NATIONAL INSTITUTE OF TECHNOLOGY, HAMIRPUR (HP) Admission To Ph.D. ,M. Tech.,M.Arch.

and MBA Programs ACADEMIC SESSION (2010-2011)

Applications are invited for the following Programs:1. Ph.D. Programs (i) Civil Engg. (ii) Electrical Engg. (iii) Mechanical Engg.(iv) Computer Sc. & Engg. (v) Physics (vi) Chemistry (vii) Mathematics (viii) Centre for Material Science& Engg., (ix) Centre for Energy and Environment, (x) Architecture. 2. M.Tech., M.Arch. and MBA Programs (i) Civil Engg. (ii) Electrical Engg. (iii) Mechanical Engg. (iv) Electronics & Commn. Engg.(v) Computer Sc. & Engg. (vi) Arch., (vii) Centre for Material Science & Engg., (viii) Centre for Energy and Environment, (ix) MBA (Self Financing). The filled in application form should reach in the office of Dean (Academic) NIT, Hamirpur on or before 06/05/2010 (Thursday) upto 5.30 PM. The forms may be downloaded from our institute website: http://www.nith.ac.in. Director

NATIONAL INSTITUTE OF TECHNOLOGY, HAMIRPUR (HP)-177005 (An Institute of National Importance) Established under NIT act 2007
1.

Introduction

Applications are invited for admission to the PG programs for the academic session 20102011 as per the details given in section 2, 3, and 4, alongwith fee in the form of crossed Bank Draft/IPO for Rs.500/- drawn in favour of the Registrar, NIT, Hamirpur (HP)-177 005, payable at State Bank of India, NIT Hamirpur (Branch Code No.10367). Duly filled application should reach in the office of Dean (Academic), National Institute of Technology, Hamirpur (HP)177 005 by 06-05-2010 upto 5.30 PM. The application form may be downloaded from institute website http://www.nith.ac.in. Applications received late or found incomplete shall not be considered. The candidates should note that the Institute will not be responsible for postal delay or any irregularities in submitting the applications. In case, a candidate wants to apply for courses in more than one department, he/she is required to send separate applications for each course alongwith processing fee of Rs.500/- (Rupees Five Hundred only). For any additional information, the candidates are advised to contact the following officials:

1 2. 3.

A.R.(Academic) Chairman,SPGC,NIT,Hamirpur Dean(Academic),NIT,Hamirpur. Fax No.

01972-304072 01972-304730 01972-304524 01972-223834

2.
S. No.

M. Tech./Arch. Programs (Full Time) Table-1

Department Program(s) Qualifying Examination (BTech/BE/AMIE) Civil Engineering/Agriculture Engineering. Civil Engineering Open 9+1$ 10 Seats Available Reserved SC ST OBC 3 2 5 3 2 4+1$ SPN 5 5

A.

Civil Engineering

B.

Electrical Engineering

C.

Mechanical Engineering

Electrical Engineering /Electrical & Electronics Engineering. 2. Signal Processing & Electrical Engineering/Electrical & Control Electronics Engineering/ Electronics & Communication Engineering/Instrumentation & Control/Control & Instrumentation 3. Condition Monitoring, Electrical Engineering/Electrical & Control and Protection Electronics Engineering. of Electrical Apparatus. 1. Thermal Engineering Mechanical Engineering /Chemical (Computational Fluid Engineering. Dynamics and Heat

1. Water Resources Engineering 2. Geotechnical Engineering & Under Ground Structures 3. Infrastructure Design & Construction Engineering. 1. Power System

Civil Engineering/B.Arch.

10

10 10

3 3

2 2

5 4+1$

5 5

10

9+1$

D.

E.

Mechanical Engineering/Chemical Engg./Agriculture Engineering. Design Electronics/Electronics & Electronics & 1. VLSI & Communication Communication Automation Techniques Engineering/Computer Science. Engineering 2. Communication Electronics/Electronics & Systems & Networks. Communication. Computer Science & Computer Science & Engineering/IT Computer Science & Engineering or MCA. Engineering Centre Material Science Science for Material Engineering.

