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    Applformmtech 2011

    Uploaded by

    Shanawas Abdul Razak
    This document contains an application form for admission to the M.Tech programs at VNIT Nagpur for the 2011-2012 year. It requests information such as name, date of birth, contact details, category, GATE score, degree details, address, and a declaration signed by the applicant. The first page provides instructions that the application must be accompanied by a DD of Rs. 500 and a separate form submitted for each department. Relevant documents like marksheets and certificates also need to be enclosed.

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

    Applformmtech 2011

    Uploaded by

    Shanawas Abdul Razak
    49 views2 pages
    This document contains an application form for admission to the M.Tech programs at VNIT Nagpur for the 2011-2012 year. It requests information such as name, date of birth, contact details, category, GATE score, degree details, address, and a declaration signed by the applicant. The first page provides instructions that the application must be accompanied by a DD of Rs. 500 and a separate form submitted for each department. Relevant documents like marksheets and certificates also need to be enclosed.

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    applformmtech2011

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    This document contains an application form for admission to the M.Tech programs at VNIT Nagpur for the 2011-2012 year. It requests information such as name, date of birth, contact details, category, GATE score, degree details, address, and a declaration signed by the applicant. The first page provides instructions that the application must be accompanied by a DD of Rs. 500 and a separate form submitted for each department. Relevant documents like marksheets and certificates also need to be enclosed.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    49 views2 pages

    Applformmtech 2011

    Uploaded by

    Shanawas Abdul Razak
    This document contains an application form for admission to the M.Tech programs at VNIT Nagpur for the 2011-2012 year. It requests information such as name, date of birth, contact details, category, GATE score, degree details, address, and a declaration signed by the applicant. The first page provides instructions that the application must be accompanied by a DD of Rs. 500 and a separate form submitted for each department. Relevant documents like marksheets and certificates also need to be enclosed.

    Copyright:

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    Download as PDF, TXT or read online from Scribd
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    -

    VISVESVARAYA NATIONAL INSTITUTE OF TECHNOLOGY, NAGPUR - 4 4 0 0 1 0 .

    Application Form for Admission to M. Tech. Programs: 2011-2012


    (For institutional rounds for the candidates of Groups-b and c)

    i) The Application Form must be accompanied with DD/IPO of Rs. 500.00 as its processing fees (non refundable)
    drawn in favour of The Director, VNIT, Nagpur payable at Nagpur.
    ii) Separate form must be submitted for each Department. (For detail, see Information Brochure)

    FOR OFFICE USE ONLY 4 GATE Score ________________

    1 ID No. _____________ 5 GATE Examination paper _________________

    2 Enrolment No. _____________ 6 Qualifying Exam. Marks _________________

    3 Registration No. _____________ 7 Title of Degree B. E./B.Tech. _________________

    Provisionally admitted to First Semester Post Graduate Program in: __________________________

    Details of Demand Draft of Rs.500/- Drawn on bank : ______________________________________


    (Write your Name and Department on
    the back side of DD) DD NO.: _________________ Date : ____________________

    1 Name of the Candidate: ______________________________________________________

    d d m m y y
    Space for
    2 Date of Birth Gender : M / F photograph
    with Attestation
    3 Email: _____________________________________________ and Seal of
    Certifying
    Officer
    4 Phone(STD)/Mobile_____________________________________________

    5 Details under which admission to M.Tech.(Full Time) Program is being sought :

    a. Name of the Department: ____________________________________________

    b. Name of the Programs with preference: 1___________________2_________________3_______________

    c. Category: (Tick mark [√ ] in appropriate boxes, as applicable)

    Open SC ST OBC

    PWD/PH GATE Non-GATE Sponsored

    d. Are you a Sponsored Candidate? YES/NO, If “YES”:

    Details of Post Held: __________________________________________________

    Work Experience: ____________ Years : ____________ Months : ___________

    Page 1 of 2 www.vnit.ac.in
    5/12/11 10:16 AM
    6 a) Details of Qualifying Examination:

    Title of Degree: __________________________________________________________________

    University: ______________________________________________________________________

    Final year % of marks: ________________________ Year of passing________________________

    Pre final year % of marks: ___________________________Year of passing ____________________

    b) Details of GATE score, if applicable

    GATE Examination Paper: ___________________ GATE Score__________

    7 Address for correspondence: __________________________________________

    ____________________________________________________________________

    ___________________________________________________________________

    _____________________________________________________________________

    DECLARATION
    1. I hereby declare that I have carefully read and understood the instructions and particulars supplied to me by
    the Institute and all entries filled in by me in this form are true to the best of my knowledge and belief.
    2. Certified that I have no backlog subjects to be cleared for the pre-final and earlier years.
    3. I will strictly adhere to the rules regulations and discipline of the Institute.

    Date : ___________ Signature of Applicant _______________

    (Name :___________________)

    Xerox Copies of Certificates to be Enclosed:

    1. Final and prefinal year marksheets of qualifying degree


    2. GATE Score Card
    3. Sponsorship cum Experience Certificate (for sponsored Candidates)

    Page 2 of 2 www.vnit.ac.in
    5/12/11 10:16 AM

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