Information Brochure

for B.Tech. and Dual Degree

Admission 2017-18
 INDEX
Annexure No. Details Page No.
I Orientation Programme Schedule 2
II Fees Particulars for Jul-Nov 2017 semester
(A) All SC/ST/PwD students irrespective of the parental income 3
(B) Students whose parental income below Rs.1 lakh 4
(C) Students whose parental income from Rs.1 lakh to Rs.5 lakhs 5
(D) Students whose parental income above Rs.5 lakhs 6
(E) Foreign nationals 7
III Statement of expenditure for entire Degree programme

B.Tech.
(A) All SC/ST/PwD students irrespective of the parental income 8
(B) Students whose parental income below Rs.1 lakh 9
(C) Students whose parental income from Rs.1 lakh to Rs.5 lakhs 10
(D) Students whose parental income above Rs.5 lakhs 11

Dual Degree
(E) All SC/ST/PwD students irrespective of the parental income 12
(F) Students whose parental income below Rs.1 lakh 13
(G) Students whose parental income from Rs.1 lakh to Rs.5 lakhs 14
(H) Students whose parental income above Rs.5 lakhs 15
IV (A) Income proof for GE/OBC students whose parental income
16-17
below Rs.5 lakhs Form A / B
(B) SC/ST Scholarship 18-21
(C) Donor / Alumni funded Scholarship 22-25
V Medical History Examination Report 26-29
VI Solemn Affirmation of Confirmation to Rules and Regulations 30-31
VII Welcome letter by Dean (Academic Courses) 32-33

Students should produce the following documents in original for

verification during Admission on 25th July 2017 (Tuesday) compulsorily
(No photocopies are required)
S. No. Name of the Document
1 Offer of Admission letter
2 Birth Certificate issued by Local Government Body
3 10th Certificate [mark list / pass certificate]
4 12th Certificate [mark list pass certificate]
5 Community Certificate in the case of OBC (NCL) / SC / ST candidates as per JEE format
6 Certificate in the case of PwD candidates as per JEE format (if applicable)
7 Admit Card of JEE (Advanced) 2017 in original
Scholarship application form [Annexure IV (A) or (B) or (C)] along with income certificate
8
Form A/B
9 Medical Examination Report (Annexure V) Test reports not required
10 Solemn Affirmation of conformance to rules and regulations (Annexure VI)
11 Transaction details for online fee payment

1
 Annexure II (A)

INDIAN INSTITUTE OF TECHNOLOGY MADRAS

Orientation Programme for First year B.Tech. / Dual Degree & MA Students 2017-18
25th July 2017 (Tuesday)
Admission Process at SAC:
09.00 - 13.00 Hrs. All the B.Tech. / Dual Degree / MA students have to report at the Admission counter at the SAC
building for admission and to collect letter of admission (parents to sit at the Gallery)
14.00 14.20 Hrs. Welcome function Venue: Students Activity Centre (SAC)
14.20 14.50 Hrs. Director will address the parents Coffee / Tea break for students
14.50 15.05 Hrs. Coffee / Tea break for Parents
15.06 16.00 Hrs. Presentation on Credit system by Dean, Academic Courses
Orientation sessions for parents of students admitted to B.Tech. / Dual Degree / M.A. by Dean,
16.30 19.00 Hrs.
Students at Students Activity Centre (SAC)
26th July 2017 (Wednesday)
Welcome to fresh students at respective departments: Students report to HoD office: HoD to arrange
08.30 - 10.00 Hrs.
introduction-cum-interaction with faculty advisors and faculty members.
Students visit to Central facilities accompanied by Faculty Advisor(s) and Student Counsellors as
10.00 - 12.00 Hrs.
per the following time schedule
Time slots Central Workshop Central Library Computer Centre
10.00 - 10.20 Hrs. Civil / Naval Arch. & Ocean Chemical / Met.& Materials Mechanical
Chemical /
10.20 - 10.40 Hrs. Mechanical Civil / Naval Arch. & Ocean
Met.&Materials
Civil / Naval Arch.&
10.40 - 11.00 Hrs. Chemical / Met. & Materials Mechanical
Ocean
Aerospace / Computer Science / Biotech / Eng. Physics/
11.00 - 11.20 Hrs. Electrical Engg
Engg. Design MA(HS) / DD-PH
Aerospace / Computer Science / Biotech/Eng. Physics/ MA(HS)/
11.20 - 11.40 Hrs. Electrical Engg
Engg Design DD-Physics
Biotech / Eng. Physics / MA(HS) / Aerospace / Computer
11.40 - 12.00 Hrs. Electrical Engg
DD-PH Science/ Engg. Design
26th July 2017 (Wednesday) - Afternoon
15.00 16.30 Hrs. MITr Orientation Session Venue : Students Activity Centre (SAC)
27th July 2017 (Thursday)
Photo Session, Biometric fingerprint and Document Scanning
(students are requested to bring the Certificates of Birth, SSLC, HSC, Community, PwD, Aadhar
Card, JEE (Advanced) Admit Card and Letter of Admission for scanning)
(Students should come with neat and formal dress) Venue: First floor of Central Library
09.30 - 10.00 Hrs. Master of Arts (MA) 14.00 - 15.30 Hrs. Electrical Engg. & Physics (BS-MS)
Aerospace Engineering, Biological
10.00 - 11.00 Hrs. 15.30 - 16.30 Hrs Civil Engineering
Engineering and Biological sciences
11.00 - 12.00 Hrs. Chemical & Engineering Physics 16.30 - 17.00 Hrs Engineering Design
12.00 - 13.00 Hrs. Mechanical Engineering 17.00 - 17.30 Hrs. Computer Science & Engg.
17.30 - 18.30 Hrs. Metallurgical and Materials Engg.&
13.00 - 14.00 Hrs. Lunch Break
Naval Architecture & Ocean Engg.
28th July 2017 (Friday)
Online English-Diagnostic Test (for B.Tech & Dual Degree students)
Digital Knowledge Centre, Computer Aided Engineering (CAE) Lab,
VENUE 1st floor of Central Library Room No. 219, 1st Floor, Machine Design
Section (MDS), (Behind Dept. of Ocean Engg.)
09.00 10.00 Hrs. Metallurgical and Materials Engg. & Engineering Design
Aerospace Engg. Physics (BS&MS)
10.30 11.30 Hrs. Civil Engg. Biological Engg. & Biological Sciences
12.00 13.00 Hrs. Electrical Engg. (B.Tech. & Electrical Engg. (Dual Degree from EE17B134)
Dual Degree upto EE17B133) Computer Science & Engg.
14.30 15.30 Hrs. Mechanical Engg. (B.Tech.) Mechanical Engg. (Dual Degree)
16.00 17.00 Hrs. Chemical Engg. and Naval Arch.& Ocean Naval Arch.& Ocean (from NA17B011)
(NA17B001-NA17B010) Engineering Physics
31st July 2017 (Monday)
08.00 Hrs. Commencement of Classes
Sd/-
Date: 07.07.2017 Deputy Registrar (Courses)
2
 Annexure II (A)
INDIAN INSTITUTE OF TECHNOLOGY MADRAS
Fees for all SC/ST/PwD students irrespective of parental income to be admitted in the academic year 2017-18
(SC/ST/PwD certificate has to be submitted in original for verification at the admission))
A. One time Fees (during Admission) B. Semester Fees
Value in Sl.No. Details of Fees Value in Rs.
Sl.No. Details of Fees
Rs. 1 Tuition fee 0
1 Admission fee 150 2 Examination fee 350
2 Grade card fee 150 3 Registration-Enrolment fee 200
3 Provisional certificate 100 4 Gymkhana fee 1000
4 Medical Exam fee 100 5 Medical fee 500
5 Student welfare fund 500 6 Hostel Seat Rent * 5000
6 Modernization fee 300 7 Fan, Elec. & Water Charges * 750
7 Alumni Life 8 Student Wellness fee 100
1000
Membership Fee (NS)
9 Medical Insurance Premium
8 Publication fee (NS) 250 900
(subject to revision)
Total A 2550 Total B 8800

