Netaji Subhas University of Technology

(Formerly Netaji Subhas Institute of Technology)

Admission Brochure-2020

Master of Business Administration (MBA)

Netaji Subhas University of Technology

(Established by Govt. of NCT of Delhi)
Sector-3, Dwarka, New Delhi 10078
Website:www.nsut.ac.in

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ADMISSION SCHEDULE WITH IMPORTANT DATES

S. No Event Start Date End Date

1 Uploading of application Form 27.09.2020 05.10.2020

2 Verification of forms 06.10.2020 09.10.2020

3 Display of provisionally selected 11.10.2020 11.10.2020

candidates

4 Counselling MBA 12.10.2020 12.10.2020

5 List of Admitted Candidates 14.10.2020 14.10.2020

Important Notes:

1. All the certificates claiming reservation under various categories / sub-categories must
have been issued on or before Special Spot round 2020.

2. Candidates are advised to read the brochure carefully. Visit the website
www.nsut.ac.in regularly for updates and other details about the admission process.

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 Message from the Vice-Chancellor

Prof. Jai Prakash Saini

Vice-Chancellor

It gives me immense pleasure to announce that the Netaji Subhas University of Technology is
commencing MBA admissions for the Session 2020-2021. Netaji Subhas University of
Technology has a 36- year-old legacy of excellence in education and technology development.
Our vision, at NSUT, is to be a world class university through education, Innovation and research
for the service of humanity. We nurture the young and talented brains of our students to make
them successful professionals, strong leaders and thoughtful visionaries. The comprehensive
curricula of our university are designed with an international perspective giving multiple
opportunities to the students for their holistic development. The MBA programme curriculum is
designed to offer various specializations courses in marketing, finance, human resource,
information technology, operations, IT & business analytics to the students. The curriculum is
designed keeping in mind the emerging challenges of business environment and society.

The diverse extra-curricular activities and the various student societies make learning a joyous
experience for our students. We are focused and committed towards empowering our students
with the knowledge and skills that let them open their wings and fly high. The vast group of
recruiters visiting our campus and the placement statistics of our university highlight the careful
technological and comprehensive grooming that our students receive during their stay at NSUT.

I would like to assure you that becoming a part of the NSUT student fraternity will help you
shape your academic future in a very fruitful way. I hope that this admission brochure shall
provide all the needful information about admission procedures, and other related academic
activities. I send my best wishes to the candidates applying for admission to the Netaji Subhas
University.

Prof. J. P. Saini

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 1. Netaji Subhas University of Technology
(Established by Govt. of NCT of Delhi)

VISION

"To be a world class university through excellence in technical education, research and
technology transfer"

MISSION

 To achieve the status of “Institution of Eminence”

 To promote Undergraduate and Postgraduate Education, Continuing Education,

Training and Research in Engineering, Applied Sciences, Management Science,
Humanities and Social Sciences with multi-level entry

 To be an University of Co-operative Programs of Education with Industries and R&D

Organizations for offering tailor-made courses

 To become a Research University with a focus on "Technology Transfer"

 To support a Science and Technology Entrepreneurship Park to nucleate the

"Technology Transfer" programs

ABOUT UNIVERSITY

With reference of Delhi Gazette published on Thursday, September 27, 2018 vide No. F.
14(7)/LA-2015/PF-III/SB(2018)/2017.—In exercise of powers conferred under sub-
section (1) of section 3 of The Delhi Netaji Subhas University of Technology Act, 2017
(DELHI ACT 06 of 2018), the Lieutenant Governor of the National Capital Territory of
Delhi hereby appoints the 26th September 2018 as the date on which the University by the
name of Netaji Subhas University of Technology, shall be established.

