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    App Form

    Uploaded by

    vaibhav pratap singh
    This document is an application form for admission to postgraduate programs (M.Sc., M.Tech, Ph.D) at Dr B R Ambedkar National Institute of Technology Jalandhar. It requests information such as the applicant's name, contact details, educational qualifications, GATE/JRF scores if applicable, work experience for sponsored candidates, and enclosures. The form also includes undertakings by the applicant and parent/guardian and sections for office use and the admission committee's decision.

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    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd

    App Form

    Uploaded by

    vaibhav pratap singh
    64 views5 pages
    This document is an application form for admission to postgraduate programs (M.Sc., M.Tech, Ph.D) at Dr B R Ambedkar National Institute of Technology Jalandhar. It requests information such as the applicant's name, contact details, educational qualifications, GATE/JRF scores if applicable, work experience for sponsored candidates, and enclosures. The form also includes undertakings by the applicant and parent/guardian and sections for office use and the admission committee's decision.

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    This document is an application form for admission to postgraduate programs (M.Sc., M.Tech, Ph.D) at Dr B R Ambedkar National Institute of Technology Jalandhar. It requests information such as the applicant's name, contact details, educational qualifications, GATE/JRF scores if applicable, work experience for sponsored candidates, and enclosures. The form also includes undertakings by the applicant and parent/guardian and sections for office use and the admission committee's decision.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    64 views5 pages

    App Form

    Uploaded by

    vaibhav pratap singh
    This document is an application form for admission to postgraduate programs (M.Sc., M.Tech, Ph.D) at Dr B R Ambedkar National Institute of Technology Jalandhar. It requests information such as the applicant's name, contact details, educational qualifications, GATE/JRF scores if applicable, work experience for sponsored candidates, and enclosures. The form also includes undertakings by the applicant and parent/guardian and sections for office use and the admission committee's decision.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 5

    Dr B R Ambedkar National Institute of Technology Jalandhar – 144011 (PUNJAB)

    S.No.________

    Application Fee : Rs.500/- (Gen/OBC/Sponsored), Rs.200/- (SC/ST) Self attested


    APPLICATION FORM FOR ADMISSION TO M.Sc./M.Tech/Ph. D PROGRAMME
    *To be filled in by the Candidate in his/her own handwriting in capital letters Passport size
    **Please attach attested copies of all the documents/certificates/testimonials.

    PHOTOGRAPH

    Details of Registration fee:

    Demand Draft No._________________ Dated ________________ Amount_______________ Bank/Branch ____________________

    1. Programme to which admission sought (i) Ph. D (Full time)

    (ii) Ph. D (Part time)

    (ii) M.Tech (Full-time)


    (ii) M.Tech (Part-time)
    (v) M. Sc.

    2. Discipline of study/Area of specialization _________________________________


    (AS PER ADVERTISEMENT)
    3. Department _________________________________

    4. Whether you are an INTERNAL CANDIDATE? _________________________________

    5. Name in full (in block letters as per matriculation certificate)


    (In English) _________________________________
    (In Hindi) _________________________________

    6. Father’s Name _________________________________


    7. Mother’s Name _________________________________
    8. Date of Birth (as per matriculation certificate) _________________________________
    9. Nationality _________________________________
    10. Category (General/SC/ST/OBC/Sponsored) _________________________________
    (Category once chosen shall not be changed at any stage)
    11. Correspondence Address with telephone no., if any _________________________________
    _________________________________
    _________________________________
    STD Code_______No.______________
    Mobile No ______________________
    12. Permanent Home Address with telephone no. ________________________________
    ________________________________
    STD Code_______No.______________
    13. Educational Qualifications:

    (In case of Internal candidates, additional information to be provided as per enclosed Performa, Annexure-I)

    Examination Year of Institution University Subject(s) Marks %age of marks


    passing obtained/ Max (upto one
    Marks decimal place
    10th
    +2
    B.Sc/B.E./B.Tech
    M.Sc
    M.Phil/
    M.Tech
    Any
    other
    Exam.

