Application Form for Admission to M.Sc Programme for Academic Year 2018-19
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National Institute of Technology Meghalaya
Academic Year 2018-2019
Payment Reference No. *
Date of Payment *
MM
/
DD
/
YYYY
Department/Centre to which M.Sc admission is sought: *
Name of Candidate (in block letters): *
Father's name/ Mother's name : *
Permanent address(in full) : *
Present Postal Address : *
Phone(Landline):
Phone(Mobile): *
E-mail Id *
Date of Birth : *
MM
/
DD
/
YYYY
Category(Please choose as applicable) : *
Person with disability *
Gender : *
Educational qualification UG to class X :
1. Name of examination *
UG (e.g. B.Sc. in Physic Honors etc.)
Year of passing *
Board/University *
Marks%/CGPA(of honors/Major Subjects) *
Marks%/CGPA given upto which year/sem? *
Division/Class (Based on board/university criteria) *
Subject(s)/Specialization *
2. Class XII
Year *
Board/University *
Marks%/CGPA *
Division/Class *
Subject(s)/Specialization *
3. Class X
Year *
Board/University *
Marks%/CGPA *
Division/Class *
Subject(s)/Specialization *
Scholarship/Fellowship awarded for study (if any) :
If qualified in JAM/any other, Please specify:
1. Test/Exams
Score
All India Rank
Year
2. Test/Exams
Score
Year
Hostel accommodation required (if admitted): *
Preferred Entrance Examination Centre *
Declaration:
I certify that the information given above are correct/true to the best of my knowledge.If anything proves to be incorrect my admission may be cancelled.If admitted I shall abide by the institute rules and regulations.
Date:
MM
/
DD
/
YYYY
Place:
Submit
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