Netaji Subhas University of Technology (NSUT) is a seat of higher technical education

in India. Prof. Jai Prakash Saini is the Founder Vice-Chancellor of Netaji Subhas
University of Technology (NSUT), New Delhi. “The Delhi Netaji Subhas University of
Technology Act, 2017 (DELHI ACT 06 OF 2018) (As passed by the Legislative Assembly
of the National Capital Territory of Delhi on the 10th August, 2017) An Act to to provide
for the reconstitution and upgradation of the Netaji Subhas Institute of Technology as a
non-affiliating Netaji Subhas University of Technology, and to provide for education and
research in branches of engineering, technology, sciences, humanities, social sciences and

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 management and for the advancement of learning and dissemination of knowledge in such
branches and for certain other matters connected therewith or incidental thereto;

Previously NSUT is an Autonomous Institution under Govt. of NCT of Delhi and affiliated
to University of Delhi, Netaji Subhas Institute of Technology is a seat of higher technical
education in India. It was established in the year 1983 as Delhi Institute of Technology
with the objective of meeting the growing demands of manpower in the emerging fields of
engineering and technology with a close social and industrial interface. Over a period of
time, the institute has carved a niche for itself, both nationally and internationally, for
excellence in technical education and research.

The institute has grown leaps and bounds since its inception, both in size and in the scope
of its activities. The overall academic environment in the institution is highly conducive
for achieving excellence in education and research. It has been consistently ranked as one
of the top engineering colleges in India and has featured prominently in various national
level surveys conducted by reputed professional and trade magazines.

2. NSUT INCUBATION AND INNOVATION FOUNDATION (NSUT-IIF)

NSUT IIF provides a host of support services to start-ups, organize selection of newer
incubatees. Some of the startups incubated by NSUT IIF are Readers Crib, an e-commerce
marketplace for renting of books; CacheFi, linux smart routers powerful enough to run multiple
applications; Triposse, a tech aggregator for bespoke group travel services. Newer startups in
the area of low-cost technology & best harvesting practices for horticulture crops farmers
community, Smart mechanization for small farmers, making roads safer using in-car
technology to make driving better and monitored for drivers, authorities, as well as other third
parties, machine learning startups to get the best price from all major online stores in India, and
compare it with the offline stores and Stories Worth Sharing for teenagers and adults are in the
process of financing.

NSUT has a mix of subject matter experts and management focused faculty members along
with motivated students, technical societies and an alumni network to operationalize innovation
and startup activities. Various societies at NSUT like IEEE, SAE, ISA, CSI, and C.E.D.T. Lab
at NSUT have helped students learn skills to develop projects.

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 3. DEPARTMENT OF MANAGEMENT STUDIES
The Department of Management Studies (DMS) at NSUT (formerly NSIT) under Faculty of
Management Studies was established in the year 2006. The primary objectives of the
department is to impart broad based knowledge in the field of management practices and their
applications in addressing the challenges of the emerging global business environment and
society. The department is committed to sharpen managerial, communication and leadership
skills with emphasis on professional ethics among students.

Currently the Department of Management Studies offers elective courses in diverse domain of
management such as project management, financial management, entrepreneurship, human
resource management etc. to UG and PG engineering students at NSUT. The department is
currently running Bachelor of Business Administration (BBA), Master of Business
Administration (MBA), Master of Business Administration-Innovation, Entrepreneurship and
Venture Development (MBA-IEV), and Ph.D. programmes from the academic session
commencing from July, 2019.

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DEAN, FACULTY OF MANAGEMENT STUDIES
Prof. Vijander Singh
B.Tech, M.E, Ph.D. (IITR)
Dean, Faculty of Management Studies
Email Id: [email protected]

HEAD, DEPARTMENT OF MANAGEMENT STUDIES

Prof. Sushama Nagpal

B.E (CSE), M.Tech, Ph.D.
Head of the Department
Email Id: [email protected]

FACULTY MEMBERS AT DEPARTMENT OF MANAGEMENT STUDIES

Dr. Duru Arun Kumar

B.Sc., M.A., Ph.D.
Associate Professor,
Email Id: [email protected]

