APPLICATION FORM FOR ADMISSION TO PG PROGRAMMES FOR THE ACADEMIC YEAR 2020-21

Fee Details Photo

Amount Paid
Recent Passport Size
Payment Date color photo
SBI I-Collect Reference Number
Name of the Courses applied for admission in the order of choice of preference:
Sl.No. Name of the Course
Preference 1
Preference 2
Preference 3
Applicant’s Information:
1 Candidate’s Name (as per SSC)
2 Father’s/Spouse’s Name
(as per SSC)
3 Mother’s Name 4 Gender
5 Date of Birth (as per SSC) 6 Nationality
7 E-mail address 8 Religion
9 Category (Gen/EWS/OBC- 10 PwD Category
NCL/SC/ST)
11 Mobile Number 12 Aadhar Card Number
Address
Address for Communication Town/City/District
13 State/Union Territory
Pin Code
Address
Town/City/District
14 Permanent Address
State/Union Territory
Pin Code
Academic Qualifications (Matriculation onwards): Write aggregate % of marks/CGPA of qualifying degree
Name of the Exam % of Marks/CGPA Year of Passing Board/University
10th (Secondary)
15
12th (Higher Secondary)
B.Arch./B.Plan
Any Other
GATE Information: (Only GATE Scores of 2018, 2019, 2020 are valid)
16 GATE Exam Paper Subject and Code Score All India Rank Year of Passing

Extra Curricular Activities (If any):

Name of the Activity National/State/District Type of Activity Prize won
17

Work Experience:
Name of the Organization Nature of Responsibility From Date To Date
18

Give the Reference of One Eminent Person (not related to you) who is familiar with your academic background and work.
19 Name Designation Address E-mail Phone No.

DECLARATION
I declare that to the best of my knowledge, the information furnished above is correct. If selected for admission, I agree to abide by
the rules and regulations of the School. I fulfill the eligibility requirements and if at any time the information provided by me is found
to be incorrect, my admission may be cancelled.

Signature of the Candidate

Place : ……………………………
Date : ………/………./……...