C. Deposits (refundable) II. HOSTEL FEES

No. Details of Fees Value in Rs. Sl.No. Details of Fees Value in Rs.
1 Institute Deposit 1000 1 Hostel Admission fee 200
2 Library Deposit 1000 Hostel Deposit (NS)-
Total-C 2000 2 3000
(refundable)
3 Estt.A charges 5000
4 Estt.B charges 1500
I. INSTITUTE FEES 5 SWD Charges 50
Payable through online at
Value in Rs. 6 Advance Dining charges 14000
www.iitm.ac.in/academics
Hostel Fees payable through online at
For Hostellers
(A+B+C) 13,350 www.ccw.iitm.ac.in & 23,750
www.dost.iitm.ac.in
Day scholars
[A+(B-*)+C+II(3) 12,600
NS - Non-Statutory fees
* - For Hostellers only
@ - Dual Degree students have to pay B.Tech. fees for the first 8 semesters and M.Tech.
fees for 9th & 10th semesters
All the students shall have access to interest free loan under Vidyalaxmi scheme

Procedure for balance fee payment over and above the fee paid at the time of Seat Acceptance
Please enter the roll number assigned to you in the Academic Fee Payment Portal at
https://www.iitm.ac.in/academics to pay the INSTITUTE fee. Verify your name and date of birth before
proceeding for payment. (Example ) Roll No. AE17B001
Skip Tuition fee & Establishment A charges fields and enter the balance amount (balance fee payment over and
above the fee paid at the time of Seat Acceptance) against others field (all categories)
Note:
Students who paid more than Institute fees applicable to them as indicated above at the time of Seat
Acceptance need not pay any fee at the time of admission
All the students have to pay the Hostel fees Rs.23,750/- through online at www.ccw.iitm.ac.in &
www.dost.iitm.ac.in

Hostel rooms are allotted depending on availability on sharing basis. If you wish to be a
dayscholar, you should register your name in the Office of the Dean Students and obtain
dayscholar certificate immediately after admission.
Sd/-
Date: 07.07.2017 Deputy Registrar (Courses)

3
 Annexure II (B)

INDIAN INSTITUTE OF TECHNOLOGY MADRAS

Fees for GEN / OBC (whose parental income below Rs.1 Lakh) students
to be admitted in the academic year 2017-18
(Income certificate has to be submitted in original for verification at the admission))
A. One time Fees (during Admission) B. Semester Fees
Value in Sl.No. Details of Fees Value in Rs.
Sl.No. Details of Fees
Rs. 1 Tuition fee 0
1 Admission fee 150 2 Examination fee 350
2 Grade card fee 150 3 Registration-Enrolment fee 200
3 Provisional certificate 100 4 Gymkhana fee 1000
4 Medical Exam fee 100 5 Medical fee 500
5 Student welfare fund 500 6 Hostel Seat Rent * 5000
6 Modernization fee 300 7 Fan, Elec. & Water Charges * 750
7 Alumni Life 8 Student Wellness fee 100
1000
Membership Fee (NS)
9 Medical Insurance Premium
8 Publication fee (NS) 250 900
(subject to revision)
Total A 2550 Total B 8800

C. Deposits (refundable) II. HOSTEL FEES

No. Details of Fees Value in Rs. Sl.No. Details of Fees Value in Rs.
1 Institute Deposit 1000 1 Hostel Admission fee 200
2 Library Deposit 1000 Hostel Deposit (NS)-
Total-C 2000 2 3000
(refundable)
3 Estt.A charges 5000
4 Estt.B charges 1500
I. INSTITUTE FEES 5 SWD Charges 50
Payable through online at
Value in Rs. 6 Advance Dining charges 14000
www.iitm.ac.in/academics
Hostel Fees payable through online at
For Hostellers
(A+B+C) 13,350 www.ccw.iitm.ac.in & 23,750
www.dost.iitm.ac.in
Day scholars
[A+(B-*)+C+II(3) 12,600
NS - Non-Statutory fees
* - For Hostellers only
@ - Dual Degree students have to pay B.Tech. fees for the first 8 semesters and M.Tech.
fees for 9th & 10th semesters
All the students shall have access to interest free loan under Vidyalaxmi scheme

Procedure for balance fee payment over and above the fee paid at the time of Seat Acceptance
Please enter the roll number assigned to you in the Academic Fee Payment Portal at
https://www.iitm.ac.in/academics to pay the INSTITUTE fee. Verify your name and date of birth before
proceeding for payment. (Example ) Roll No. AE17B001
Skip Tuition fee & Establishment A charges fields and enter the balance amount (balance fee payment over and
above the fee paid at the time of Seat Acceptance) against others field (all categories)
Note:
Students who paid more than Institute fees applicable to them as indicated above at the time of Seat
Acceptance need not pay any fee at the time of admission
All the students have to pay the Hostel fees Rs.23,750/- through online at www.ccw.iitm.ac.in &
www.dost.iitm.ac.in

Hostel rooms are allotted depending on availability on sharing basis. If you wish to be a
dayscholar, you should register your name in the Office of the Dean Students and obtain
dayscholar certificate immediately after admission.
Sd/-
Date: 07.07.2017 Deputy Registrar (Courses)

4
 Annexure II (C)
INDIAN INSTITUTE OF TECHNOLOGY MADRAS
Fees for B.Tech./DD students (whose parental income is Rs.1 lakh to 5 lakhs per
annum) to be admitted in the academic year 2017-18
(Income certificate obtained in Form A/B has to be submitted in original for verification at the time of admission)

A. One time Fees (during Admission) B. Semester Fees

Value in Sl.No. Details of Fees Value in Rs.
Sl.No. Details of Fees
Rs. 1 Tuition fee 33,333
1 Admission fee 150 2 Examination fee 350
2 Grade card fee 150 3 Registration-Enrolment fee 200
3 Provisional certificate 100 4 Gymkhana fee 1000
4 Medical Exam fee 100 5 Medical fee 500
5 Student welfare fund 500 6 Hostel Seat Rent * 5000
6 Modernization fee 300 7 Fan, Elec. & Water Charges * 750
7 Alumni Life 8 Student Wellness fee 100
1000
Membership Fee (NS)
9 Medical Insurance Premium
8 Publication fee (NS) 250 900
(subject to revision)
Total A 2550 Total B 42133

C. Deposits (refundable) II. HOSTEL FEES

No. Details of Fees Value in Rs. Sl.No. Details of Fees Value in Rs.
1 Institute Deposit 1000 1 Hostel Admission fee 200
2 Library Deposit 1000 Hostel Deposit (NS)-
Total-C 2000 2 3000
(refundable)
3 Estt.A charges 5000
I. INSTITUTE FEES 4 Estt.B charges 1500
Payable through online at 5 SWD Charges 50
Value in Rs. 6 Advance Dining charges 14000
www.iitm.ac.in/academics
For Hostellers Hostel Fees payable through online at
(A+B+C) 46,683 www.ccw.iitm.ac.in &
Day scholars www.dost.iitm.ac.in 23,750
[A+(B-*)+C+II(3) 45,933
NS - Non-Statutory fees
* - For Hostellers only
@ - Dual Degree students have to pay B.Tech. fees for the first 8 semesters and M.Tech. fees
for 9th & 10th semesters
All the students shall have access to interest free loan under Vidyalaxmi scheme
Procedure for balance fee payment over and above the fee paid at the time of Seat Acceptance
Please enter the roll number assigned to you in the Academic Fee Payment Portal at
https://www.iitm.ac.in/academics to pay the INSTITUTE fee. Verify your name and date of birth before
proceeding for payment. (Example ) Roll No. AE17B001
Skip Tuition fee & Establishment A charges fields and enter the balance amount (balance fee payment over
and above the fee paid at the time of Seat Acceptance) against others field (all categories)
Note:
Students who paid more than Institute fees applicable to them as indicated above at the time of Seat
Acceptance need not pay any fee at the time of admission
All the students have to pay the Hostel fees Rs.23,750/- through online at www.ccw.iitm.ac.in &
www.dost.iitm.ac.in