Dr. Pankaj Deshwal

MBA, PhD (University of Delhi)
Assistant Professor
Email Id: [email protected]

Prof. M.L. Maurya

MBA, MA, Ph.D, D.Litt
Professor Emeritus,
Email Id: [email protected]

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Prof. Prerna Gaur
B.Tech, M.Tech, Ph.D
Adjunct Professor,
Email Id: [email protected]

Prof. Vijayant Agarwal

B.Tech, M.Tech, Ph.D
Adjunct Professor,
Email Id: [email protected]

Dr. Gauri Seth

Ph.D
Adjunct Faculty,
Email.Id: [email protected]

Dr. Lovneesh Chanana

Ph.D
Adjunct Faculty,
Email Id: [email protected]

Dr. Mamta Sareen

Ph.D
Adjunct Faculty,
Email Id: [email protected]

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 List of Mentors for MBA Programme
S.N. Name of the Years of Area of Expertise Photograph
Mentor Experience

1. Mr. Puneet Ahuja 15 years Project Management, execution

capabilities and excel in start-
up environments

2. Mr. Manusheel 14 years New Venture Development,

Gupta Product Innovation and
Management, Fintech
Innovation, Healthcare
Management, Analytics and
Operation Management,
Business Valuation, Strategic
Workforce Management,
Business and Platform Strategy,
AI, internet of things,
Blockchain, Cloud Computing,
Mobile Software innovation
and Engineering

3. Prof. Sandeep 30 years Strategy, Leadership,

Mann Innovation, Branding and
Marketing, International
Business, Mergers and
Acquisition, Entrepreneurship
and Wealth Creation, Strategic
Human Resource

4. Mr. Sarvesh 40 years Information Security, Analytics

Goorha Education, Telecomand
manufacturing segments

5. Mr. Rahul Dev 13+ years Patent Law, Patent Drafting &
Prosecution & Technology
Expertise

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6. Dr. Pramod Joshi More than Marketing, Sales and Business
25years in Development
High –Tech
and IT
industry &
14 years in
Independen
t
Consulting
& higher
education
arena-
training &
mentoring

About Master of Business Administration (Full Time) Programme:

The two year (four semesters) full time MBA programme aims at grooming effective
administrative and leadership qualities by utilizing participative instructional methods. It
incorporates both theoretical and practical knowledge.

The first year of the programme comprises of core courses to build a strong foundation in
management practices. In the second year, the programme offers various elective courses in the
following areas of specialization:

• Marketing

• Finance

• Human Resource

• Operations

• Business Analytics

4. ELIGIBILITY AND ADMISSION PROCEDURE

(i) ELEGIBILITY CONDITIONS

A candidate who has passed any bachelor degree examination with minimum 60% marks in
aggregate or equivalent CGPA from a recognized university/institution is eligible to apply.
However, a relaxation of 10% in marks to SC/ST/PwD candidates shall be given in eligibility
criteria. Those who are appearing in final semester examination may also apply, provided that
they submit the proof of eligibility by a specific date declared by the University.

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The student should hold a degree from any of the universities incorporated by an act of the
central or state legislature in India, or other educational institutions established by an act of
Parliament or declared to be deemed as a university under section 3 of UGC Act, 1956, or
possess an equivalent qualification recognized by the Ministry of HRD, Government of India.

In case the conversion formula is not provided by the concerned Institute/University, then
equivalent percentage will be computed as per the NSUT guidelines.

NSUT will admit the candidates for MBA programme on the following criteria:
(i) The candidates having valid score in CAT/CMAT/MAT/GMAT/any other national level test
are eligible to apply.
(ii) The preference will be given to the candidates in order of CAT/CMAT/MAT/GMAT/any
other national level test.
(iii) In case the seats still remain vacant, the admission may be offered to the candidates who
have passed the qualifying degree (graduation) with minimum 70% marks.
(iv) The candidates who are not able to submit their final marksheet and degree certificate will
be admitted provisionally and will be asked to submit the undertaking that they will submit
the final marksheet alongwith the degree certificate by the due date decided by the
University. If the candidate does not get the required percentage of marks in the graduation
degree, their admission will be cancelled.

