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Ordnance Factory Estate, Yeddumailaram 502205

Indian Institute of Technology Hyderabad

Application for Admission to PhD. Program in the Department of Electrical Engineering


Please tick or circle only the relevant item.

1. Name of the Applicant: __________________________________ 2. Date of Birth (DD/MM/YY) ___________ 3. Nationality: Indian / Others (specify) _______________ 4. (a) Gender: Male/Female (b) Marital Status: Single/Married

Affix your recent passport size color photograph

5. Fathers Name: ________________________________________ 6. Address for Communication: _______________________________________________

______________________________________________________________________ City: _____________________State: ___________________________ PIN: ________ Mobile No: _______________ 7. Category: General/SC/ST/OBC 8. Physically Handicapped : No/Yes 9. Area of Specialization (please choose any one from the following): A B. C D 10. Educational Background
cC

Email:

S.No.

Degree (Bachelors onward)

Subject

College/ Institute/ University

Year

Marks (% or CGPA)

11. Academic Performance


UGC-NET/CSIR/Gate Name of Examination Year

12. Number of Research papers published: ______ in Journals

_____ in Conferences

(Attach a list of published papers to the application. Please bring copies of the above papers at the time of interview)

13. Awards and Recognitions Award Name of Organization giving the Award/Recognition

Date Reasons

(Please bring copies of the certificates supporting the receipt of the above award at the time of written test) DECLARATION I have carefully read the instructions and particulars supplied to me. I declare that the entries made in this application form are true to the best of my knowledge and belief.

Signature of Applicant Place: ______________________ Date: ___________________

Instructions for the Applicants


1. Please ensure that the following items are enclosed:

(a) Copy of Date of Birth Certificate or High School Certificate with Date of Birth on it (b) Copies of all marks sheets/grade cards in the preceding degree programs (c) Copies of all preceding degree certificates (d) Copy of NET/CSIR/Gate Certificate 2. In case you are offered admission, you should provide the following in ORIGINAL: (a) Date of Birth Certificate or High School Certificate with Date of Birth on it (b) All marks sheets/grade cards in the preceding degree programs (c) All preceding degree certificates (d) NET/CSIR/ Certificate (e) Community Certificate for candidates of SC, ST and OBC categories (f) Doctors Certificate for candidates with Physical Disabilities

3. Applicants are requested to pay Rs. (Rs. for SC/ST/PD) towards processing charge through bank challan. The challan should be in favour of "Registrar, IIT Hyderabad" payable at Hyderabad. The bank challan form can be downloaded from the following link 4. Deadline for receipt of Application is

5. The filled application should be mailed as email attachment and as hard copy: Faculty-in-Charge Departmentof Electrical Engineering Indian Institute of Technology Hyderabad, Ordnance Factory Estate, Yeddumailaram, Andhra Pradesh 502205. Note: 1. The envelope should be clearly labeled "PhD. Admission Electrical Engineering Department in bold letters 2. A written test will be conducted on