Transfer) 2. CAD-CAM

10 10

3 2+1$

2 2

5 5

5 5

10 10

3 3

2 1+1$

5 5

5 5

F.

G.

H.

& 1.B.E/B.Tech/AMIE(Material 9+1$ Science /Metallurgical /Mechanical/ Chemical/ ECE/ Electrical/CSE/ Ceramic Engg. or any appropriate discipline. 2.M.Sc.(Physics/AppliedPhysics/ Chemistry/ Applied Chemistry or any other Masters Degree in relevant subject. B.E/B.Tech/AMIE or M.Sc. or any 9+1$ Centre for Energy Technology. Energy & appropriate discipline related to Envioronment energy & Environment. 10 B.Arch./Planning/Engg.or Architecture. Arch. & Planning AIIA/AIME in appropriate discipline or Masters Degree in appropriate discipline. SC Scheduled Caste ST Scheduled Tribe OBC Other Backward Class

($ On the basis of 3% seats reservation for Physically Handicapped Candidates in respective category. Number of seats in various programs may vary as per the directions of MHRD) In case of non availability of Physically Handicapped candidates, the seats will be filled up from the respective category. *OBC candidates will have to satisfy the caste and creamy layer requirements detailed on the following National Commission for Backward Classes (ncbc) websites: (a) http://ncbc.nic.in/backward-classes/index.html (b) http://ncbc.nic.in/html/creamylayer.html

SPN Sponsored

Very Important Note:

OBC Caste belonging to Central List is to be considered vide MHRD, GOI OM No.: 1-1/2005U.1.A/847 dated 20th April, 2008 Para VIII, Page 2.(refer extracts from the document below)

During verification at any stage if any of the category certificate(s) produced is found to be false/fabricated, the admission of such candidate should be cancelled forthwith without assigning any further reasons and without prejudice to such further action as may be taken under the provisions of the Indian Penal Code for production of false certificate. Refer letter no.:

2.1

Eligibility for M. Tech./M. Arch. Programs

The applicant must have a Bachelor degree in Technology/Engineering/AMIE in appropriate discipline or a Master degree in appropriate discipline for M.Tech. and Bachelor degree in Architecture/Planning/Engineering or AMIE in appropriate discipline or a Master degree in appropriate discipline for M. Arch. with CGPI of 6.75 on 10-point scale or equivalent or 60% marks in aggregate wherever marks are awarded. 2.2 Admission Procedure

a) The admission to M.Tech./M. Arch. programs will be based on the valid GATE score of the qualified candidates in appropriate discipline/branch. The performance of candidates appeared for GATE in 2010 shall be evaluated on the basis of letter no. DIR/IITG/28/GATE/2010/1411 dated 22-03-2010. In the event of seats remaining vacant, nonGATE candidates may also be considered who shall be ranked according to their performance in qualifying examination. b) Ties in GATE score shall be resolved on the basis of the marks obtained in the qualifying examinations. c) The candidates appearing in the final examination of their bachelor program in 2010 can also apply, and if selected can join the program provisionally. Such candidates shall submit the CGPI/marks obtained till date. The candidates who are awarded percentage scores shall submit the percentage of marks obtained for all the semesters/years for which the result is available. Admissions in all such cases will be made purely on provisional basis and the admission will be confirmed only when they submit the mark sheet and a certificate of having passed the bachelor degree/equivalent qualification with at least 60% marks or 6.75 CGPI (on ten point scale). They must submit proof of passing their final examinations with requisite marks by the last date of registration as per academic calendar of NIT Hamirpur. Nonfulfillment of this condition will automatically result in the cancellation of their provisional admission and their fee shall be forfeited.