Note: At any stage of the programme, if it is found that the candidate does not fulfil the
eligibility criteria, his/ her admission shall be cancelled.

5. INTAKE

The annual intake of this programme is 75 at DMS (Department of Management Studies). The
reservation of the seats for EWS/SC/ST/OBC and sub categories Defence/PwD are as per the
norms.

SEAT MATRIX CATEGORY

Category Code
General GN
Scheduled Caste SC
Scheduled Tribe ST
Other Backward Classes OB
Economically Weaker Section ( EWS) EW

Seat Matrix

Category Vacant seats

General 10
EWS 07
OBC 16
SC 09
ST 06
Total 48

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 The seats may increase/decrease in each category. In case the reserved category candidates are not
available, the same number of seats will be created in general category and will be filled by the
general category candidates.

6. RESERVATION POLICY
a) Scheduled Caste (SC): 15 % of the total seats are reserved for Scheduled Caste candidates.

b) Scheduled Tribe (ST): 7.5 % of the total seats are reserved for Scheduled Tribe candidates.

c) Other Backward Class (OBC- NCL): 27% of the total seats are reserved for Other Backward
Class (Non-Creamy Layer) candidates.

d) Economically Weaker Section (EWS): 10% of the total seats are reserved for EWS category
as per the office order DHE.1 (119)/Estt./2018- 19/2549-76 dated 17/06/2019

Sub-categories namely ‘Defence’ and ‘Person with Disability’ are available under each category
(General, SC, ST, OBC-NCL).

e) Defence Personnel (CW): 5% of the total seats (Horizontal) in each category are reserved for
candidates belonging to Defence sub-category in the following priority:

Priority I - Widows/wards of Defence Personnel killed in action.

Priority II – Wards of disabled in action and boarded out from service.

Priority III - Widows/wards of Defence Personnel who died in peace time with death
attributable to Military Service.

Priority IV - Wards of disabled in service and boarded out from service with disability
attributable to military service.

Priority V - Wards of serving Defence Personnel and ex-servicemen/para military/police

personnel who are in receipt of the following Gallantry Awards: 1. Param Vir Chakra 2. Ashok
Chakra 3. Mahavir Chakra 4. Kirti Chakra 5. Vir Chakra 6. Shaurya Chakra 7. Sena/Nau Sena/
Vayu Sena Medal 8. Mention-in-Despatches 9. President’s Police Medal for Gallantry 10. Police
Medal for Gallantry

Priority VI – Wards of Ex-servicemen.

Priority VII – Wives of:

i. Defence personnel disabled in action and boarded out from service

ii. Defence personnel disabled in service and boarded with disability attributable to military
service

iii. Ex-servicemen and serving personnel who are in receipt of Gallantry awards.

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Priority VIII – Wards of Serving personnel.

Priority IX - Wives of Serving personnel.

f) Person with Disability: 5% of the total seats (Horizontally) in each category are reserved for
candidates belonging to ‘Person with Disability’ sub-category

Note:
i. In case of category (a) and (b), the vacant seats are interchangeable.
ii. In case, sufficient numbers of eligible candidates from category (c) are not available, the
vacancies will be treated as unreserved.
iii. Seats under sub-category (f) are interchangeable within the sub category if sufficient number
of candidates is not available in a particular group.
iv. In case, sufficient number of eligible candidates from the sub categories mentioned at (e) and
(f) are not available, the vacancies will be treated as unreserved in the respective category.
v. Under CW sub-category, the seats will be filled based on the priority, i.e. all eligible candidates
of priority-I will be allotted seats based on their ranks until the ranks exhaust or seats exhaust under
CW sub category. Remaining vacant seats, if any, will be allotted to the priority-II in the similar
way, and so on.
vi. The reservation under CW sub category is available only to such candidates who fall under the
listed priorities.
vii. It is the sole responsibility of the candidate to prove his/her eligibility for claiming reservation
under any of the reserved categories/sub categories. The candidates claiming reservation under
SC/ST/OBC/EWS categories, CW/PwD sub-categories will be required to produce the original
certificate of the respective reserved category/sub-category issued by the competent authority (as
mentioned in this information brochure) at the time of seat allotment. If the reserved category/sub-
category certificate is not found in order, no benefit of the reserved category/ sub-category will be
given and the candidate shall be considered for allotment in GENERAL category in subsequent
rounds on submission of written request by the candidate to NSUT in person or email in this regard,
as per the eligibility of the candidate and availability of seats.

