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National Institute of Technology Tiruchirappalli - 620 015, TAMIL NADU

This document contains an application form for admission to M.Sc. programs at the National Institute of Technology in Tiruchirappalli, Tamil Nadu, India. The application requests basic information about the applicant such as name, date of birth, gender, category, program applied for, qualifying degree details, address and contact information. It also includes instructions for the applicant to enclose required documents and certificates along with the application form.

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sivamardalam
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41 views5 pages

National Institute of Technology Tiruchirappalli - 620 015, TAMIL NADU

This document contains an application form for admission to M.Sc. programs at the National Institute of Technology in Tiruchirappalli, Tamil Nadu, India. The application requests basic information about the applicant such as name, date of birth, gender, category, program applied for, qualifying degree details, address and contact information. It also includes instructions for the applicant to enclose required documents and certificates along with the application form.

Uploaded by

sivamardalam
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Application No.

NATIONAL INSTITUTE OF TECHNOLOGY


TIRUCHIRAPPALLI 620 015, TAMIL NADU
APPLICATION FOR ADMISSION TO M.Sc. PROGRAMMES
(2013 2014)
Registration Number:

(for office use only)

1. (a) Name of the candidate : ______________________________________


Day

Month

Year

(b) Date of Birth:

Age ____Years

(c) Sex : Male / Female

(d) Marital Status : Married / Single

Space for Photo


(Passport Size)
(Attested)

(e) Fathers / Guardians / Husbands Name : _____________________


2. Programme Applied for:
M.Sc. (Physics)
M.Sc. (Chemistry)
M.Sc. (Operations Research and Computer Applications)

3. Category:

OP

OBC

4. Person with Disability (PWD)

(Please put tick () in the appropriate box)


SC
ST

YES

NO

(Disability of 40% and above)

(Please put tick () in the appropriate box)


5. Nationality: _____________
6. Address for Communication
Communication/Mailing Address

Phone:
Email :

Permanent Address

Mobile:

7. Qualifying Degree
i) Major Subject

: _________________________________________________
: _________________________________________________

ii) Name of the Institution : _________________________________________________


iii) Name of the University : _________________________________________________
iv) Year of passing

: _________________________________________________

v) Details of marks / GPA obtained* :


(GPA may be given instead of marks, if applicable)
Year

Semester

Maximum Marks
/ GPA

Marks / GPA
obtained

Remarks

II
III

II

IV
V

III

VI

*Mandatory
8. Details of Registration Fee Enclosed:
Demand Draft No :

Amount Rs.

Date

Name of Bank :

I hereby declare that the information given in this application are true and correct to the best of my
knowledge.

Signature of the Applicant

Date:

Note:
th

1. Photo copies of the Certificates (10 or HSC certificate, Category (OBC / SC / ST / PWD))
and mark sheets should be enclosed along with the application. Original certificates to
be produced at the time of admission.
2. If any of the particulars furnished above are found to be incorrect at the time of
admission, the seat allotment will be cancelled.

NATIONAL INSTITUTE OF TECHNOLOGY


TIRUCHIRAPPALLI 620 015, TAMIL NADU

M.Sc. ADMISSIONS
ENTRANCE EXAMINATION 2013-2014
ADMIT CARD

Name of the Candidate

: __________________________________

Space for Photo


(Passport Size)
(Attested)

Signature of the Candidate: __________________________________

______________________________________________________________________________

FOR OFFICE USE


Registration
Number

Department

: ___________________________________________

Examination Date

: _________________________ Time: ____________________

HoD / Admission Coordinator

ADDRESS SLIPS
(All the slips should be filled by the candidate with the same address for communication)
To
Mr. / Ms...
.
................
................
PIN
______________________________________________________________________________

To
Mr. / Ms...
.
................
................
PIN
______________________________________________________________________________

To
Mr. / Ms...
.
................
................
PIN
______________________________________________________________________________

To
Mr. / Ms...
.
................
................
PIN
______________________________________________________________________________

CHECK LIST
List of Enclosures (Please in the box)
1. Application fee (DD)
2. Photograph (Affixed)
3. Attested Photocopy of Degree / Provisional certificate
4. Attested Photocopy of all the Mark sheets
5. Attested Photocopy OBC / SC / ST, if applicable
6. Attested Photocopy of PWD Certificates, if applicable

Signature of the candidate

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