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INDIAN INSTITUTE OF INFORMATION TECHNOLOGY
DESIGN AND MANUFACTURING, KURNOOL
Jagannathakattu, Dinnedevarapadu, Kurnool-518002,Andhrapradesh, India
Ph : +91 08518 289100 Fax: +91 08518 289127
APPLICATION FORMAT
Name of the
Applicant
1 (Capital
Letters only)
2 Father's Name
3 Date of Birth
Social Category
4 (Please Strike off whichever is General/OBC/SC/ST PWD:YES/NO
not applicable)
Address for
Correspondence
5
UG
PG
Ph.D
7 Teaching Experience
Number of SCI/SCOPUS publications (in Journals)
8
(Attach first page of each paper separately)
9 Indicate whether GATE/NET qualified Yes / No
Note: Hard copy of above application along with Original certificates and one set of self-attested Proof(s) must be
brought along with when attending the Interview.
I hereby declare that all the information given above is true and correct to the best of my knowledge.