7. FEE STRUCTURE

Fees for Master of Business Administration Programme in

Innovation, Entrepreneurship and Venture Development (MBA-IEV)
to be admitted In the Academic session 2020-21
2020- 2021-
S.No. Item of Fees 21 22
1 Govt. Component (Per Annum)
1.1. Tuition Fee 59500 64250

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1.2 University Fee 74750 80250
2 Non Govt. Component (Per
Annum)
2.1 Student Fund (Co-curricular 22500 23650
Activities, Training & Placement,
Extra Curricular Activities, Annual
Gathering, Students Welfare,
Institutional Development,
Outsourcing, Misc. Expenditure on
unspecified items) (Per Annum)
2.2 Facilities & Services Charges (Per 16250 17850
Annum) (Research initiatives,
Training Programmes, Awards,
Automation Facilities, Student's
Insurance, Entrepreneurship
Activities and any Miscellaneous
expenditure on unspecified items)
2.3 Economically Weaker Section 5000 5000
Fund
2.4 Alumni Fund 0 1000
2.5 Examination Fee (Infrastructure, 12000 14000
Strengthening, expenditure on
examination activities, printing,
confidential expenditure, Man
power hiring through outsources,
Misc. etc.)
Total 190000 206000

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The selected candidates will be required to pay annual fee of Rs.190,000/ Demand Draft in
favour of Registrar NSUT, on the day of spot round, or online at the link to be activated
in login ID of candidate as soon as the documents of the candidates are verified. The
provisional admission letter shall be issued subsequently. It may be noted that the admission of
the candidate will be confirmed only after the payment of online admission fee within the
prescribed time limit. If a candidate fails to pay the fees within the prescribed time, then his/
her provisional allotment of seat shall be cancelled.

8. Rules and Procedures for SPECIAL SPOT ROUND MBA

Admissions 2020-2022 NSUT
Venue: Main Auditorium, NSUT, Sector 3, Dwarka, New Delhi 110078

The SPOT ROUND consists of the vacant seats available in NSUT after completion of three
rounds of counselling and a spot round held by MBA admission committee 2020.

A. All interested eligible Candidates are required to register on-line on www.nsut.ac.in

by paying non-refundable registration fees of Rs. 1000/- online, using debit card/credit
card/net banking.
B. The candidates should submit duly filled application form on-line., along with self-
attested copies of certificates.
C. http://www.imsnsit.org/imsnsit/nsit_admissions.htm

1. Important Instructions
i) The candidate has to physically report for Special Spot Round Counselling at
Auditorium, NSUT, Delhi.

ii) Candidates who cannot come physically can authorize their

parent/relative/guardian/friends as their representative to participate in Special
SPOT round on their behalf and complete admission formalities. No other
relaxation will be given in the procedure of admission.
iii) It is mandatory to produce original documents/certificate for verification otherwise “no
seat will be offered”. However, if original documents have been submitted with other
institution, then proof must be produced for verification along with attested set of
documents/undertakings as appropriate.
iv) If a candidate fails to deposit the admission fee draft (Rs 1,90,000/-, in favor of Registrar,
NSUT) immediately at the time of seat allotment for whatsoever reason, the seat allotted
to him/her will be immediately cancelled and offered to the next candidate on the basis
of merit.
v) No deficiency will be allowed in the Special Spot round, the candidature will be
cancelled and no representation will be entertained thereafter.