Hostel rooms are allotted depending on availability on sharing basis. If you wish to be a
dayscholar, you should register your name in the Office of the Dean Students and obtain
dayscholar certificate immediately after admission.
Sd/-
Date: 07.07.2017 Deputy Registrar (Courses)

5
 Annexure II (D)
INDIAN INSTITUTE OF TECHNOLOGY MADRAS
Fees for B.Tech. & DD students (whose parental income is above 5 lakhs per
annum) to be admitted in the academic year 2017-18

A. One time Fees (during Admission) B. Semester Fees

Value in Sl.No. Details of Fees Value in Rs.
Sl.No. Details of Fees
Rs. 1 Tuition fee 1,00,000
1 Admission fee 150 2 Examination fee 350
2 Grade card fee 150 3 Registration-Enrolment fee 200
3 Provisional certificate 100 4 Gymkhana fee 1000
4 Medical Exam fee 100 5 Medical fee 500
5 Student welfare fund 500 6 Hostel Seat Rent * 5000
6 Modernization fee 300 7 Fan, Elec. & Water Charges * 750
7 Alumni Life 8 Student Wellness fee 100
1000
Membership Fee (NS)
9 Medical Insurance Premium
8 Publication fee (NS) 250 900
(subject to revision)
Total A 2550 Total B 1,08,800

C. Deposits (refundable)
No. Details of Fees Value in Rs. II. HOSTEL FEES
1 Institute Deposit 1000 Sl.No. Details of Fees Value in Rs.
2 Library Deposit 1000 1 Hostel Admission fee 200
Total-C 2000 Hostel Deposit (NS)-
2 3000
(refundable)
3 Estt.A charges 5000
I. INSTITUTE FEES 4 Estt.B charges 1500
Payable through online at 5 SWD Charges 50
Value in Rs.
www.iitm.ac.in/academics 6 Advance Dining charges 14000
For Hostellers Hostel Fees payable through online at
(A+B+C) 1,13,350
www.ccw.iitm.ac.in & 23,750
Day scholars www.dost.iitm.ac.in
[A+(B-*)+C+II(3) 1,12,600
NS - Non-Statutory fees
* - For Hostellers only
@ - Dual Degree students have to pay B.Tech. fees for the first 8 semesters and M.Tech.
fees for 9th & 10th semesters
All the students shall have access to interest free loan under Vidyalaxmi scheme
Procedure for balance fee payment over and above the fee paid at the time of Seat Acceptance
Please enter the roll number assigned to you in the Academic Fee Payment Portal at
https://www.iitm.ac.in/academics to pay the INSTITUTE fee. Verify your name and date of birth
before proceeding for payment. (Example ) Roll No. AE17B001
Skip Tuition fee & Establishment A charges fields and enter the balance amount (balance fee
payment over and above the fee paid at the time of Seat Acceptance) against others field (all
categories)
Note:
Students who paid more than Institute fees applicable to them as indicated above at the time of Seat
Acceptance need not pay any fee at the time of admission
All the students have to pay the Hostel fees Rs.23,750/- through online at www.ccw.iitm.ac.in &
www.dost.iitm.ac.in

Hostel rooms are allotted depending on availability on sharing basis. If you wish to be a
dayscholar, you should register your name in the Office of the Dean Students and obtain
dayscholar certificate immediately after admission.
Date: 07.07.2017 sd/-
Deputy Registrar (Courses)

6
 Annexure II (E)

INDIAN INSTITUTE OF TECHNOLOGY MADRAS

Fees for Foreign Nationals to be admitted in the academic year 2017-18
S.No Items of Fees & Deposits Total
I. INSTITUTE FEES
A. One time Fees:
1 Admission fee
2 Grade card fee
3 Provisional certificate
4 Medical Exam fee
USD 261
5 Student welfare fund
6 Modernization fee
7 Alumni Life Membership Fee (NS)
8 Publication fee (NS)
Total A (One Time Fees) USD 261(or) equivalent INR
B. Semester Fees per semester:
1 Tuition fee per semester INR 300000
4 Gymkhana fee INR 1000
5 Medical fee INR 500
6 Hostel Seat Rent * INR 5000
7 Fan, Elec. & Water Charges * INR 750
8 Student Wellness fee INR 100
9 Medical Insurance Premium (subject to revision) INR 900
Total B (Jul-Nov 2017 semester fee) INR 308250
Institute fees payable through online at USD 261 (or) equivalent INR +
www.iitm.ac.in/academics INR 308250
II. HOSTEL FEES & MESS CHARGES PER SEMESTER
1 Hostel Admission fee INR 200
2 Hostel Deposit (NS)- (refundable) INR 3000
3 Estt.A charges INR 5000
4 Estt.B charges INR 1500
5 SWD Charges INR 50
6 Advance Dining charges INR 14000
Hostel Fees payable through online at www.ccw.iitm.ac.in &
INR 23750
http://hosteldine.iitm.ac.in/iitmdost/
* - For Hostellers only NS - Non-Statutory fees
Procedure for balance fee payment over and above the fee paid at the time of Seat Acceptance
Please enter the roll number assigned to you in the Academic Fee Payment Portal at
https://www.iitm.ac.in/academics to pay the INSTITUTE fee. Verify your name and date of birth
before proceeding for payment. (Example ) Roll No. AE17B001
Skip Tuition fee & Establishment A charges fields and enter the balance amount (balance fee
payment over and above the fee paid at the time of Seat Acceptance) against others field (all
categories)
Note:
Students who paid more than Institute fees applicable to them as indicated above at the time of Seat
Acceptance need not pay any fee at the time of admission
All the students have to pay the Hostel fees Rs.23,750/- through online at www.ccw.iitm.ac.in &
www.dost.iitm.ac.in
Hostel rooms are allotted depending on availability on sharing basis. If you wish to be a
dayscholar, you should register your name in the Office of the Dean Students and obtain
dayscholar certificate immediately after admission.
Date: 07.07.2017 sd/-
Deputy Registrar (Courses)
7
 Annexure III (A)

INDIAN INSTITUTE OF TECHNOLOGY MADRAS

Academic Section

F.Acad/UG/B2/2017 Dated 07.07.2017

STATEMENT OF EXPENDITURE FOR B.TECH PROGRAMME

(All SC, ST, PwD students irrespective of parental Income)

The following statement of expenditure is issued to facilitate/for availing Bank Loan/

Scholarship. Fees and Statement of Expenditure for B.Tech. programme and other charges /
expenses for the students to be admitted in the Academic year 2017-2018.

S.No Particulars (Value in Rs.)

1 Admission/ 1st Semester Fee (including Insurance) 11,350
2 Caution deposit (Institute & Library) 2,000
3 Fees payable from 2nd to 8th Semester @ Rs.7,900 x 7 55,300
4 Annual Medical Insurance Premium for 3 years at the rate of Rs.900/-* 2,700
5 Hostel Caution Deposit 3,000
6 Hostel Admission Fee @ Rs.200/- per semester for 8 semesters 1,600
7 Hostel Establishment A charges @ Rs.5,000/- per semester for 8 semesters* 40,000
8 Hostel Establishment B charges @ Rs.1,500/- per semester for 8 semesters* 12,000
9 Solid Waste Disposal charges @ Rs.50/- per semester for 8 semesters 400
10 Books (approx.) 40,000
11 Laptop 50,000
12 Boarding charges for 4 years* 1,60,000
Total 3,80,350
Semester abroad programmes ** 4,00,000
Grand Total (in Indian Rupees) 7,78,350

* For budgetary purposes, calculations are based on rate during current academic year 2017-18 and
for subsequent years, a nominal increase in charges have been accounted for.

** A few students who are academically performing well are permitted by the Institute to pursue
one or two semesters in a foreign University with which IITM has an MOU for doing courses and
or project. Specific permission letter will be given by Dean (AC)/ AR and Dean IAR in these
cases. Student may be permitted to avail this additional loan provision with the production of :
(i) Letter of permission from host University and (ii) Letter of permission from the respective
Dean of IIT Madras).

