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Mtech Appform

This document is an application form for admission to the M.Tech program under category B seats for the 2013-2014 academic year. It requests information such as the applicant's name, father's name, date of birth, category, GATE/PGECET rank, gender, nationality, address, education details, declaration of truth of information, and signatures of applicant and parent/guardian. The form is to be submitted to the Swami Ramananda Tirtha Institute of Science and Technology located in Nalgonda, Telangana, India.

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0% found this document useful (0 votes)
61 views1 page

Mtech Appform

This document is an application form for admission to the M.Tech program under category B seats for the 2013-2014 academic year. It requests information such as the applicant's name, father's name, date of birth, category, GATE/PGECET rank, gender, nationality, address, education details, declaration of truth of information, and signatures of applicant and parent/guardian. The form is to be submitted to the Swami Ramananda Tirtha Institute of Science and Technology located in Nalgonda, Telangana, India.

Uploaded by

krishna123kanth
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Application for admission into the M.

Tech Course under category B seats


for the academic year 2013-14

Name of the branch in which admission is sought:______________________________________________


Date of payment
Amount in Rs
Cash Receipt No. /DD No.
Name of the Bank



Name of the Applicant _____________________________________________________________
(In block letters as per SSC)

Fathers Name _____________________________________________________________

Date of Birth (dd-mm-yyyy) _______________________ Category OC / SC / ST / BC (A /B /C /D /E)
(As per SSC)

GATE / PGECET -2013 Rank ______________ H.T.No. ___________________ Gender: Male / Female

Nationality __________________Religion____________ State ___________________

Address for Correspondence _____________________________________________________________
(with Pin Code)
_____________________________________________________________


Mandal /Town _________________________________Dist_________________________

State _________________________________ Pin code_____________________

Telephone (with STD code) ___________________________ Cell phone _________________________

Email Address _____________________________________________________________

Examination Year of
Passing
Institution Attended Board/ Univ. Marks
Obtained
% of
Marks
Class/
Grade
SSC / CBSE
Inter/10+2
Degree

DECLARATION

We declare that all the particulars given above are true to the best of our knowledge. We understand that any
particulars given in the application, if found incorrect on scrutiny, will render the application liable to be rejected
and admission granted on the basis of such incorrect information will stand cancelled.

_______________________ ________________________________
(Signature of the Applicant) (Signature of the Father/Mother/Guardian)

________________________ _______________________
(Name in block letters) (Name in block letters)

Affix Latest Passport
size photo
SWAMI RAMANANDA TIRTHA INSTITUTE OF SCIENCE AND TECHNOLOGY
Ramananda Nagar, Post: S.L.B.C., Nalgonda 508 004.
Approved by AICTE, New Delhi, Affiliated to J.N.T. University, Hyderabad
Ph:- 08682 221610 Fax:- 08682-221637 Mobile:9642471444
E-Mail:[email protected] Website: www.srtist.ac.in

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