Académique Documents
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15102761
A Passport Size
Photograph
should be
pasted in this
space
EC33065S2059
5. Gender :
Female
6. Nationality: Indian
8. Person with Different Ability:
7. Category : GEN
9. Qualifying Exam Passed:
Qualifying Degree :
No
No
B.Tech.
Likly to Clear:
No
Subject Name:
(A candidate will be required to complete and have passed/appeared the qualifying examination including
back paper(s) /supplementary(ies) examination by the date of registratrion)
No
Yes
No
Yes
Yes
ECD
EED
NTC
PHD
19. Codes of Academic Programme, Preference wise (As per Table-2 of Information Brochure-15)
Choices once given shall not be changed for any reason after submission of online application.
1
29
31
30
26
28
46
47
Page 1 of 2
20. Amount of Application Fee including Fee for Additional Deptts. Paid (Rs.400-700): Rs. 740.00
22. Complete Postal Address for Correspondence
J-50 NIT SRINAGAR
HAZRATBAL
SRINAGAR
JAMMU AND KASHMIR
Pin Code: 190006
Email: gourav.4871@gmail.com
Mobile No. 9596863133
Telephone No. 01923263115
Fax No.
Place...............................
Date
Enclosures:
1. IITR Copy of Challan
2. Xerox / Downloaded copy of GATE score card
3. Copy of Final year marks sheet/Pre final year marks sheet
4. Proof of Mathematics at 10+2 or higher level marks sheet (If applicable)
5. Copy of Persons with Disability (PD) certificate (If applicable)
6. SC/ST candidates should attached caste certificates from the competent authorities. Candidates belonging
to OBC category must submit Xeroxed copy of category certificate on GOI format.Certificate should have
been issued after 31.03.2014 by a competent authority.
7. Annexure 1 / 2 / 3 / 4 / 5 as applicable.
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