Sd/-
Deputy Registrar (Courses)

8
 Annexure III (B)

INDIAN INSTITUTE OF TECHNOLOGY MADRAS

Academic Section

F.Acad/UG/B2/2017 Dated 07.07.2017

STATEMENT OF EXPENDITURE FOR B.TECH PROGRAMME

(Students whose parental income below Rs.1 Lakh per annum)

The following statement of expenditure is issued to facilitate/for availing Bank Loan/

Scholarship. Fees and Statement of Expenditure for B.Tech. programme and other charges /
expenses for the students to be admitted in the Academic year 2017-2018

S.No Particulars (Value in Rs.)

1 Admission/ 1st Semester Fee (including Insurance) 11,350
2 Caution deposit (Institute & Library) 2,000
3 Fees payable from 2nd to 8th Semester @ Rs.7,900 x 7 55,300
4 Annual Medical Insurance Premium for 3 years at the rate of Rs.900/-* 2,700
5 Hostel Caution Deposit 3,000
6 Hostel Admission Fee @ Rs.200/- per semester for 8 semesters 1,600
7 Hostel Establishment A charges @ Rs.5,000/- per semester for 8 semesters* 40,000
8 Hostel Establishment B charges @ Rs.1,500/- per semester for 8 semesters* 12,000
9 Solid Waste Disposal charges @ Rs.50/- per semester for 8 semesters 400
10 Books (approx.) 40,000
11 Laptop 50,000
12 Boarding charges for 4 years* 1,60,000
Total 3,80,350
Semester abroad programmes ** 4,00,000
Grand Total (in Indian Rupees) 7,78,350

* For budgetary purposes, calculations are based on rate during current academic year 2017-18 and
for subsequent years, a nominal increase in charges have been accounted for.

** A few students who are academically performing well are permitted by the Institute to pursue
one or two semesters in a foreign University with which IITM has an MOU for doing courses and
or project. Specific permission letter will be given by Dean (AC)/ AR and Dean IAR in these
cases. Student may be permitted to avail this additional loan provision with the production of :
(i) Letter of permission from host University and (ii) Letter of permission from the respective
Dean of IIT Madras).

Sd/-
Deputy Registrar (Courses)

9
 Annexure III (C)

INDIAN INSTITUTE OF TECHNOLOGY MADRAS

Academic Section

F.Acad/UG/B2/2017 Dated 07.07.2017

STATEMENT OF EXPENDITURE FOR B.TECH PROGRAMME

(Students whose parental income between Rs.1 Lakh and Rs.5 Lakhs per annum)

The following statement of expenditure is issued to facilitate/for availing Bank Loan/

Scholarship. Fees and Statement of Expenditure for B.Tech. programme and other charges /
expenses for the students to be admitted in the Academic year 2017-2018.

S.No Particulars (Value in Rs.)

1 Admission/ 1st Semester Fee (including Insurance) 44,683
2 Caution deposit (Institute & Library) 2,000
3 Fees payable from 2nd to 8th Semester @ Rs.41,233 x 7 2,88,631
4 Annual Medical Insurance Premium for 3 years at the rate of Rs.900/-* 2,700
5 Hostel Caution Deposit 3,000
6 Hostel Admission Fee @ Rs.200/- per semester for 8 semesters 1,600
7 Hostel Establishment A charges @ Rs.5,000/- per semester for 8 semesters* 40,000
8 Hostel Establishment B charges @ Rs.1,500/- per semester for 8 semesters* 12,000
9 Solid Waste Disposal charges @ Rs.50/- per semester for 8 semesters 400
10 Books (approx.) 40,000
11 Laptop 50,000
12 Boarding charges for 4 years* 1,60,000
Total 6,45,014
Semester abroad programmes ** 4,00,000
Grand Total (in Indian Rupees) 10,45,014

* For budgetary purposes, calculations are based on rate during current academic year 2017-18 and
for subsequent years, a nominal increase in charges have been accounted for.

** A few students who are academically performing well are permitted by the Institute to pursue
one or two semesters in a foreign University with which IITM has an MOU for doing courses and
or project. Specific permission letter will be given by Dean (AC)/ AR and Dean IAR in these
cases. Student may be permitted to avail this additional loan provision with the production of :
(i) Letter of permission from host University and (ii) Letter of permission from the respective
Dean of IIT Madras).
Sd/-
Deputy Registrar (Courses)

10
 Annexure III (D)

INDIAN INSTITUTE OF TECHNOLOGY MADRAS

Academic Section

F.Acad/UG/B2/2017 Dated 07.07.2017

STATEMENT OF EXPENDITURE FOR B.TECH PROGRAMME

(Students whose parental income is above Rs.5 Lakhs per annum)

The following statement of expenditure is issued to facilitate/for availing Bank Loan/

Scholarship. Fees and Statement of Expenditure for B.Tech. programme and other charges /
expenses for the students to be admitted in the Academic year 2017-2018.

S.No Particulars (Value in Rs.)

1 Admission/ 1st Semester Fee (including Insurance) 1,11,350
2 Caution deposit (Institute & Library) 2,000
3 Fees payable from 2nd to 8th Semester @ Rs.1,07,900 x 7 7,55,300
4 Annual Medical Insurance Premium for 3 years at the rate of Rs.900/-* 2,700
5 Hostel Caution Deposit 3,000
6 Hostel Admission Fee @ Rs.200/- per semester for 8 semesters 1,600
7 Hostel Establishment A charges @ Rs.5,000/- per semester for 8 semesters* 40,000
8 Hostel Establishment B charges @ Rs.1,500/- per semester for 8 semesters* 12,000
9 Solid Waste Disposal charges @ Rs.50/- per semester for 8 semesters 400
10 Books (approx.) 40,000
11 Laptop 50,000
12 Boarding charges for 4 years* 1,60,000
Total 11,78,350
Semester abroad programmes ** 4,00,000
Grand Total (in Indian Rupees) 15,78,350

* For budgetary purposes, calculations are based on rate during current academic year 2017-18 and
for subsequent years, a nominal increase in charges have been accounted for.

** A few students who are academically performing well are permitted by the Institute to pursue
one or two semesters in a foreign University with which IITM has an MOU for doing courses and
or project. Specific permission letter will be given by Dean (AC)/ AR and Dean IAR in these
cases. Student may be permitted to avail this additional loan provision with the production of :
(i) Letter of permission from host University and (ii) Letter of permission from the respective
Dean of IIT Madras).

Sd/-
Deputy Registrar (Courses)

11
 Annexure III (E)

INDIAN INSTITUTE OF TECHNOLOGY MADRAS

Academic Section

F.Acad/UG/B2/2017 Dated 07.07.2017

STATEMENT OF EXPENDITURE FOR DUAL DEGREE PROGRAMME

(All SC, ST, PwD students irrespective of parental income)

The following statement of expenditure is issued to facilitate/for availing Bank Loan/

Scholarship. Fees and Statement of Expenditure for Dual Degree (B.Tech. & M.Tech.)
programme and other charges / expenses for the students to be admitted in the Academic
year 2017-2018.

S.No Particulars (Value in Rs.)

1 Admission/ 1st Semester Fee (including Insurance) 11,350
2 Caution deposit (Institute & Library) 2,000
3 Fees payable from IIndto VIIIth
Semester @ Rs.7,900X 7 (B.Tech. fees) and 61,200
IXth to Xth Semester @ Rs.2,950 X 2 (M.Tech. fees)
4 Annual Medical Insurance Premium for 4 years at the rate of Rs.900/-* 3,600
5 Hostel Caution Deposit 3,000
6 Hostel Admission Fee @ Rs.200/- per semester for 10 semesters 2000
7 Hostel Establishment A charges @ Rs.5,000/- per semester for 10 semesters* 50,000
8 Hostel Establishment B charges @ Rs.1,500/- per semester for 10 semesters* 15,000
9 Solid Waste Disposal charges @ Rs.50/- per semester for 10 semesters 500
10 Books (approx.) 40,000
11 Laptop 50,000
12 Boarding charges for 5 years* 2,00,000
Total 4,71,983
Semester abroad programmes ** 4,00,000
Grand Total (in Indian Rupees) 8,71,983

* For budgetary purposes, calculations are based on rate during current academic year 2017-18 and
for subsequent years, a nominal increase in charges have been accounted for.