d) The applications shall be scrutinized by the respective Departmental Selection Committee(DSC) of the Departments/Centre. The list of short listed candidates shall be displayed on Institute website on 17-05-2010, and no separate call letter will be issued. e) The counseling and admission of short listed candidate will be held on 25-06-2010 at 9.00 AM in the concerned department for which candidates are required to appear in person. f) On approval of the Chairman, Senate, the Head of the Department will issue the admission letters to the candidates, who will be required to accept the offer of admission by depositing the prescribed fee upto 01-07-2010. g) In case a candidate does not accept the offer by paying the prescribed fee by the specified date, the offer of admission may stand withdrawn and the admission may be offered to the candidates in the waiting list, if any, in the order of merit. h) The offer of admission may also stand withdrawn if the candidate who has accepted the offer and fails to register by the last date of registration. i) Sponsored Candidates: A candidate who fulfills above eligibility criteria and who is sponsored by his/her employer must have been in service of the sponsoring organization for at least two years at the time of admission. The sponsoring organization must specifically undertake to relieve him/her to pursue the program for its full duration. The applicant is required to produce the sponsorship certificate from his/her employer at the time of admission to the program. j) Admission in M.Tech./M.Arch. program shall be made only if there are at least 4 (Four) candidates. The candidates shall be required to produce the following documents in original as well as two copies thereof at the time of counseling/admission on 25.06.2010. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Matric Examination Certificate Character Certificate Qualifying Exam. Certificate Marks Sheets of Qualifying Exam. Caste Certificate (if applicable) No Objection Certificate from sponsoring organization (if any) Migration Certificate in original Gate Score Card Passport size photographs (4 Nos.) Candidate appearing for final examinations must also bring the following additional documents:

a) A Certificate in original from the Principal/Director of their Institute stating that by June 30,2010, the candidate will be appearing for final examination in all subjects required for obtaining their bachelor degree. b) A certificate from the Principal/Director certifying that the candidate has obtained an average of 60% marks or 6.75 CGPI (on ten point scale) based on latest available marks/grade. 5

3.

Ph. D. Programs

The following Ph. D. programs shall be offered: Name of Department/Centre Specializations i) Architecture Architecture* ii) Planning i) Water Resources Engineering Civil Engineering
ii) Geotech Engineering iii) Environmental Engineering iv) Geology/Rock Mechanics Engineering v) Structure Engineering vi) Transportation Engineering vii) Construction Management i) Power System ii) Power Electronics & Drives iii) Transformer Diagnostics iv) Control Engineering i) Design ii) Production/Industrial iii) Manufacturing i) Natural Language Processing ii) Information Security iii) Software Engineering iv) Mobile Computing i) Polymer materials ii) Nanomaterial Catalysis Mathematics Condensed matter Physics Energy/Energy Technology/ Energy efficiency/ Energy Efficient Arch. and Building Technology Functional Oxide Materials/ Polymer composites/ Nanomaterial and Nanostructure Materials/ Magnetic Multilayers/ Semiconductor Devices/ Nanocrystallization.

Electrical Engineering

Mechanical Engineering Computer Science & Engineering

Chemistry Mathematics Physics Energy and Environment Material Science and Engineering

* Collaborative guidance with other departments 3.1 Eligibility for Admission Ph.D. in Engineering The applicant must have a Master degree in Engineering/Technology with marks/CGPI not below 60 % or 6.75 on a 10 point scale. Applicant with a Bachelor degree in Engineering or Masters Degree in Applied Science or any appropriate discipline with a minimum of 75% marks / 8.0 CGPI with sufficient experience and publications can also apply. Ph.D. in Architecture The applicant must have a Bachelors degree in Architecture and Master degree in Architecture/Planning with marks/CGPI not below 60 % or 6.75 on a 10 point scale. Applicant with a Bachelor degree in Architecture or any appropriate discipline with a minimum of 75% marks / 8.0 CGPI with sufficient experience and publications can also apply. 6

