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    School of Engineering Admission Form For P.G. Program Session: 2012 - 2013

    Uploaded by

    Raghu Raman
    This document is an application form for admission to a postgraduate program at the Shiv Nadar University. It requests personal details such as name, date of birth, contact information, as well as academic details including degrees earned, grades, work experience, publications, and a 400-word statement of purpose. The applicant must attach copies of documents, references, and a demand draft for Rs. 1000 as the application fee. The completed form must be submitted by May 15, 2012 for admission in the July semester.

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    School of Engineering Admission Form For P.G. Program Session: 2012 - 2013

    Uploaded by

    Raghu Raman
    92 views5 pages
    This document is an application form for admission to a postgraduate program at the Shiv Nadar University. It requests personal details such as name, date of birth, contact information, as well as academic details including degrees earned, grades, work experience, publications, and a 400-word statement of purpose. The applicant must attach copies of documents, references, and a demand draft for Rs. 1000 as the application fee. The completed form must be submitted by May 15, 2012 for admission in the July semester.

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    Master s Form

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    This document is an application form for admission to a postgraduate program at the Shiv Nadar University. It requests personal details such as name, date of birth, contact information, as well as academic details including degrees earned, grades, work experience, publications, and a 400-word statement of purpose. The applicant must attach copies of documents, references, and a demand draft for Rs. 1000 as the application fee. The completed form must be submitted by May 15, 2012 for admission in the July semester.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    92 views5 pages

    School of Engineering Admission Form For P.G. Program Session: 2012 - 2013

    Uploaded by

    Raghu Raman
    This document is an application form for admission to a postgraduate program at the Shiv Nadar University. It requests personal details such as name, date of birth, contact information, as well as academic details including degrees earned, grades, work experience, publications, and a 400-word statement of purpose. The applicant must attach copies of documents, references, and a demand draft for Rs. 1000 as the application fee. The completed form must be submitted by May 15, 2012 for admission in the July semester.

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    Application No .......................

    (for official use only)

    Affix your photo here

    The Shiv Nadar University has been established under U.P.Act No 12 of 2011

    School of Engineering Admission Form for P.G. Program Session: 2012 2013
    Instructions for filling the form Download the form, take a print, fill the form in English using CAPITAL LETTERS and post it Please use only a Black or Blue pen Do not fold form Attach extra sheet, if required

    Name Date of Birth Place of Birth Marital Status Father/Spouse Name Address for Correspondence (DD/MM/YYYY) Gender Nationality Male Female

    Village Pin Phone with STD code State Mobile

    City Country Email

    Areas of specialization applied for in the Department/Program Pref. 1 Pref. 2

    Details of Demand Draft


    a) Amount Rs b) Issued by (Bank Name & Branch) No. Date

    Academic Record/Work Experience


    A. GATE, CSIR, UGC, other fellowship exam details
    Exam Name Exam discipline GATE Score/CSIR/UGC Rank Exam Year

    B. Qualifying Degree already obtained or in progress


    Degree Institute/ College (Name & Address) University (Name & Address) Major Final results expected by Pass Marks % or Grade Average

    C. Other Degrees obtained


    Degree Institute/ College (Name & Address) University/Board (Name & Address) Major Marks or CPI Passing Year

    D. Working Experience
    Dates (from-to) Employer Position Nature of Work

    E. Number of Technical Papers:


    Provide details separately

    F. Other academic achievements

    G. Statement of Purpose ( 400 words ) optional *


    Objective : To assess applicants motivation to pursue a particular field of study and is a self-assessment of his / her capabilities for completing the program successfully.

    Please attach one/two sealed academic references with the application form
    Names & addresses of the referees: 1. 2.

    Declaration
    I hereby declare that all the particulars in this form are true to the best of my knowledge and belief. I have read and understood all provisions of admissions and agree to abide by them. I also affirm that I fulfill the eligibility requirements for the course applied for. In the event of submission of fraudulent, incorrect or untrue information or suppression or distortion of any fact like educational qualification, marks, nationality etc., I understand that my admission/degree is liable for cancellation. I further understand that my admission is purely provisional subject to verification of eligibility conditions.

    Date

    Signature of Parent/ Guardian

    Signature of Applicant

    CHECKLIST: SEND ONLY ATTESTED COPIES (NOT ORIGINALS).


    1. Date of Birth (DOB) Certificate or High School Certificate with DOB (Required for all candidates) 2. GATE/CSIR/UGC score card 3. Copies of qualifying degree/marks/grade sheets 4. Statement of purpose (maximum words 400) 5. The Demand draft for the application fee of Rs. 1000/- as applicable in the name of Shiv Nadar University, payable at Delhi

    The completed Application Form must reach on or before May 15,2012 for admission in July Semester to the mailing address:
    Shiv Nadar University Admissions Office A-5, Sector 24, Noida 201301 Uttar Pradesh, India Contact No - +919871471200

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