** A few students who are academically performing well are permitted by the Institute to pursue
one or two semesters in a foreign University with which IITM has an MOU for doing courses and
or project. Specific permission letter will be given by Dean (AC)/ AR and Dean IAR in these
cases. Student may be permitted to avail this additional loan provision with the production of (i)
Letter of permission from host University and (ii) Letter of permission from the respective Dean
of IIT Madras)
Sd/-
Deputy Registrar (Courses)

12
 Annexure III (F)

INDIAN INSTITUTE OF TECHNOLOGY MADRAS

Academic Section

F.Acad/UG/B2/2017 Dated 07.07.2017

STATEMENT OF EXPENDITURE FOR DUAL DEGREE PROGRAMME

(Students whose parental income is below Rs.1 Lakh per annum)

The following statement of expenditure is issued to facilitate/for availing Bank Loan/

Scholarship. Fees and Statement of Expenditure for Dual Degree (B.Tech. & M.Tech.)
programme and other charges / expenses for the students to be admitted in the Academic
year 2017-2018.

S.No Particulars (Value in Rs.)

1 Admission/ 1st Semester Fee (including Insurance) 11,350
2 Caution deposit (Institute & Library) 2,000
3 Fees payable from IIndto VIIIth
Semester @ Rs.7,900X 7 (B.Tech. fees) and 61,200
IXth to Xth Semester @ Rs.2,950 X 2 (M.Tech. fees)
4 Annual Medical Insurance Premium for 4 years at the rate of Rs.900/-* 3,600
5 Hostel Caution Deposit 3,000
6 Hostel Admission Fee @ Rs.200/- per semester for 10 semesters 2000
7 Hostel Establishment A charges @ Rs.5,000/- per semester for 10 semesters* 50,000
8 Hostel Establishment B charges @ Rs.1,500/- per semester for 10 semesters* 15,000
9 Solid Waste Disposal charges @ Rs.50/- per semester for 10 semesters 500
10 Books (approx.) 40,000
11 Laptop 50,000
12 Boarding charges for 5 years* 2,00,000
Total 4,71,983
Semester abroad programmes ** 4,00,000
Grand Total (in Indian Rupees) 8,71,983

* For budgetary purposes, calculations are based on rate during current academic year 2017-18 and
for subsequent years, a nominal increase in charges have been accounted for.

** A few students who are academically performing well are permitted by the Institute to pursue
one or two semesters in a foreign University with which IITM has an MOU for doing courses and
or project. Specific permission letter will be given by Dean (AC)/ AR and Dean IAR in these
cases. Student may be permitted to avail this additional loan provision with the production of (i)
Letter of permission from host University and (ii) Letter of permission from the respective Dean
of IIT Madras)
Sd/-
Deputy Registrar (Courses)

13
 Annexure III (G)

INDIAN INSTITUTE OF TECHNOLOGY MADRAS

Academic Section

F.Acad/UG/B2/2017 Dated 07.07.2017

STATEMENT OF EXPENDITURE FOR DUAL DEGREE PROGRAMME

(Students whose parental income between Rs.1 Lakh and Rs.5 Lakhs per annum)

The following statement of expenditure is issued to facilitate/for availing Bank Loan/

Scholarship. Fees and Statement of Expenditure for Dual Degree (B.Tech. & M.Tech.)
programme and other charges / expenses for the students to be admitted in the Academic
year 2017-2018.
S.No Particulars (Value in Rs.)
1 Admission/ 1st Semester Fee (including Insurance) 44,683
2 Caution deposit (Institute & Library) 2,000
3 Fees payable from IInd to VIIIth Semester @ Rs.41,2330X 7 (B.Tech. fees) and 3,14,531
IXth to Xth Semester @ Rs.12,950 X 2 (M.Tech. fees)
4 Annual Medical Insurance Premium for 4 years at the rate of Rs.900/-* 3,600
5 Hostel Caution Deposit 3,000
6 Hostel Admission Fee @ Rs.200/- per semester for 10 semesters 2000
7 Hostel Establishment A charges @ Rs.5,000/- per semester for 10 semesters* 50,000
8 Hostel Establishment B charges @ Rs.1,500/- per semester for 10 semesters* 15,000
9 Solid Waste Disposal charges @ Rs.50/- per semester for 10 semesters 500
10 Books (approx.) 40,000
11 Laptop 50,000
12 Boarding charges for 5 years* 2,00,000
Total 7,25,314
Semester abroad programmes ** 4,00,000
Grand Total (in Indian Rupees) 11,25,314

* For budgetary purposes, calculations are based on rate during current academic year 2017-18 and
for subsequent years, a nominal increase in charges have been accounted for.

** A few students who are academically performing well are permitted by the Institute to pursue
one or two semesters in a foreign University with which IITM has an MOU for doing courses and
or project. Specific permission letter will be given by Dean (AC)/ AR and Dean IAR in these
cases. Student may be permitted to avail this additional loan provision with the production of (i)
Letter of permission from host University and (ii) Letter of permission from the respective Dean
of IIT Madras)
Sd/-
Deputy Registrar (Courses)

14
 Annexure III (H)

INDIAN INSTITUTE OF TECHNOLOGY MADRAS

Academic Section

F.Acad/UG/B2/2017 Dated 07.07.2017

STATEMENT OF EXPENDITURE FOR DUAL DEGREE PROGRAMME

(Students whose parental income is above Rs.5 Lakhs per annum)

The following statement of expenditure is issued to facilitate/for availing Bank Loan/

Scholarship. Fees and Statement of Expenditure for Dual Degree (B.Tech. & M.Tech.)
programme and other charges / expenses for the students to be admitted in the Academic
year 2017-2018.
S.No Particulars (Value in Rs.)
1 Admission/ 1st Semester Fee (including Insurance) 1,11,350
2 Caution deposit (Institute & Library) 2,000
3 Fees payable from IIndto VIIIth
Semester @ Rs.1,07,900X 7 (B.Tech. fees) and 7,81,200
IXth to Xth Semester @ Rs.12,950 X 2 (M.Tech. fees)
4 Annual Medical Insurance Premium for 4 years at the rate of Rs.963/-* 3,600
5 Hostel Caution Deposit 3,000
6 Hostel Admission Fee @ Rs.200/- per semester for 10 semesters 2000
7 Hostel Establishment A charges @ Rs.5,000/- per semester for 10 semesters* 50,000
8 Hostel Establishment B charges @ Rs.1,500/- per semester for 10 semesters* 15,000
9 Solid Waste Disposal charges @ Rs.50/- per semester for 10 semesters 500
10 Books (approx.) 40,000
11 Laptop 50,000
12 Boarding charges for 5 years* 2,00,000
Total 12,58,650
Semester abroad programmes ** 4,00,000
Grand Total (in Indian Rupees) 16,58,650

* For budgetary purposes, calculations are based on rate during current academic year 2017-18 and
for subsequent years, a nominal increase in charges have been accounted for.

** A few students who are academically performing well are permitted by the Institute to pursue
one or two semesters in a foreign University with which IITM has an MOU for doing courses and
or project. Specific permission letter will be given by Dean (AC)/ AR and Dean IAR in these
cases. Student may be permitted to avail this additional loan provision with the production of (i)
Letter of permission from host University and (ii) Letter of permission from the respective Dean
of IIT Madras)
Sd/-
Deputy Registrar (Courses)

15
 Annexure IV(A)
FORM A

INCOME CERTIFICATE FROM THE HEAD OF THE OFFICE WHERE

FATHER AND/ OR MOTHER /GUARDIAN OF THE STUDENT IS EMPLOYED

(This certificate is to be produced by Father /Mother /Guardian who are working in

Government/ Public sector organisation.)