Ph.D. in Applied Science The applicant must have a Master Degree in the relevant Science subject with marks/CGPI not below 60% or 6.75 on a 10 point scale. Applicant with Bachelor Degree in Engineering or in an allied field with a minimum of 75% marks/8.0 CGPI with sufficient experience and publications can also apply. 3.2 Admission Procedure a. The applicants shall apply for admission on the prescribed forms which can be downloaded from Institute website. The duly completed application must reach the office of Dean(Academic) latest by 06-05-2010(Thursday) upto 5.30PM. b. The applications shall be scrutinized by the respective DSC of the departments. The list of short listed candidates shall be displayed on Institute website on 17-05-2010 and no separate call letter will be issued. c. d. e. f. g. The short listed candidate will be required to appear in Person for written Test and/or Interview and/or presentation as decided by DSC on 24-06-2010 at 9.00 AM. On approval by the Chairman, Senate, the Head of the Department will issue the admission letters to the candidates, who will be required to accept the offer of admission by depositing the prescribed fee upto 01-07-2010. In case a candidate does not pay the prescribed fee by the specified date, the offer of admission may stand withdrawn and the admission may be offered to the candidates in the waiting list, if any, in order of merit. The selected candidates will have to register on or before the last registration date as specified in the academic calendar. The selected candidate, who has completed all the examinations including project/thesis examination and the viva voce before the date of registration but is unable to produce the certificate as proof of having passed and secured the minimum specified qualifying marks, may be considered for provisional admission. However, if admitted provisionally, they will be required to produce the evidence of their having passed the qualifying degree examination by the last date of registration, failing which the admission may be cancelled.

The candidates shall be required to produce the following documents in original as well as two copies thereof at the time of counseling/admission on 24-06-2010. 1. Matric Examination Certificate 2. Character Certificate 3. Qualifying Exam. Certificate 4. Marks Sheets of Qualifying Exam. 5. Caste Certificate (if applicable) 6. Migration Certificate in original 7. Passport size photographs (4 Nos.) 8. Candidate appearing for final examinations must bring the following additional documents: 7

a. A certificate in original from the Principal/Director of their Institute stating that by June 30,2010, the candidate will have appeared for examination in all subjects required for obtaining their bachelor degree. b. A certificate from the Principal/Director certifying that the candidate has obtained an average of 60% marks or 6.75 CGPI (on ten point scale) based on latest available marks/grades. 3.3 Admission of Indian Nationals Residing Abroad (INRA) and Foreign Nationals 1. INRA candidates must have been residing abroad continuously for at least one year at the time of applying for admission. Their applications may be processed by the DSC as and when they are received or according to any schedule convenient to the department. The applications should be scrutinized to make sure that, both in terms of qualifications and attainment; they are comparable with the candidates admitted in the general category. 2. The applications of foreign nationals, who are sponsored by the Indian Council of Cultural Relations (ICCR)/MHRD will be scrutinized by the department concerned to assess their suitability for admission to the program. The Departments Selection Committee recommendation shall be sent to the Chairman, Senate through the Chairman, SPGC. 3. The applications of non-sponsored foreign national candidates will also be considered for admission to the postgraduate programs. Such candidates who are in India and are seeking admission to the M.Tech. Program must satisfy the same GATE requirements (if eligible to take it) as the candidates in the general category. However, application of a candidate who is in India and has not been able to take GATE for valid reason will be considered by the DSC concerned on its merit. Admission of such candidates will be subject to no-objection from the Department of Education, Ministry of Human Resource Development/ICCR etc. 3.4 Admission of Sponsored Candidates 1. A candidate who is sponsored by his/her employer and also meets the additional conditions specified in sub clause 2 (below) may be admitted if found suitable by the Departmental Selection Committee appointed. 2. A sponsored candidate must have been in service of the sponsoring organization for at least two years at the time of admission. The sponsoring organization must specifically undertake to relieve him/her to pursue the program for its full duration. Such candidates are required to submit No Objection Certificate(NOC) from their employer/organization stating that: a. His/her official duties permit him/her to devote sufficient time for Research. Candidates willing to register as part time candidate will have to reside in the institute for a period of not less than one year during his/her registration for the degree. However, this condition can be relaxed for candidate working at Hamirpur or around Hamirpur within a radius of 50 KM. 3.5 1. Admission to Off Campus Program for Ph.D. A candidate working in an R&D establishment or in other institution / organization, which is equipped with the necessary research and library facilities, may be considered for admission to the Ph.D. programs in Engineering and Applied Sciences. Such a 8

