is true and agreeing to abide by the admission procedures and policies.
BEFORE FlLLlNG THE APPLlCATlON FORM Paste your recent passport slze co|our pbotograpb not o|der tban 3 montbs. Do not pln or stap|e PHOTOGRAPH 5lGNATURE OF APPLlCANT APPLlCATlON FORM P O 5 T
G R A D U A T l O N P A R T
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M . T E C H NAML OP THL APPL|CANT (AS |T APPLAPS |N CLASS X OP LQU|vALLNT MAPKS CAPD) DATL OP 8|PTH SLX (T|CK) MALL DATL MONTH YLAP PLMALL COUPSL CHO|CL CHO|CL 1 CHO|CL 2 CHO|CL 3 NAML OP THL PAPLNT / GUAPD|AN ADDPLSS POP COPPLSPONDLNCL DOOP / HOUSL No. STPLLT NAML PLL|G|ON CATLGOPY (T|CK) 8C SC ST Otbers PH LMA|L |D P|N CODL STATL D|STP|CT LOCAL|TY / MANDAL TLLLPHONL NUM8LP MO8|LL NUM8LP STD CODL TOWN / C|TY P O 5 T
G R A D U A T l O N APPLlCATlON FEE DETAlL5 : CASH : OR DD : PAYMENT MODE NUMBER DATE AMOUNT l55UlNG BANK NAME DD DETAlL5 BRANCH CA5H RECElVED BY : Mr./Ms. .............................................. Slgnature ...................................... P|ace ......................................................... 5lGNATURE OF APPLlCANT ACADEMlC DETAlL5 1. X C|ass State : Year o| Pass : 8oard : Year o| Pass : Unlverslty : Co||ege : YEAR / 5EME5TER MAXlMUM MARK5 MARK5 OBTAlNED TOTAL MONTH & YEAR P|ace : ............................ Date : ............................ DECLARATlON: | bereby dec|are tbat a|| tbe partlcu|ars stated ln tbls app|lcatlon are true to tbe best o| my know|edge and be|le|. | bave read and understood a|| provlslons o| tbe admlsslon procedure and agree to ablde by tbem. |n tbe event o| submlsslon o| |raudu|ent, lncorrect or untrue ln|ormatlon or suppresslon or dlstortlon o| any |act |lke educatlona| qua|l|lcatlon, marks etc., | understand tbat my admlsslon / degree ls |lab|e |or cance||atlon. Purtber | understand tbat my admlsslon ls pure|y provlslona| subject totbe |u||l|ment o| tbe e|lglbl|lty crlterla. 5lGNATURE OF PARENT/ GUARDlAN 5ignature of officia| with sea| vlgnan Unlverslty / Scboo| / Co||ege / Lngg. Co||ege 2. 10+2 or equiva|ent Group : MPC : 8lPC : Marks : TOTAL MAPKS MAPKS O8TA|NLD % OP MAPKS State : Year o| Pass : 8oard : Marks : TOTAL MAPKS MAPKS O8TA|NLD % OP MAPKS 3. Graduation : Marks Detal|s : %OF MARK5 | YLAP / | SLM | YLAP / || SLM || YLAP / ||| SLM || YLAP / |v SLM ||| YLAP / v SLM ||| YLAP / v| SLM |v YLAP / v|| SLM |v YLAP / v||| SLM GATE / PGECET / OTHER TE5T 5CORE TE5T NAME TE5T DATE FORM NO 5CORE ACKNOWLEDGMENT Name o| tbe App|lcant : ..................................................................................... S/o / D/o ........................................................................................... Pecelved app|lcatlon |or Admlsslon to M.Tech (Macblne Deslgn / CAD-CAM / Communlcatlon & Slgna| Processlon / Lmbedded Systems / Power L|ectronlcs & Drlves / CSL /vLS|). P A R T
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M . T E C H WORK EXPERlENCE DE5lGNATlON WORKlNG lN5TlTUTlON & PLACE FROM TO DURATlON OF WORKlNG