Certified that the annual income of Shri / Smt. _____________________________________

(Father / Mother / Guardian) employed in this office as ______________________________
including special pay, etc. during the year 2016-2017 (July 2016 June 2017) is as given
below:

Total in
Sl. No. Item
(July 2016 to June 2017)
1 Basic Pay (including special pay, NPA etc.)

2 D.A.

3 C.C.A.

4 Deputation allowance

5 Special Pay

6 Honorarium

7 Bonus

8 Other allowances, if any

Total

Place : Signature of the Head Office / Department

Date :

(This certificate is not valid without the office seal)

Note: Separate certificate has to be given if father and mother are employed

16
 FORM B

INCOME CERTIFICATE FROM THE REVENUE OFFICIAL NOT BELOW THE

RANK OF THASILDAR OR MAGISTRATE CLASS I OF THE AREA WHERE THE
FATHER AND/OR MOTHER/LEGAL GUARDIAN OF
THE STUDENT RESIDES

(This certificate is to be produced by Father /Mother /Guardian who are self-employed as

Doctor/ Lawyer/Businessman/Agriculturist/Private employment, etc.)

Certified after having fully satisfied myself that the income of

Shri/Smt._________________________________________ Father/ Mother/ Guardian of the
student residing at ___________________________________________________________
______________________________is ______________ for the period from July 2016 to
June 2017 as detailed below:

Total Annual Income in `.

Sl.No. Item
(July 2016 to June 2017)
1 Professional Income (Doctor, Lawyer, etc.)

2 Agricultural Income

3 Interest from Bank deposits

4 Dividend from shares

Other income (give details such as House rent

5
income etc.)
Total

Signature of Father :

Mother :

Date : Signature of the Revenue Official

Not below the rank of Tahsildar/ Magistrate Class I
Place :

(This certificate is not valid without the official seal)

Note : Separate certificate has to be given for father and mother if both have separate
sources of income.

17
 Annexure IV(B)

INDIAN INSTITUTE OF TECHNOLOGY MADRAS

APPLICATION FORM FOR SC/ST SCHOLARSHIP

(This form is to be filled in by B.Tech./ Dual Degree (B.Tech & M.Tech) students whose
parents annual income is less than : 4.50 lakhs during July 2016 to June 2017)

1. Name of the student (in block letters) :

IIT Madras Roll No. :

Hostel Address :
(If day scholar, give present address)

2. Category : SC / ST / PwD-SC/ PwD-ST

(enclose copy of certificates if any)

3. Date of Birth :

4. Place, District and State of birth :

5. Permanent address :

6. Income Details :

Name Occupation Other Total Specify occupation

Income: Annual (Please tick
(Rent/Interest on Income whichever applicable)
Investment, etc.)
(In INR)
Govt/Private/Business/
Father
Agriculture/others
Govt/Private/Business/
Mother
Agriculture/others
Govt/Private/Business/
Guardian
Agriculture/others

The above income must be authenticated as follows:

Salary/Pension Employers certificate in Form A has to be given (If father and Mother
are employed in Government/ Public sector organisation, two separate certificates have
to be given)

Agriculture / House Income / Business/Consultancy / Doctor / Lawyer / Professional

Practice/ Private Employment Tahsildars certificate in Form B has to be given

Parents Mobile No. :

18
Student Mobile No & e-mail ID:

8. Have you applied for (or) getting any other Scholarship: Yes / No

If yes, from which Organisation? :

We hereby declare and affirm that the above statement made by us is correct to the best of
our knowledge. In case any of the particulars furnished by us are found to be incorrect at a
later date, we will be liable to refund the scholarship amount already received.

(Signature of the Parent) (Signature of the student)

Place :

Date :

STUDENT UNDERTAKING FORM A

Certified that Shri/Ms. -----------------------------------------------------------------------------------------

IIT M Roll No. ------------------ is not in receipt of Scholarship from any other sources.

Date :
IITM SBI A/c No. : Signature :
Aadhar No : Name :
Hostel & Room No :

19
 FORM A

INCOME CERTIFICATE FROM THE HEAD OF THE OFFICE WHERE

FATHER AND/ OR MOTHER /GUARDIAN OF THE STUDENT IS EMPLOYED

(This certificate is to be produced by Father /Mother /Guardian who are working in

Government/ Public sector organisation.)

Certified that the annual income of Shri / Smt. _____________________________________

(Father / Mother / Guardian) employed in this office as ______________________________
including special pay, etc. during the year 2016-2017 (July 2016 June 2017) is as given
below:

Total in
Sl. No. Item
(July 2016 to June 2017)
1 Basic Pay (including special pay, NPA etc.)

2 D.A.

3 C.C.A.

4 Deputation allowance

5 Special Pay

6 Honorarium

7 Bonus

8 Other allowances, if any

Total

Place : Signature of the Head Office / Department

Date :

(This certificate is not valid without the office seal)

Note: Separate certificate has to be given if father and mother are employed

20
 FORM B

INCOME CERTIFICATE FROM THE REVENUE OFFICIAL NOT BELOW THE

RANK OF THASILDAR OR MAGISTRATE CLASS I OF THE AREA WHERE THE
FATHER AND/OR MOTHER/LEGAL GUARDIAN OF
THE STUDENT RESIDES

(This certificate is to be produced by Father /Mother /Guardian who are self-employed as

Doctor/ Lawyer/Businessman/Agriculturist/Private employment, etc.)

Certified after having fully satisfied myself that the income of

Shri/Smt._________________________________________ Father/ Mother/ Guardian of the
student residing at ___________________________________________________________
______________________________is ______________ for the period from July 2016 to
June 2017 as detailed below:

Total Annual Income in `.

Sl.No. Item
(July 2016 to June 2017)
1 Professional Income (Doctor, Lawyer, etc.)

2 Agricultural Income

3 Interest from Bank deposits

4 Dividend from shares

Other income (give details such as House rent

5
income etc.)
Total

Signature of Father :

Mother :

Date : Signature of the Revenue Official

Not below the rank of Tahsildar/ Magistrate Class I
Place :

(This certificate is not valid without the official seal)

Note : Separate certificate has to be given for father and mother if both have separate
sources of income.

21
 Annexure IV(C)

INDIAN INSTITUTE OF TECHNOLOGY MADRAS

APPLICATION FORM FOR DONOR / ALUMNI FUNDED SCHOLARSHIP
(This form is to be filled in by B.Tech./ Dual Degree (B.Tech & M.Tech) students whose parents annual
income is more than : 4.50 lakhs and not more than : 6.75 lakhs during July 2016 to June 2017)

1. Name of the student (in block letters) :

IIT Madras Roll No. :

Hostel Address :
(If day scholar, give present address)

2. Category : GE / OBC / PwD-GE/ PwD-OBC

(enclose copy of certificates if any)

3. Date of Birth :

4. Place, District and State of birth :

5. Permanent address :

6. Income Details :

Name Occupation Other Total Specify occupation

Income: Annual (Please tick
(Rent/Interest on Income whichever applicable)
Investment, etc.)
(In INR)
Govt/Private/Business/
Father
Agriculture/others
Govt/Private/Business/
Mother
Agriculture/others
Govt/Private/Business/
Guardian
Agriculture/others

The above income must be authenticated as follows:

Salary/Pension Employers certificate in Form A has to be given (If father and Mother
are employed in Government/ Public sector organisation, two separate certificates have
to be given)

Agriculture / House Income / Business/Consultancy / Doctor / Lawyer / Professional

Practice/ Private Employment Tahsildars certificate in Form B has to be given

Parents Mobile No. :

Student Mobile No & e-mail ID:

22
8. Have you applied for (or) getting any other Scholarship: Yes / No

If yes, from which Organisation? :

We hereby declare and affirm that the above statement made by us is correct to the best of
our knowledge. In case any of the particulars furnished by us are found to be incorrect at a
later date, we will be liable to refund the scholarship amount already received.