    14. (a) Whether qualified in GATE/JRF ____________________

    (b) If yes, GATE/JRF score:____________________ Year of passing___________________

    15. Experience (only for sponsored candidates) in chronological order starting form the latest:
    Sr Name of organization with address From To Total
    No. Period

    16. Was there any gap in your studies? If yes, mention period and reason:
    a) Period (give dates) From________________To_______________
    b) Reasons______________________________________________
    17. Have you passed the qualifying examination in the first attempt: Yes/No

    List of Enclosures:
    1. Registration Fee (Demand Draft) Yes/No
    2. Matric/Higher Secondary Part-I certificate (as proof of age) Yes/No
    3. +2 Examination certificate Yes/No
    4. B.Sc./B.Tech/B.E. Examination certificate indicating the detail marks Yes/No
    5. M.Sc. (as applicable) Examination certificate indicating the detail marks Yes/No
    6. M.Tech/M.Phil (as applicable) ) Examination certificate indicating the detail marks Yes/No
    7. Character certificate from the Head of the Institution last attended Yes/No
    8. Certificate in support of claim under reserved category on the prescribed Performa Yes/No
    9. No objection certificate from Employer (for sponsored candidates only) Yes/No
    10. GATE/JRF qualifying certificate Yes/No
    11. Medical certificate from a Medical Officer/SMO/CMO of a Govt. Hospital Yes/No

    UNDERTAKING BY THE APPLICANT


    I clearly understand that my admission to_______________programme in the Department/Discipline of ____________________________ is
    SUBJECT TO THE RULES AND REGULATIONS OF Dr B R Ambedkar National Institute of Technology Jalandhar.
    I also understand that the admission is being allowed to me on the basis of the information furnished by me. In case any information/particular is
    found false/wrong at any stage, NIT Jalandhar can cancel my admission and all the fees deposited by me shall be forfeited.
    In such case, I shall have no claim, whatsoever, in respect of my admission.

    (Full Signature of Parent/Guardian) (Full Signature of Candidate)


    Dated:
    Place:
    ______________________________________________________________________________________________________
    (FOR OFFICE USE ONLY)
    The application form/documents has been checked and verified.

    A. The applicant is eligible for admission to M.Sc./M.Tech (Full-time)/M.Tech (Part-time)/Ph. D (part time) programme/ Ph. D. (full time)
    programme in the Department of _____________________________________.
    B. The applicant is not eligible.

    Chairman, Admission Committee

    (FOR ADMISSION COMMITTEE)

    Admitted to M.Sc.(Full time) M.Tech (Full-time) M.Tech (Part-time)

    Ph.D (Full time) Ph.D (Part time)

    In the Department of _____________________________________________________.

    (SIGNATURE) (SIGNATURE) (SIGNATURE)


    Annexure – I

    Dr B R Ambedkar National Institute of Technology Jalandhar


    (For internal candidates only)

    APPLICATION FORM FOR ADMISSION TO M.Sc./M.Tech (Full time/Part time)/


    Ph. D (Full time/Part time) PROGRAMME

    1. Name and present Position _____________________________________

    2. Whether regular or on contract basis _____________________________________

    3. Department/Centre _____________________________________

    4. Date of Joining the Institute _____________________________________

    5. Date of joining the present position _____________________________________

    6. Indicators of Research aptitude _____________________________________


    a) Any R&D project sanctioned/handled/Submitted
    (please enclose a copy of the sanction letter/project
    proposal)
    b) If project under Thrust Area of technical education _____________________________________
    sanctioned/handled/submitted (please enclose a copy
    of the sanction letter/project proposal)
    c) If any patent registered (Please enclose a copy of the _____________________________________
    registration letter)
    d) No. of Research Publications in
    (i) International Journals/Conferences _____________________________________
    (ii) National Journals/Conferences
    (please attach the list) _____________________________________

    7. No. of short term courses organized/attended _____________________________________


    (please attach the list)

    8. No. of monographs/books published, if any _____________________________________


    (please attach the list)

    9. Any other relevant information _____________________________________

    Date: Signature:
    Name :

    Recommendation of Head of the Department:

    _______________________________________________________________________________________________

    _______________________________________________________________________________________________

    _______________________________________________________________________________________________

    Date: Signature :
    Name :
    Department:

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