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 vi) Non-reporting of the candidate as per the schedule and within the stipulated time, forfeits
the claim for admission for the reasons whatsoever may be and no request will be
entertained thereafter.
vii) NSUT reserves the right to make any modification/ alteration in the process/procedure
with prior information to the available aspirants.
viii) Candidates are advised to exercise utmost caution in taking admission, as no fee will be
refunded on withdrawal of admission in Special Spot round.

2. Required Documents
i) Demand Draft of Rs. 1,90,000/- issued in favour of ‘Registrar, NSUT’ payable at New
Delhi
ii) Registration Form downloaded from NSUT Delhi website.
http://www.imsnsit.org/imsnsit/nsit_admissions.htm

iii) Three passport size photographs

iv) Self-attested copies of Admit Card and Score Card of CAT-2019.
v) Original and self-attested copy of marks sheet of the qualifying examination i.e.
Graduation or equivalent.
vi) Original and self-attested copy of Date of Birth certificate as indicated in High School or
equivalent examination i.e. Class X.
vii) Original and self-attested copy for the reserved category / sub-category, if other than the
General Category.
viii) Medical fitness certificate original in case of General/SC/ST/CW/OBC/SG/TP/CW/KM
(Format available in the brochure)
ix) PD sub-category:
a. A certificate of physical disability issued by the Competent Authority as per the
provision of the Persons with Disabilities Act 2016 in the prescribed format as given
under the Act.
b. The Candidate with benchmark disabilities shall produce the medical certificate issued
by the Govt. Hospitals duly notified by the Govt. of NCT of Delhi/Other State
government and further duly verified by the Chief Medical Officer of the concerned
Government Hospital.
c. A certificate duly recommended by Vocational Rehabilitation Centre for the
handicapped, 9-11 Vikas Marg, Karkardooma, Delhi-110092.

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 3. Precautions to be taken in view of Covid19 Pandemic (Reference :: 3.
MHRD order F.No.16-16/2020-U1A dated 06-July-2020)
i) All candidates should wear masks properly covering their nose and mouth.
ii) All candidates should have “Arogya Setu” App installed on their mobile and it should
show healthy status at entry gate.
iii) Thermo gun temperature checkup will be done at entrance gate for all candidates and
university staff engaged in the counselling process.
iv) If any candidate fails to meet the criteria of “Healthy status”, he/she will not be
allowed to enter the Venue.
v) Entire room floors, walls, gates and doors will be sprayed with disinfectant.
vi) Counselling functionaries will also wear masks.
vii) Sanitizers will be available at door entry and inside the Venue.
viii) Avoid crowding at entry and exit point.
ix) Keeping in view the physical distancing, University has adequate rooms capacity to
meet proper seating arrangement for counselling. Due distance will be maintained
between every two candidates in seating arrangement.
x) Adequate arrangement of safe drinking water is made. However, candidates are
advised to bring their own water bottles also

Important Note: All the certificates claiming reservation under various categories /
sub- categories must have been issued on or before Special Spot round 2020.

9. HOW TO APPLY

Online Application form can be accessed at

http://www.nsut.ac.in
http://www.imsnsit.org/imsnsit/nsit_admissions.htm

All candidates are required to fill the online Application Form and make an online payment of
Rs. 1000/- (one thousand only).

Incomplete application, due to any reason, is liable for rejection by the University.

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 CERTIFICATES REQUIRED FOR RESERVED SEATS AT THE TIME OF
DOCUMENT VERIFICATION

Candidates applying for any reserved seat (i.e. SC, ST, OBC-NCL,EWS, CW, PwD) must
produce the original certificates (as applicable) as mentioned below at the time of document
verification.