(Signature of the Parent) (Signature of the student)

Place :

Date :

STUDENT UNDERTAKING FORM A

Certified that Shri/Ms. -----------------------------------------------------------------------------------------

IIT M Roll No. ------------------ is not in receipt of Scholarship from any other sources.

Date :
IITM SBI A/c No. : Signature :
Aadhar No : Name :
Hostel & Room No :

23
 FORM A

INCOME CERTIFICATE FROM THE HEAD OF THE OFFICE WHERE

FATHER AND/ OR MOTHER /GUARDIAN OF THE STUDENT IS EMPLOYED

(This certificate is to be produced by Father /Mother /Guardian who are working in

Government/ Public sector organisation.)

Certified that the annual income of Shri / Smt. _____________________________________

(Father / Mother / Guardian) employed in this office as ______________________________
including special pay, etc. during the year 2016-2017 (July 2016 June 2017) is as given
below:

Total in
Sl. No. Item
(July 2016 to June 2017)
1 Basic Pay (including special pay, NPA etc.)

2 D.A.

3 C.C.A.

4 Deputation allowance

5 Special Pay

6 Honorarium

7 Bonus

8 Other allowances, if any

Total

Place : Signature of the Head Office / Department

Date :

(This certificate is not valid without the office seal)

Note: Separate certificate has to be given if father and mother are employed

24
 FORM B

INCOME CERTIFICATE FROM THE REVENUE OFFICIAL NOT BELOW THE

RANK OF THASILDAR OR MAGISTRATE CLASS I OF THE AREA WHERE THE
FATHER AND/OR MOTHER/LEGAL GUARDIAN OF
THE STUDENT RESIDES

(This certificate is to be produced by Father /Mother /Guardian who are self-employed as

Doctor/ Lawyer/Businessman/Agriculturist/Private employment, etc.)

Certified after having fully satisfied myself that the income of

Shri/Smt._________________________________________ Father/ Mother/ Guardian of the
student residing at ___________________________________________________________
______________________________is ______________ for the period from July 2016 to
June 2017 as detailed below:

Total Annual Income in `.

Sl.No. Item
(July 2016 to June 2017)
1 Professional Income (Doctor, Lawyer, etc.)

2 Agricultural Income

3 Interest from Bank deposits

4 Dividend from shares

Other income (give details such as House rent

5
income etc.)
Total

Signature of Father :

Mother :

Date : Signature of the Revenue Official

Not below the rank of Tahsildar/ Magistrate Class I
Place :

(This certificate is not valid without the official seal)

Note : Separate certificate has to be given for father and mother if both have separate
sources of income.

25
 CONFIDENTIAL Annexure V
Medical Examination Report
Medical History and personal particulars of Students joining at IIT Madras
1. Full Name (in capitals) ..
2. JEE (Adv) 2017 Roll No. IIT M Roll No...
3. Name of Parent/Guardian ..
4. Personal : Veg. / Non-Veg.
Abuse of substances (if any) : Smoking / Alcohol / Drugs / Any other
5. Past Medical/Surgical Treatment : No Yes

5.1 Allergies/Bronchial Asthma/Tuberculosis

5.2 Abdomen including Urinary Tract
5.3 Locomotor system (Spinal/Vertebral column/Joints)
5.4 Cardiovascular system
5.5 Neurological disorders/Psychological disorders
5.6 Sexually-transmitted/Venereal Diseases/Skin
5.7 Hepatitis
5.8 Diabetes
5.9 Rheumatism
5.10 Thyroid disease

6. Family history of any major illness : No Yes

6.1 Tuberculosis
6.2 Leprosy
6.3 Diabetes
6.4 Hypertension
6.5 Ischemic heart diseases
6.6 Psychiatric illness
6.7 Cancer
7. Identification marks : 1)

2)

8. Blood Group :

I declare that all the statements above are true and correct to the best of my knowledge. I fully
understand that I am responsible for the accuracy of all statements given.

Candidates Signature : .

Counter signed by Parent/Guardian.

Date :

Place : P.T.O. (2)

26
 :2:

HEALTH CERTFICATE

1. Examination by a General Physician (M.D. in General Medicine)

I, Dr.
after examining (with necessary investigations) Mr./Ms.
Son / Daughter of Mr./Ms. .
born on

CERTIFY:

Weight . Kg. Height . cm. Blood Pressure .. /. mm Hg.

Girth of Chest : (a) At rest . : (b) After deep inspiration ..

Cardiovascular System : Heart Heart Sounds

Respiratory System :

Neurological System :

Psychological disturbance : Yes / No If yes, specify

.

Past Medical or Surgical Record :

Identified allergies :

Current treatments :

Current vaccination Status (All candidates who do not have adequate active/passive immunity against
diseases mentioned below should take these injections/adult booster dose as recommended, just before
joining the Institute and the date to be mentioned below):

VACCINATION AGAINST 1st Injection Last Booster

DISEASES Date Yes / No Date Yes / No
BCG
Diphtheria Tetanus - Poliomyelitis
Measles, Mumps, Rubella
Hepatitis B
Hepatitis A
Meningitis
Typhoid
Chicken Pox
Influenza Vaccine (H1N1)

Candidates Signature : .

P.T.O. (3)
27
 :3:
INVESTIGATIONS

1. *Electrocardiogram Date .. Result

2. *Chest X-ray Date .. Result

3. *Sonography (whole abdomen) Date .. Result

4. *Urine Date . Result

5. *Blood Tests Date .. Result

a) Blood Sugar (F/PP) Date .. Result

b) Urea/Creatinine Date .. Result

c) Peripheral Smear Study/HB% Date .. Result

d) Lipid Profile Date .. Result

e) Blood Group/typing (if not known) Date .. Result

f) HBS Ag Date .. Result

g) HIV I & II Date .. Result

*All original investigation reports (only) to be attached.

Remarks / Special Recommendation, if any:

Conclusion : 1. Fit / Unfit to pursue higher education with a very tight academic schedule.
2. Does not suffer from any seizure disorder and he/she is fit for swimming

Reason :

Date :

Place : Signature & Seal

Candidates Signature : .

P.T.O. (4)

28
 :4:
2. Examination by Ophthalmologist*

Acuity of Far Vision Near Vision Colour Vision

Vision Naked Eye With Glasses Naked Eye With Glasses
R.E.

L.E.

*Latest Optometrists Recommendations, if any to be attached in original.

Remarks / Special Recommendation, if any :

I, Dr. ...
have examined (with necessary investigations) Mr./Ms.
Son / Daughter of Mr./Ms. ....
born on and the above information given to the best of my knowledge
are correct and true.

Date :

Place : Signature & Seal

3. Examination by ENT Specialist*

Inspection / hearing *Audiometry

Right Ear
Left Ear

*Latest Audiometry report to be attached in original.

Remarks / Special Recommendations, if any.

I, Dr. ... have

examined (with necessary investigations) Mr./Ms. ...
Son / Daughter of Mr./Ms. ......
born on and the above information given to the best of my knowledge
are correct and true.

Date :

Place : Signature & Seal

Candidates Signature :

29
 Annexure VI

INDIAN INSTITUTE OF TECHNOLOGY MADRAS

SOLEMN AFFIRMATION OF CONFORMANCE TO RULES AND REGULATIONS
(to be submitted by all Students / Scholars of IIT Madras)
(TO BE FILLED ALL IN CAPITAL LETTERS)

I, Mr./Ms,

assigned with IIT Madras Roll No.., am the son/daughter/ward of

Mr./Ms. ..,

Residing at Door No. House No......,

Street Name: . .......,

Local Area Name: . ..,

Village/Town/City Name: ....,

State: . . Pin code:..,

am joining as a student of Programme in Department of ...,

I hereby declare that, I:

a) have read and understood the prevailing rules of regulations of the Institute
b) am aware of
(i) The national laws pertaining to ragging,
(ii) The serious consequences of this impermissible behavior, and
(iii) The administrative, legal and penal actions that will be imposed on persons apprehended,
tried and convicted of this crime; and
c) am aware of the ban on the possession and/or use of alcohol or tobacco in any form and any
powered vehicles by students inside the IIT Madras Campus
Keeping the above in mind, I SOLEMNLY AFFIRM that:
a) I SHALL NOT violate the prevailing rules and regulations of IIT Madras, my INSTITUTE;
b) I SHALL NOT indulge in ragging, nor will encourage, abet, or be indifferent towards others engaging
in ragging; and, on the contrary, will work to ensure the dignity, honour and self-esteem of all
students;
c) I SHALL NOT possess and/or use any alcohol or tobacco product and powered vehicle inside the
IIT Madras campus, except with the due permission, if applicable, and that

I understand that if I am found violating or to have violated any of the rules and regulations pertaining
to students of IIT Madras, I am liable to obey the rulings of the respective official authorities or
Committees of IIT Madras and/or pay the penalty specified by them.