2.

candidate must be sponsored by his/her employer and must have been in employment with the sponsoring organization for at least 2 years at the time of admission. The employer must explicitly undertake to relieve him/her to stay on the campus to enable the candidate to complete the Course work, Comprehensive Examination and State of the Art seminar as per the requirement of PG Manual. However for such candidates the minimum residency requirement to stay on campus could be waved off by the Senate. A candidate applying for admission to the off campus registration program must provide detailed information about the research facilities available at his/her organization and a certificate that these would be available to him/her for carrying out research. He/she may have a supervisor from his/her organization, if required. In such case he / she should provide the bio-data of the prospective supervisor from his / her organization. Admission to Master of Business Administration (MBA-Self Financed Program) Program Qualifying Examination Seats Available

4.

Open SC ST OBC Master of Business BTech/BE/BArch/MCA 15 5 2 8* Administration (MBA-Self Financed) * The seats may be filled by open mode if suitable/eligible candidates are not available 4.1 Eligibility for Admission

The applicant must have a Bachelor degree in Engineering/Technology/Architecture or MCA with CGPI of 6.75 on 10 point scale or equivalent or 60% marks in aggregate wherever marks are awarded. 4.2 Admission Procedure a. The applicants shall apply for admission on the prescribed forms which can be downloaded from Institute website. The duly completed application must reach the office of Dean(Academic) latest by 06-05-2010(Thursday) upto 5.30PM. b. The applications shall be scrutinized as per eligibility criteria. The list of short listed candidates shall be displayed on Institute website on 17-052010 and no separate call letter will be issued. c. The admission to MBA program shall be on the basis of merit of written test of eligible candidates on 23-05-2010 at 9.00 AM. d. The short listed candidate will be required to appear in person for Interview/Group discussion on 07-06-2010 at 9.00 AM. e. On approval by the Chairman Senate, the Head/Coordinator of the Department will issue the admission letters to the selected candidates, who will be required to accept the offer of admission by depositing the prescribed fee by 25-06-2010.

f. g. h.

In case a candidate does not pay the prescribed fee by the specified date, the offer of admission may stand withdrawn and the admission may be offered to the candidates in the waiting list, if any, in order of merit. The selected candidates will have to register on or before the last registration date as specified in the academic calendar. The candidates appearing for final examinations of their Bachelor/Master program in 2010 and whose result is still awaited, can also supply, and if selected can join the program provisionally. Such candidates shall submit the CGPI/marks obtained till date. The candidates who are awarded percentage scores shall submit the percentages of marks obtained for all the semesters/years for which the result is available. Admissions in all such cases will be made purely on provisional basis and the admission will be confirmed only when they submit the mark sheet and a certificate of having passed the bachelor degree/equivalent qualification with at least 60% marks or 6.75 CGPI (on ten point scale). They must submit proof of passing their final examinations with requisite marks by the last date of registration as per academic calendar of NIT Hamirpur. Non fulfillment of this condition will automatically result in the cancellation of the provisional admission and their fee shall be forfeited.

The candidates shall be required to produce the following documents in original as well as two copies thereof at the time of counseling/admission/interview/group discussion on 07-06-2010. 1. Matric Examination Certificate 2. Character Certificate. 3. Qualifying Exam. Certificate 4. Marks Sheets of Qualifying Exam. 5. Caste Certificate (if applicable) 6. Migration Certificate in original 7. Passport size photographs (4 Nos.) 8. Candidate appearing for final examinations must bring the following additional documents: a. A certificate in original from the Principal/Director of their Institute stating that by 3006-2010, the candidate will have appeared for examination in all subjects required for obtaining their bachelor degree. b. A certificate from the Principal/Director certifying that the candidate has obtained an average of 60% marks or 6.75 CGPI (on ten point scale) based on latest available marks/grades. 5. On the recommendation of the DPGC, and SPGC, Chairman Senate may approve the admission. All the Students/Research Scholars once admitted to various Masters and Ph.D. programs shall be governed by the PG Manual of this Institute.

