Pandit Deendayal Petroleum University

M.Tech Fellowship Application Form

(For New /Continuance of Fellowship)
To be filled by applicant

School :_________________________________ Academic Year :____________________________

Department /Programme :__________________ Semester : _________________________________

Date of Application:__________________________

Name of Students :_____________________________________________________________________

Roll No :________________________________ Email ID :__________________________________

Contact Phone No:________________________

For 1stSem Students : For 2nd& Other Sem. Students :
GATE Score :___________________ Semester : ________ SPI : ________ CPI : ________

Valid Upto :_____________________________

Work /Skill for Teaching Assistant Assignment (Min 8Hrs / Week ):

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

Signature of Applicant______________________________

:For Office Use Only :

Department / Centre /Office to which Teaching Assistant Job is Assigned :

_____________________________________________________________________________________

_____________________________________________________________________________________

Name of Faculty /Officer I/C

_______________________________________ __________________________________
Signature of Faculty /Officer I/C.

Approved By :

SoT Director____________________
Date :___________

Copy to Registrar / DG