Signature of Student Counter Signed by Parent/Guardian

Place: IIT Madras, Chennai

Date:

Please visit http://www.iitm.ac.in/ordinances and OHM website and read the latest applicable version
(subject to changes) corresponding to the programme of study.

30
 SELF DECLARATION BY THE STUDENT

1) I, __________________________________________________________________________________________________
(Full name of student in CAPITAL letters with roll number)

S/o D/o Shri./ Smt. _________________________________________________ having been admitted to

Indian Institute of Technology Madras, have:

a) Been advised to read carefully and understand the Supreme Court Judgement on
Ragging hosted in www.ccw.iitm.ac.in.
b) Received a copy of the Essential Extracts of relevant Regulations on Curbing the
Menace of Ragging in Higher Educational Institutions, 2009, (hereinafter called the
relevant Regulation)
c) Carefully read and fully understood the provisions contained therein.

2) I have, in particular, understood Clause 3 of the relevant Regulations and am aware as to

what constitutes ragging and the implications thereof.

3) I have also, in particular, understood Clause 7 and Clause 9.1 of the relevant Regulations
and am fully aware of the penal and administrative actions that are liable to be taken
against me in case I am found guilty of or abetting ragging, actively or passively, or being
part of a conspiracy to promote ragging.

4) I hereby solemnly state and undertake that:

a) I will not indulge in any behavior or act that may be considered as ragging under
Clause 3 of the relevant Regulations.

b) I will not participate in or abet or propagate through any act of commission or

omission that may be considered as ragging under Clause 3 of the relevant
Regulations.

5) I hereby affirm that, if found guilty of ragging, I am liable for punishment according to
Clause 9.1 of the relevant Regulations, without prejudice to any other criminal action that
may be taken against me under any penal law or any law for the time being in force.

6) I hereby declare that I have not been expelled or debarred from admission in any
Institution in the country on account of being found guilty of abetting or being part of a
conspiracy to promote ragging and further affirm that, in case this declaration is found to
be untrue, I am aware that my admission is liable to be cancelled.

Chennai Signature of Student

Date: Telephone/Mobile No:

Name:

Address:

SELF-DECLARATION

Verified that the contents of this self declaration are true to the best of my knowledge and no
part of the declaration is false and nothing has been concealed or misstated therein.

Chennai
Date: Signature of Student

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 Annexure VII

INDIAN INSTITUTE OF TECHNOLOGY MADRAS

Telephone : [044] 22578048 FAX : [044] 22578042 Email: cacad@iitm.ac.in

Dr. V Jagadeeshkumar No.DAC/B2/2017

Dean, Academic Courses 7th July 2017

Dear Students:

Congratulations.

I welcome you to IIT Madras, and to its pleasant and intellectually stimulating academic
environment. You will be glad to know that your batch will experience the newly designed
curriculum, the details of which along with the flexibility it provides will be presented to you
during the orientation session on the 25th July 2017.

I wish to bring to your attention the following:

i) Test for Exemption to Introduction to Programming Course:

Many of the students admitted to the B.Tech/DD programme would have developed proficiency
in computer programming by opting for Computer Science stream in their 11th and 12th standards
or through personal initiative. Others would have opted for Biology or similar such streams.

The new B.Tech/Dual degree curriculum envisages providing exemption to Introduction to

Programming course, offered in the first year, for those who have taken Computer Science
subject in their 12th standard (or equivalent) examination and who have obtained 80% (or
equivalent) marks in this subject. These students will have the flexibility of taking any other
elective of their choice to earn 12 credits in a later semester.

ii) English Diagnostics Test

As you may be aware, English is the medium of instruction and examination here, just as it is at
other educational institutions offering professional courses. Students are expected to have a
certain level of proficiency in English so that they can understand lectures, communicate with
fellow students and others, and engage in regular academic pursuits.

To identify students in need of a basic level course in English, an online Diagnostic Test will be
conducted on 28th July 2017 (Friday). It is a compulsory test for all those joining the B.Tech./Dual
Degree Programme.

Students in need of basic level in English will be identified and given a suitable course in the July-
Nov. 2017 semester itself. All identified students will be expected to attend all classes and pass
the end-semester examination of this zero level, non-credit English course so that they can
understand and assimilate courses offered in the subsequent semesters. The Diagnostic Test
may include tests of grammar, vocabulary, reading and listening comprehension and related
writing such as essays.

With warm regards

Sincerely yours,
Sd/-
(V JAGADEESHKUMAR)

Encl.: Syllabus for Introduction to Programming (CS1100)

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CS1100 Introduction to Programming

Course objectives: The course aims to provide exposure to problem-solving through programming. It
aims to train the student to the basic concepts of the C-programming language. This course involves a
lab component which is designed to give the student hands-on experience with the concepts.

Syllabus (4 modules):

Module 1 : (Introduction to Computing) - 6 lectures

Fundamentals of Computing, Historical perspective, Early computers. Computing machine.

Problems, Pseudocode and flowcharts.
Memory, Variables, Values, Instructions, Programs.

Module 2 : (Introduction to C) : - 10 lectures

The language of C. Phases of developing a running computer program in C.

Data concepts in C - Constants, Variables, Expressions, Operators, and operator precedence
in C.
Statements - Declarations, Input-Output Statements, Compound statements, Selection
Statements. Conditions, Logical operators, Precedences. Repetitive statements, While
construct, Do-while Construct, For construct.
Data types, size and values. Char, Unsigned and Signed data types. Number systems and
representations. Constants, Overflow.
Arrays. Strings. Multidimensional arrays and matrices.

Module 3 : (Modular Programming and Example Problems) : 10 lectures

Functions - The prototype declaration, Function definition.

Function call - Passing arguments to a function, by value, by reference. Scope of variable
names. Recursive function calls, Tail recursion. Analysing recursion, Tree of recursion, linear
recursion.
Sorting problem - Selection Sort, Insertion Sort, Comparison between sorting algorithms.
Sorting in multidimensional arrays. Sorting in strings.
Search problem - Linear search and binary search. Comparison between search procedures.
Recursive and Iterative formulations.

Module 4 : (More Data Types in C) : 14 lectures

Pointers - Pointer variables. Declaring and dereferencing pointer variables. Pointer

Arithmetic. Examples. Accessing arrays through pointers. Pointer types, Pointers and strings.
String operations in C.
Structures in C. Motivation, examples, declaration, and use. Operations on structures.
Passing structures as function arguments. type defining structures. Self-referential
structures. Dynamic Data Structures. Linked Lists. Examples.
File input-output in C. Streams. Input, output and error streams. Opening, closing and
reading from files. Programming for command line arguments.
Numerical errors due to data representations and machine precision. Approximation and
error analysis. Illustration through examples.

Course Textbooks
1. C: How to program, H. M. Deitel, P. J. Deitel, 7th edition, Pearson Education, 2010.

References Textbooks
1. R. G. Dromey, "How to Solve It By Computer", Pearson, 1982
2. A.R. Bradley, "Programming for Engineers", Springer, 2011.
3. Kernighan and Ritchie, "The C Programming Language", (2nd ed.) Prentice-Hall, 1988.

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