6.
Sr.No. 1. 2 3

Schedule
Events Application form will be available on the Institute Website Last date for receiving the complete application form in the office of the Dean (Academic), NIT, Hamirpur (HP)177005 Displaying the list of Short listed candidates by the concerned Head of Date 08-04-2010 06-05-2010 (5.30 PM) 17-05-2010

10

4 5. 6. 7. 8.

23-05-2010 (9.00AM) The result of written test shall be displayed on the Institute website 01-06-2010 M.Tech. Counseling and admission. 25-06-2010 (9.00 AM) MBA Counselling/interview/group discussion & admission. 07-06-2010 (9.00 AM) Written Test and /or Interview and/or presentation (as decided by DSC) of 24-06-2010 short listed Ph.D. applicants and admission (9.00 AM)

Department on the Institute website MBA Entrance Test

7.

Fee Structure:
The selected candidate has to deposit the semester fee as per following details:

S. No. 1.

Program

M. Tech./Arch. (Full The security Time) deposit of Rs. 14900/ to be 2. M. Tech./ Arch 35250*+14900# 31650+2400** deposited by all (Sponsored) hostellers in 3. Ph. D (Full Time) 22750*+14900# 19150+2400** respective hostels 4. Ph. D (Off 11050 Campus/Part Time) 5. MBA (Self 62950*+14900# 59350+2400** Financing) * Inclusive of room rent @ Rs. 3600/ on single occupancy. The room rent shall be @ Rs. 2400 if the inmates are sharing the room. Chief Warden (Hostels) to notify the occupancy of the inmates for payment of room rent. # Security deposit to be paid to the Warden of respective hostel. ** Seat rent to be paid by the day scholar as per NIT Statutes (point no. 38)

Fee structure (Rs) Hosteller Day scholar 35250*+14900# 31650+2400**

Remarks

8.

Financial Assistance

The Institute may provide financial assistance to postgraduate students in the form of teaching or research assistantships (referred to as Institute Assistantship). Assistantships are awarded on a semester to semester basis for a period of up to four semesters for M.Tech. students(with valid GATE Score) and up to Eight semesters for Ph.D. regular students. The stipend for the assistantship is paid at the approved rates as notified by AICTE/MHRD from time to time. A student is expected to devote about eight hours per week towards job(s) assigned to him/her by the department.

Director, NIT, Hamirpur(HP)

11

GATE SCORE________YEAR______ Last date for receipt of Application form is--------------

Registration No.. (To be filled by Institute)

NATIONAL INSTITUTE OF TECHNOLOGY, HAMIRPUR (HP)-177005

APPLICATION FORM FOR M. Tech./M. Arch. /Ph. D. PROGRAM ACADEMIC SESSION 2010-2011(JULY, 2010)

Name of Department seeking admission: Use separate application for each department)

Name of Department

Name of the Programme

(In order of preference)

Affix a passport size photograph duly attested

1.

Name of Applicant (In capital as in High School Certificate)

2.

Name of Father /Guardian

3.

Address for Correspondence:

4.

Permanent Address:

Pin Code:

Telephone No with STD Mobile No.

12

5. 6. 7 8.

Date of Birth (DD/MM/YYYY) Nationality: Nature of Ph.D. program: Full Time/Part-Time/Off Campus

Details of category under which admission to Ph.D. program is being sought: (Please tick mark () in appropriate box, as applicable) (a) (b) Sex Category Open Physically handicapped (c) Are you sponsored candidate YES NO Male SC Female ST OBC

Details of Post held:_________________________________________________ Work Experience: _____________Years:______________Months:____________ 9. Details of Qualifying Examination: Subject Division with % University/Institute of Marks/CGPI Year of Passing

Examination/degree passed

10.

