Ird Rec 4
Ird Rec 4
Ird Rec 4
IRD Unit
Indian Institute of Technology Delhi
FORM NO. IRD/REC-4
Hauz Khas, New Delhi - 110 016, INDIA
Tel: 91-11-26591799, 26597534 Fax: 91-11-26854715
Email: arird@admin.iitd.ac.in Web: http://ird.iitd.ac.in
Kashif Azmi
1. Name in full (in block letters) __________________________________
2. Address (in block letters)
(i) For Communication ___________________________________________________
624D/82, Azmi Manzil, Khawaja Bagh Colony, Chinhat, Lucknow, U.P
___________________________________________________
___________________________________________________
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Revised 01/2014
(ii) Whether NET/GATE Qualified (Please Tick): NET GATE
8. Whether employed in any organization outside IIT Delhi and pursuing studies at IIT Delhi? If
yes, Please provide details (Please attach supporting N.O.C. from parent organization):
9. Any Other relevant Information (Details of Special achievements, Awards, Trainings, etc., if any)
I hereby declare that all particulars in this form are correct and true to the best of my knowledge & belief
and nothing has been concealed therein. I shall bring the original degrees, certificates, other documents
in support of the above information for verification at the time of test/interview.
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