(i) Scheduled Caste (SC)/Scheduled Tribe (ST) /Other Backward Class (OBC-
NCL)/EWS: For admission to a seat reserved for Scheduled Caste/Scheduled Tribe/Other
Backward Class (NCL), candidate must produce a certificate, in original, issued from an
approved district authority stating the Scheduled Caste/ Scheduled Tribe/ Other Backward
Class (NCL), to which the candidate belongs. A list of approved authorities is given below:

a. District Magistrate / Additional Magistrate / Deputy Commissioner / Collector / Additional

Deputy Commissioner / Deputy Collector / 1st Class Stipendiary Magistrate / City
Magistrate (not below the rank of 1st Class Stipendiary Magistrate), Sub-Divisional
Magistrate / Taluka Magistrate / Executive Magistrate / Extra Assistant Commissioner.

b. Revenue Officer not below the rank of Tehsildar.

c. Sub-Divisional Officer of the area where the candidates and/or his/her family normally
resides

d. Administrator/Secretary to Administration/Development Officer (Laccadive & Minicoy

Islands).

NOTE:

1. The candidate seeking admission under reserved categories has to mandatorily produce
the caste/category certificate in his/her name at the time of counselling. The certificate in the
name of either of the parents (mother/father) or any other family member is not acceptable and
the candidate will not be entitled even for provisional admission.

2. OBC (NCL) candidates are required to produce a caste certificate issued after January
1, 2020, from the authorities as mentioned above. However, if the certificate is issued prior to
January 1, 2020, it must be accompanied with an additional certificate regarding the present
noncreamy layer status of the candidate, issued by the same competent authority. This
additional certificate must have reference of his / her already issued original caste certificate.

(ii) Person with Disability sub-category: For admission to seat reserved for Differently Abled
Person (PwD) sub-category, the candidate must produce the following certificates in original
at the time of document verification for PwD candidates:

a. A certificate of physical disability issued by the Competent Authority as per the

provision of the Persons with Disabilities Act 2016 in the prescribed format as given under the
Act.

18
b. The Candidate with benchmark disabilities shall produce the medical certificate issued
by the Govt. Hospitals duly notified by the Govt. of NCT of Delhi/Other State government and
further duly verified by the Chief Medical Officer of the concerned Government Hospital.
16
c. A certificate duly recommended by Vocational Rehabilitation Centre for the
handicapped, 9-11 VikasMarg, Karkardooma, Delhi 110092.

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 CERTIFICATES AND FORMATS

Certificate for Person with Disability

To be issued by Medical Board from Government Hospital

Name of the candidate: Mr./Ms.*___________________________________

Father’s Name: __________________________________________________
Permanent Address:_______________________________________________
_______________________________________________________________
_______________________________________________________________
Percentage loss of earning capacity (in words):
__________________________________________________
Whether the candidate is otherwise able to carry on the studies and perform the duties of
anengineer/architect satisfactorily: ____________________________________
Name of the disease-causing handicap: ____________________________________
Whether handicap is temporary or permanent: __________________________
Whether handicap is progressive or non-progressive: ___________________
The candidate is FIT / UNFIT to pursue further studies.
(*Strike out whichever is not applicable)

Member Member Principal Medical Officer

(Orthopaedic Specialist)
Date:

Seal of Office

NOTE:
1. The medical board must have one orthopaedic specialist as its member.
2. Candidate having temporary or progressive handicap will not be considered against these seats.

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Prescribed Format for EWS Certificate

21
Prescribed Format for OBC Certificate

Form of Certificate to Be Produced By Other Backward Classes

This is to certify that Shri / Smt. / Kum.____________________________________

Son/ Daughter of Shri / Smt _________________________________________ of

Village/Town____________________District/Division ________in the State belongs to

the____________________________________Community which is recognized as a backward
class under:

(i)Resolution No. 12011/68/93-BCC(C) dated 10/09/93 published in the Gazette of India

Extraordinary Part I Section I No. 186 dated 13/09/93.