Research/Industrial experience: Sr. No. Name of Institute/Organization From Period To Designation

13

1. 2. 3. 4. 5. 6. 7. 8.

LIST OF CERTIFICATES TO BE ENCLOSED: Matric Examination Certificate Character Certificate. Qualifying Exam. Certificate Marks List of Qualifying Exam Caste Certificate (if applicable) No Objection Certificate from sponsoring organization (if any) Migration Certificate in original Gate Score Card

Declaration by the applicant: Ideclare that all the particulars stated above are true to the best of my knowledge and belief. I promise to abide by the rules, regulations and discipline of the Institution if I am admitted. I understand that my admission shall be cancelled at any stage if it is found that I made wrong declarations or concealed facts. I also agree that any dispute arising out of my admission shall be subject to jurisdiction of the Courts of Hamirpur/Shimla. I also undertake to be responsible for a good conduct and discipline in the Institution.

Place: Date:

Signature of Applicant NAME _____________

14

CERTIFICATE FROM THE HEAD OF THE SPONSORING ORGANIZATION (Applicable for Sponsored Candidates seeking registration in Ph.D. program) Shri/Ms_____________________________________________________who is

serving as_________________________________in this Industry/Organization/Institute, is hereby sponsored for Ph.D. (Full Time / Part-time/ Off Campus) program in (Name of the Branch/Deptt.)____________________________________ for the academic session 20102011. In case of his/her selection for the course he/she will be relieved for the complete duration of course. Date: Signature______________________ Name_________________________ Designation____________________ Seal Office________________________

15

NATIONAL INSTITUTE OF TECHNOLOGY, HAMIRPUR (HP)-177005

APPLICATION FORM FOR MBA PROGRAM ACADEMIC SESSION 2010-2011(JULY, 2010)

Master of Business Administration

Affix a passport size photograph duly attested

1. Name of Applicant (In capital as in High School Certificate)

2.

Name of Father /Guardian

3.

Address for Correspondence:

4.

Permanent Address:

Pin Code:

Telephone No with STD Mobile No.

5. 6. 7.

Date of Birth (DD/MM/YYYY) Nationality: Details of category under which admission to Ph.D. program is being sought: (Please tick mark () in appropriate box, as applicable)

16

(a) (b) (c) 8.

Sex Category Open

Male SC

Female ST NO OBC

Are you sponsored candidate YES

Details of Qualifying Examination:Subject Division with % University/Institute of Marks/CGPI Year of Passing

Examination/degree passed

9.

Research/Industrial experience Sr. No. Name of Institute/Organization From Period To Designation

1. 2. 3. 4. 5. 6. 7. 8.

LIST OF CERTIFICATE TO BE ENCLOSED: Matric Examination Certificate Character Certificate. Qualifying Exam. Certificate Marks List of Qualifying Exam Caste Certificate (if applicable) No Objection Certificate from sponsoring organization (if any) Migration Certificate in original Gate Score Card Declaration by the applicant: Ideclare that all the particulars stated above are true to the best of my knowledge and belief. I promise to abide by the rules, regulations and discipline of the Institution if I am admitted. I understand that my admission shall be cancelled at any stage if it is found that I made wrong declarations or concealed facts. I also agree that any dispute arising out of my admission shall be subject to jurisdiction of the Courts of Hamirpur/Shimla. I also undertake to be responsible for a good conduct and discipline in the Institution.

Place: Date:

Signature of Applicant NAME _____________

17

CERTIFICATE FROM THE HEAD OF THE SPONSORING ORGANIZATION (Applicable for Sponsored Candidates seeking registration in M.Tech./M.Arch./MBA program) Shri/Ms_____________________________________________________who is

serving as_________________________________in this Industry/Organization/Institute, is hereby sponsored for M.Tech./M.Arch./MBA (Full Time / Part-time) program in (Name of the Branch/Deptt.)____________________________________ for the academic session 20102011. In case of his/her selection for the course he/she will be relieved for the complete duration of course.

Date:

Signature______________________ Name_________________________ Designation____________________

Seal

Office________________________

18