Government of India

Department of Space
Indian Space Research Organisation
Indian Institute of Remote Sensing
Dehradun

NOMINATION FORM FOR CANDIDATES FROM GOVT.* ORGANIZATION /

INSTITUTE / UNIVERSITY APPLYING FOR M.TECH. COURSE
IN REMOTE SENSING & GIS

Certified that Mr./Ms./Dr. ______________________________________________ (please write

full name), presently working as _____________________________ (please write designation) is a
Permanent Employee of ___________________________________________________________
___________________________________________ (please write the name of Govt.* organization/
institute/university). He/She is nominated for attending the “M.Tech. course in Remote Sensing &
GIS” with Specialization in __________________________________________ to be conducted at
Indian Institute of Remote Sensing (IIRS), ISRO, Dehradun during July, 2019 to June, 2021.

(Signature & Seal of the Competent Authority*)

Date: _____________________
Place: ____________________
Name: _________________________________
Designation: ____________________________
Email: _________________________________
Telephone No.: __________________________

*This Nomination Form is applicable only for the candidate who is to be considered as Govt.-
sponsored candidate. Govt.-sponsored candidate means only the Permanent Employee nominated by
a Govt. organization (Central or State Government Ministries/Departments or Autonomous
Institutions and State or Central Govt.-funded Universities). The Nomination Form should be signed
by the Vice Chancellor/Registrar in case of University, and by any authorized officer in case of
Central/State Govt. Organisation.
Note: Scanned copy of duly filled and signed Nomination Form (pdf/jpg/jpeg/png file) should be
submitted/uploaded along with online application. Original needs to be submitted at the time of
admission.
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Indian Institute of Remote Sensing (IIRS), ISRO, Department of Space, Government of India,
4-Kalidas Road, Post Box No. 135, Dehradun-248 001, Uttarakhand, (India).
Tel: +91-135-2524105, 2524106, 2524107; Fax: +91-135-2741987, 2748041
E-mail: admissions@iirs.gov.in
Website: www.iirs.gov.in