Indian Institute of Polymer Science

(An Autonomous Body under Distance Education)

ADMISSION APPLICATION FORM 2023

Tick the correct options: M.Sc-PS (2023-25) PGDRT (2023-24) B.Sc-PS (2023-26)
B.Tech-PE (2023-25) B.Tech-PE (2023-26) M.Tech-PE (2023-25) DRT (2023-24)

Applicant’s Name : ………………………………………………

Father’s/Spouse Name : ………………………………………………. Self-Attested

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Date of Birth : ………………………………………………. Here

Nationality : ……………………………………………….

Marital Status : ……………………………………………….

Religion : ……………………………………………….

Mailing Address : ………………………………………………………………………

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Email: ……………………………………………… Mobile: …………………………………..

Phone (R): ……………………… Phone (O): ………………… Fax: ………………………..

Qualifications:

Degree College/University Subjects Year of Passing Marks%

Experience:

Have you ever studied at IIPS? If yes give details of Roll No./Batch/Course:
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Amount: ……………… Receipt/DD No.: …………………. Name of Bank: ………………...
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Installment details (if any)

FOR OFFICE USE ONLY:

ROLL NO.:

IDENTITY CARD SENT ON:

STUDY MATERIALS SENT ON:

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Why you have chosen IIPS and its professional programmes for your career?

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How did you hear about IIPS?

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EXAMINATION DETAILS AND MARKS OBTAINED (Office Use Only)

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Disclaimer AND Declaration:-

Indian Institute of Polymer Science (IIPS) is a non-government institution. IIPS is not affiliated
with any government agencies. IIPS’s courses/programmes are beneficial for working people
only. IIPS doesn’t recommend courses to the fresher. IIPS will not be responsible for any loss, if
any, occurs in future; if any fresher gets enrolled for IIPS’s courses. IIPS dispatches all
documents to the enrolled person through branded mode of transportation. IIPS also informs to
all enrolled person about the dispatched consignment through SMS/Email. IIPS will not be
responsible for any loss, if enrolled person doesn’t confirm the receipt within 3 days of delivery.
Though IIPS’s Study materials are authored and edited by the faculty members and has made all
effort to ensure that the contents do not contain any mistakes, omissions, inaccuracies,
typographical and other errors but IIPS assumes no responsibility if any such error is there in the
contents of the study materials. Also, IIPS reserves the right to change, modify, cancel the
data/venue/curriculum etc. of the course without assigning any reason.
I hereby declare that above said all information is true and correct and I have read the
disclaimer, IIPS’s Terms and Conditions (that after enrolment in any courses, the course fee will
not be returned back in case of any reason/cancellation of admission) and I accept it. I confirm
my admission request.

Place: Applicant’s Signature

Date:
 INDIAN INSTITUTE OF POLYMER SCIENCE 2023
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COURSES:-

1. DRT 12 Months
Eligibility: 12th passed with science or working experience in rubber industries for arts/commerce subject.
Course fee: ₹ 42000/-

2. PGDRT 12 Months
Eligibility: 12th/DRT passed
Course fee: ₹ 47000/-

3. B.Sc. Hons. in Polymer Science 36 Months

Eligibility: 12th passed with Physics, Chemistry and Mathematics
Course fee: ₹ 117000/- (Every year ₹ 39000/-)

4. M.Sc in Polymer Science 24 Months

Eligibility: B.Sc with Polymer Science/Chemistry or any Engineering subject
Course fee: ₹ 102000/- (Every year ₹ 51000/-)

5. B.Tech in Polymer Engineering 24 Months

Eligibility: One year diploma/PG diploma holder from CIPET/Polytechnic/IRI in Rubber/Plastic Technology
Course fee: ₹ 108000/- (Every year ₹ 54000/-)

6. B.Tech in Polymer Engineering 36 Months

Eligibility: 12th passed with Physics, Chemistry and Mathematics or any other certificate in Rubber/Plastic Technology
Course fee: ₹130500/- for 3 years (Every year ₹ 43500/-)

7. M.Tech in Polymer Engineering 24 Months

Eligibility: B.Tech/B.E/3-years CIPET Diploma in polymer technology.
Course fee: ₹ 122000/- (Every year ₹ 61000/-)

PAYMENTS:-
We accept payment by bank cash deposit or NEFT / IMPS (fund transfer). We also accept fee through our authorized
agent’s bank account / cash deposit.

CHECKLIST:-
 Duly filled application form.
 One self-attested passport size photograph of the student should be affixed at the space provided in the
application form and the same photo as an attachment additionally in jpeg format
 Payment receipt (may be presented later)
 Experience/appointment letter on company letterhead
 Last attended school/college certificate/marksheet

Please Note:
■ Use capital letters to fill up the application form.
■ Email/Mobile number is mandatory
■ Incomplete application unaccompanied by prescribed fee and other documents is rejected automatically
after 6 days. Once application is rejected, one cannot apply again in future.
■ All documents should be self attested
■ Postal charges shall be levied extra for Non-Indian mailing address
■ Study materials along with I-Card and Invoice shall be sent within 15 days after receiving your complete
application

EXAMINATION:-
Final examination is conducted through online/offline. A candidate shall be declared successful if he/she obtains a
minimum of 40% in each paper. One may re-appear in examination to get higher score.

GENERAL QUERY CONTACT:-

For all general queries please contact at +91 95317 39896 or by email: iipssiliguri@gmail.com only. After admission,
we provide another email ID and phone number to contact us smoothly.

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