Application Form M.tech 2012

Download as pdf or txt
Download as pdf or txt
You are on page 1of 5

NIRMA UNIVERSITY

INSTITUTE OF TECHNOLOGY

Gandhinagar- Sarkhej Highway, Ahmedabad - 382481, Gujarat INDIA Application Processing Fee (including form fee) ` 1200/Demand Draft No. : _____________ Dated ____________ of ` 1200/Drawn on: ________________________________________ is attached. APPLICATION FORM M. TECH. ADMISSION 2012

Web Downloaded Form

For all specialization offered by a department one application form is required. Choice form will be issued on the day of counseling for selection of specialization of respective department. Separate application form for each department is required if applying for more than one department. mark any one department Name Department Chemical Engineering Civil Engineering Computer Science and Engineering Electronics & Communication Engineering Electrical Engineering Instrumentation & Control Engineering Mechanical Engineering. of Specialization Affix a recent passport size photograph

Environmental Process Design Chemical Process and Plant Design Computer Aided Structural Analysis & Design Computer Science and Engineering Information & Communication Technology Information & Network Security VLSI Design Communication Engineering Embedded Systems Power Electronics, Machines & Drives Electrical Power Systems Control and Automation CAD/CAM Thermal Engineering Design Engineering Computer Integrated Manufacturing

M.Tech. (by Research)

Name of Department

Area of Specialization

Full Time

External

Give the Preference of Category in which one wishes to get admission. Sr. No. Category Mention the Order of Preference 1 GATE 2 Non-GATE 3 Sponsored For GATE category Please mention GATE Exam Paper Marks out of 100

Score

Year of Examination

Score Valid up to

Applicant having GATE score / Marks greater than or equal to qualifying score / marks of general category in respective branch will only be considered as GATE qualified.
M. Tech. Admission 2012 Page No.1

1. Name of Applicant (as per School leaving certificate) 2. Address for the correspondence:

PIN Tele. No. 3. Nationality

E-mail ID Mobile 4. Date of Birth _____/_____/_____ 5. Sex: M F

6. Academic Record Examination Passed S.S.C Major Branch Institute University / Board Year of passing Marks (%) / Grade

H.S.C

B. E./ B. Tech.

Any other

7. Previous Experience (YES/NO) If YES, give details* Organization Nature of Responsibilities From

Period To

Salary Drawn

I certify that the above information is correct. I understand that if any information is found incorrect, my admission is liable to be cancelled. Place : Signature of Applicant Date : __________________________________________________________________________________________ *Attach separate sheet if required. For Sponsored Applicants: CERTIFICATE (From the Sponsorer) This is to certify that Mr./Ms.____________________________________ is working in ___________________________________ (Name of organization / Institute) as _______________________ on full time basis and he/she is permitted to join the M. Tech. Programme at Institute of Technology, Nirma University and he/she will be allowed to continue fulltime till the completion of the programme.

Signature of sponsoring authority with office seal


M. Tech. Admission 2012 Page No.2

NIRMA UNIVERSITY
INSTITUTE OF TECHNOLOGY
Gandhinagar-Sarkhej Highway, Ahmedabad - 382481, Gujarat INDIA

M. TECH. ADMISSION 2012 Receipt of the Application Form To be filled in by Nirma University Registration No. _________________________

Category : GATE / Non-GATE / Sponsored / M. Tech. (by Research)

Note: Bring this receipt at the time of written test and / or counseling for admission of M. Tech. Programmes. Details to be filled up by Candidate Demand Draft No. : _____________ Dated ____________ of ` 1200/Drawn on bank ________________________________________ Payable at ____________. Affix a recent passport size photograph

Name of Applicant (as per School leaving certificate)

Name of Department Applied for

M. Tech. (Regular)

M. Tech. (by Research)

Name and Full Address for sending the receipt of application form :

PIN

M. Tech. Admission 2012

Page No.3

IMPORTANT DATES

Application form available for download Last date of submission of filled up application form with DD Written test for Non-GATE candidates and Interview of Sponsored / GATE / Non-GATE candidates for programmes run by Chemical, Civil and Mechanical Engg. Departments Written test for Non-GATE candidates for programmes run by Computer Science and Engineering, Electronics and Communication, Electrical and Instrumentation and Control Engg. Departments Interview of Sponsored / GATE / Non-GATE candidates for programmes run by Computer Science and Engineering, Electronics and Communication, Electrical and Instrumentation and Control Engg. Departments Entrance test followed by interview for M. Tech. (by Research) candidates Last date for payment of fees Commencement of Semester

16th May 2012 18th June 2012 3rd July 2012 3rd July 2012 4th July 2012

6th July 2012 12th July 2012 16th July 2012

M. Tech. Admission 2012

Page No.4

INSTRUCTIONS: Candidates who have appeared for the final semester qualifying examination can also apply. The applicants, whose result of final year is declared after submission of application are required to send the result immediately on declaration of result by fax to Member Secretary, PG-ENGG. Admission (Fax. No.: 02717-241917) List of self attested copies to be attached are as under. Incomplete forms and forms without attested or incomplete documents are liable to be cancelled. i. School leaving certificate ii. SSC Mark sheet iii. HSC Mark sheet iv. B. E. / B. Tech. Mark sheet and certificate of passing. If final year result is a awaited, attach mark sheets of semester VI & VII. v. Mark sheet and certificate of any other degree / diploma vi. GATE Score Card, if applicable. vii. Certificate of experience gained after graduation (if any). viii. Certificate from the sponsoring organisation including experience certificate, last pay certificate and provident fund slip (if applicable) Original documents and their self attested photocopies (2 sets) should be produced at the time of counseling. The web-downloaded form must be accompanied by a Demand Draft of ` 1200/- (non-refundable) in favour of "INSTITUTE OF TECHNOLOGY, NIRMA UNIVERSITY" payable at Ahmedabad. Applicant should write his/her complete name and department applied for on the backside of the Demand Draft. For all categories if applicant has passed the qualifying examination from University other than Nirma University he/she will be required to obtain eligibility certificate from Nirma University. The arrangement for obtaining the same will be made on the spot during counseling on payment of ` 500/-. Applicants will be required to pay ` 5000/- by DD / Bankers Cheque / at par cheque payable at Ahmedabad as a deposit on the day on which the admission is offered. This deposit will be adjusted against payment of fees. Duly filled in application form is to be sent by Registered Post / Speed Post / Courier before last date specified, in a sealed envelope marked as "PG-ENGG.ADMISSIONS 2012" on the left hand side top corner of the envelope, to: Member Secretary (PG-ENGG. Admission) Postgraduate and Research Center, Institute of Technology, Nirma University Gandhinagar-Sarkhej Highway, Ahmedabad - 382481, Gujarat INDIA Tel: 02717 241911/12/13/14/15 ; Fax : 02717 241917 Email: pgadmissions.it@nirmauni.ac.in

M. Tech. Admission 2012

Page No.5

You might also like