M.Des. M.Des.

Admission Committee FORM

July - 2021 Indian Institute of Technology Hyderabad 01

Acceptance of Offer of Admission by the Candidate

Application No:

To
The Chairman Date: _______________
M.Des. Admission Committee
_________________________Department
IIT Hyderabad

Madam/Sir,
With reference to your offer letter / email dated ___________, I hereby accept your offer of
admission for 2-year (TA), M. Des. Program in the Department of ________________
Following are my details:
(Please strike out whichever is not applicable)
Name of the Candidate
(Block Letters, as per SSC)
Department
Specialization (If any)
Social Category
(GEN/OBC/SC/ST/PwD)
Address for
Communication
(with pin code)

Email ID: Phone No.:

The Qualifying examination on which present offer has been made is ___________________
CEED / Others (Pl. specify).
I enclose the following:
(i) Copy of qualifying examination certificate
(ii) Copy of Social Category certificate, if applicable.
(iii) Payment details of Seat Acceptance Fee (Rs.10,000/- for Gen/OBC/EWS & Rs.5000/-
for SC/ST/PWD) (Pl. attach payment proof)
Amount (Rs.) DU Reference No. Date Name of the Bank

(iv) Employment Particulars:

I am not employed.

I am currently employed at _____________________________________

(Pl. attach NoC / Relieving letter)
I shall be reporting (online/offline)* to the Institute on the day of Registration (as per IIT Hyderabad
website notification).
* Based on the prevailing conditions

Place: Signature of the candidate

 M.Des. M.Des.. Admission Committee FORM
July - 2021 Indian Institute of Technology Hyderabad 02

DECLARATION BY THE CANDIDATE

(If the candidate opts for upgradation of stream, this form should be sent along with
Acceptance Form (Form 01)

Name of Candidate
(Block Letters)
Application No
Department
Stream offered

Please tick any one of the options given below:

I do not wish to be considered for upgradation of the M Des stream allotted to me

I wish to be considered for upgradation from the existing stream _________________

to ___________________________stream, if vacancy arises. I understand that, once
upgraded, I cannot go back to the initial stream offered to me.

The department in which I am joining doesn’t have different streams. Hence, the option
of upgradation doesn’t arise.

Date: Signature of candidate

 M.Des. M.Des. Admission Committee FORM
July-2021 Indian Institute of Technology Hyderabad 03

DECLARATION BY PARENT / GUARDIAN

[to be submitted at the time of Admission]

Name of Candidate
(Block Letters)

M.Des. Application No.

To

The Chairman
M.Des. Admission Committee
IIT Hyderabad

Sir,

In the event of the applicant, my son / daughter / ward, being admitted to the M.Des. program at
Indian Institute of Technology Hyderabad, I undertake to pay regularly the amounts due from
him/her to the Institute towards tuition fee, mess charges, hostel seat rent, etc., within the
prescribed dates.

Place:

Date: Signature of Parent/Guardian*: …………………………

Name in Block Letters : ……………………………………………………………..

Profession : ………...………..………………………………………….

Address : ..……………………………………………………………
………………………………………………………..……..
….……………………………………….…………….........
………………………………………………….……..........

Pin Code

Office Residence Mobile

Phone No. with
STD Code

E-mail, if available

Note: *In the case of guardian, please give the relationship in brackets below the signature.
 M.Des. M.Des. Admission Committee FORM
July-2021 Indian Institute of Technology Hyderabad 04

DECLINING OFFER OF ADMISSION

Name of Candidate
(Block Letters)

Offer letter reference no.& date

Application No. Department

Reason for
Declining
(Please specify):

Address
(with pin code):

Mobile No.:

E-Mail ID:

Note: If the candidate desires to decline the offer s/he should send this filled-in form.
However, if IIT Hyderabad does not receive any communication on the acceptance / decline within
the given timeline, the candidature will stand cancelled.

Signature of the candidate

To
The Chairman
MDes Admission Committee
____________________________Department
IIT Hyderabad