Admissions To 5 Year BS-MS Dual Degree Programme 2014 Admission Form
Admissions To 5 Year BS-MS Dual Degree Programme 2014 Admission Form
Admissions To 5 Year BS-MS Dual Degree Programme 2014 Admission Form
Admission Form
1.
Application Number:
2.
3.
4.
PD (Yes / No):
5.
Applicants Name:
6.
Date of Birth:
7.
Fathers Name:
8.
Mothers Name:
9.
Residence Phone:
Mobile:
Email:
10.
I hereby declare that the particulars stated above are true to the best of my knowledge and
belief. In the event of suppression or distortion of any fact, I understand that my admission/
degree acquired is liable for cancellation. I also understand that the decision of the Joint
Admissions Committee regarding my admission to Indian Institute of Science Education and
Research (IISER) Bhopal / Kolkata / Mohali / Pune / Thiruvananthapuram is final, and I
shall abide by the rules and norms and the discipline of the Institute where I join.