Govt. of N.C.T.

of Delhi
DELHI TECHNOLOGICAL UNIVERSITY
(Formerly Delhi College of Engineering)
Shahbad Daulatpur,Main Bawana Road, Delhi-42

APPLICATION FORM FOR ADMISSION TO THE M.TECH.(F.T./P.T.) PROGRAMME 2011-2012

Last date for receipt of applications is 22nd June,2011. Submit the completed Form to the Joint
Registrar (Admin.), Delhi Technological University, Shahbad Daulatpur, Bawana Road, Delhi-110042. Application No.

(The candidates will be required to submit separate application form if they wish to apply for more than
one Discipline. However, for all programs, offered by a single department, they can give preferences in
the same Application Form).

Name of the Department P. G. course applied for (M.Tech.)

Specialization with preference : Indicate Full-Time(F.T.) / Sponsored Full-Time/Part Time(P.T.)

(i)
Paste (do not pin)
(ii) your recent
passport size
(iii) photograph duly
attested by a Gazetted
1. Applicant's Name in (BLOCK LETTER) Officer / Principal of
College last attended

2. Postal Address

Pin Code : Phone :

3. Contact Details
Telephone No. Mobile No. Email address

4. Date of Birth 5. a) Sex(M/F) b) Religion c) Nationality

Day Month Year

6(a) Category (Please tick ) SC ST OBC Gen PH 7.Marital Status
7. Particulars for School and College attended and Examinations passed.
Examination Board / University School / College Year of Agg. Marks % age Subject
Passing Obtained
a) High School

b) SSCE or Equivalent

c) B.Sc. or Equivalent

d) B.Sc. Engg. / B.Tech.

B.E. or Equivalent

e) AMIE or Equivalent

f) M.Sc. or Equivalent

g) Any other

7. Indicate the Qualifying Examination Roll No. Year

8. GATE Score Regn. No. Year Month

9. Have you been employed, if so give the following particulars(Attach separate sheet if required);
Name of the Post held Nature of Duties Period
Organization From To

10. Present employment Status (Employed/Not Employed) _________________________

(For Sponsored & Part Time Candidates)
11. Name, Designation and Address of the person to whom you report in the organization

12. Father's / Husband's / Guardian's Name 13. Mother's Name

14. Permanent Address

15. Address for Correspondence

Pin Code :

16. Indicate the list of enclosures attached by circling the appropriate (one attested / self attested photocopy to be submitted at this
stage).
a) Mark-Sheet of all examinations passed (where grades are awarded the equivalent of the grades and the corresponding
percentage duly countersigned by the Registrar of the University should accompany Grade Cards). Yes/No
b) Conversion formula if results was in the form of Grades / C.G.P.A. Yes/No
c) GATE Score Yes/No
d) Proof of Date of Birth Yes/No
e) Scheduled Caste's / Scheduled Tribe's / OBC Certificate (for SC/ST/OBC Candidates only) Yes/No
NOTE : Your application will not be considered if not accompanied by appropriate certificate and documents.

UNDERTAKING BY THE CANDIDATE

a) I hereby certify that the foregoing particulars are correct and I agree that admission may be granted to me on the terms,
conditions and rules of the Delhi Technological University or such modifications thereof as may be made by authorities
concerned from time to time. I understand that my admission may be cancelled and tuition fee paid by me forfeited if any of
the particulars given by me in this Application are subsequently found to be wrong.
b) I agree that Vice-Chancellor's decision in all matters concerning my Admission, studies, discipline and conduct will be final
and binding on me.
c) On admission I undertake to submit myself to the disciplinary jurisdiction of the Vice-Chancellor and the authorities of the
Delhi Technological University according to the Act, the Statutes, Ordinance and the rules of the University.
d) I understand that my association, active or passive, with any unlawful organization is forbidden.
e) I certify that I am not registered as a provisional student of any other University.
f) I agree that the University shall have the right to forfeit the security deposits inter alia on the ground of my failure to claim
the refund within three years of the date of my ceasing to be on the rolls of the University.

Date : ......../............../2011 Signature of the Applicant

 CERTIFIED FROM THE EMPLOYER FOR SPONSORED CANDIDATES
Note : Full-Time sponsored candidate must submit a certificate from the employers as given below:

Name of the Officer or Organization ......................................................................................................................................................

1. Shri ...................................................................................... employed as .......................................... in the organization / office

is hereby permitted to join the M.Tech. program at Delhi Technological University as a full time sponsored student.
2. He will be allowed leave with salary / leave of the kind due / extra ordinary leave during the period of the course.
3. He has got one year meaningful experience in this organization / or shall be completing one year experience on 31.08.2011.

Date : ......../............../2011 Signature, Name & Designation of the Competent Authority

For Part Time Candidates

Candidates applying for M.Tech.(Part Time) Programme must submit the following documents along with the
Application Form:
(a) A clear No Objection Certificate (NOC) without qualifying conditions from the current employer.
(b) Permission to undergo any training/Project outside Delhi for about one month.

Details of Demand Draft(Attach D.D in original):

Demand Draft No. :___________________________ Amount in Rs.:__________________________

Date of Issue:________________________________ Bank Name____________________