(ii)Resolution No. 12011/9/94-BCC dated 19/10/94 published in the Gazette of India

Extraordinary Part I Section I No. 163 dated 20/10/94.

(iii)Resolution No. 12011/7/95-BCC dated 24/05/95 published in the Gazette of India

Extraordinary Part I Section I No. 88 dated25/05/95.

(iv)Resolution No. 12011/96/94-BCC dated 9/03/96.

(v)Resolution No. 12011/44/96-BCC dated 6/12/96 published in the Gazette of India Extraordinary
Part I Section I No. 210 dated 11/12/96. (vi)Resolution No. 12011/13/97-BCC dated 03/12/97.

(vii)Resolution No. 12011/99/94-BCC dated 11/12/97.

(viii)Resolution No. 12011/68/98-BCC dated 27/10/99.

(ix)Resolution No. 12011/88/98-BCC dated 6/12/99 published in the Gazette of India

Extraordinary Part I Section I No. 270 dated 06/12/99.

(x)Resolution No. 12011/36/99-BCC dated 04/04/2000 published in the Gazette of India

Extraordinary Part I Section I No. 71 dated04/04/2000.

(xi)Resolution No. 12011/44/99-BCC dated 21/09/2000 published in the Gazette of India

Extraordinary Part I Section I No. 210dated21/09/2000.

(xii)Resolution No. 12015/9/2000-BCC dated 06/09/2001.

(xiii)Resolution No. 12011/1/2001-BCC dated 19/06/2003.

(xiv)Resolution No. 12011/4/2002-BCC dated 13/01/2004.

(xv)Resolution No. 12011/9/2004-BCC dated 16/01/2006 published in the Gazette of India

Extraordinary Part I Section I No. 210 dated 16/01/2006.

22
Shri / Smt. / Kum. ________________________________________________________ and / or
his family ordinarily reside(s) in the __________________________ District / Division of

________________________ State. This is also to certify that he/she does not belong to the
persons/sections (Creamy Layer) mentioned in Column 3 of the Schedule to the Government of
India, Department of Personnel & Training O.M. No. 36012/22/93-Estt.(SCT) dated 08/09/93
which is modified vide OM No. 36033/3/2004 Estt.(Res.) dated 09/03/2004.

Dated: _________________

District Magistrate / Deputy Commissioner / Competent Authority

Seal

NOTE: The term ‘Ordinarily’ used here will have the same meaning as in Section 20 of the
Representation of the People Act, 1950.

The Authorities Competent to Issue Caste/Tribe Certificates are Indicated Below:

District Magistrate / Additional Magistrate / Collector / Deputy Commissioner / Additional Deputy

Commissioner / Deputy Collector / Ist Class Stipendiary Magistrate / Sub-Divisional magistrate /
Taluka Magistrate / Executive Magistrate / Extra Assistant Commissioner (not below the rank of
Ist Class Stipendiary Magistrate).

Chief Presidency Magistrate / Additional Chief Presidency Magistrate/Presidency Magistrate.

Revenue Officer not below the rank of Tehsildar’ and Sub-Divisional Officer of the area where
the candidate and / or his family resides.

Declaration/undertaking - for OBC Candidates only

I,________________________________Son/daughter of Shri.

________________________

Resident of village/town/city______________________district _____________________

State _______________ hereby declare that I belong to the ____________________ community

which is recognized as a backward class by the Government of India for the purpose of reservation
in services as per orders contained in Department of Personnel and Training Office Memorandum
No.36012/22/93- Estt. (SCT), dated 8/9/1993. It is also declared that I do not belong to
persons/sections (Creamy Layer) mentioned in Column 3 of the Schedule to the above referred
Office Memorandum, dated 8/9/1993, which is modified vide Department of Personnel and
Training Office Memorandum No.36033/3/2004 Estt.(Res.) dated 9/3/2004.

Signature of the Candidate

Place: _________________

Date: _______________

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