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This document is an application form for admission to the Master of Technology/Science Programme at the Defence Institute of Advanced Technology for July 2025. It requires personal information, educational background, professional experience, and additional qualifications from the applicant. The form also includes a declaration and sections for recommendations from a commanding officer and authorized signatory.

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Sadashiv Mathapati
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4 views

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This document is an application form for admission to the Master of Technology/Science Programme at the Defence Institute of Advanced Technology for July 2025. It requires personal information, educational background, professional experience, and additional qualifications from the applicant. The form also includes a declaration and sections for recommendations from a commanding officer and authorized signatory.

Uploaded by

Sadashiv Mathapati
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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Annexure C

DEFENCE INSTITUTE OF ADVANCED TECHNOLOGY


(Deemed to be University under section 3 of UGC Act 1956)
Girinagar, Pune – 411025 (INDIA)

APPLICATION FORM FOR ADMISSION TO


MASTER OF TECHNOLOGY/ SCIENCE PROGRAMME JULY- 2025
Name of M.Tech/ M.Sc Programme applied for: ______________________________

Specialization: __________________ ________________________________________________

1. Name : Photo

Date of Birth (DD/MM/YY) : Age :

Address for Communication: Permanent Address:

Pincode : Pin code :


Phone No : Mobile No :
E-Mail : ____ Fax No :

2. Type of Registration: Sponsored

3. Details of University / Institution Studied (SSC, HSC and above)


Average
Degree Discipline University/ College Year Class
Marks/CGPA
(a) . . . . . .

(b) . . . . . .

(c) . . . . . .

(d) . . . . . .

(e) . . . . . .

4. Additional Qualifying Examination (if any):

A NET/GATE/JAM Score:_______________ Valid up to :___________

B ________________________________________________________________

C ________________________________________________________________

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5. Professional Experience (Technology/ Research/ Industrial) if any :

Period
Name of Organization Designation Nature of Work
From To
. . . . .
. . . . .
. . . . .
. . . . .
. . . . .
. . . . .

6. Personal Information :
Father’s /
(a) : . (f) Marital Status : .
Husband’s Name
Father’s / Husband’s
(b) : . (g) Gender : Male/ Female
Occupation
Whether Physically challenged : Yes / No
(c) Mother’s Name : . (h)
(If yes, furnish the certificate to this effect)
(d) Place of Birth : . (i) Nationality :______________
(e) Mother Tongue : . (j) ABC ID _______________

7. Proposal title of research project work (Optional)

(Please attach a small write up next exceeding one page)

8. DECLARATION
I hereby declare that I have carefully read the eligibility criteria and other instructions and
particulars supplied to me and that the entries made in the application form are correct to the best of
my knowledge and belief and I fulfill the eligibility criteria. I understand that association (active or
passive) with any unlawful organization is forbidden. If selected for admission, I promise to abide by
the rules and discipline of the Institute.
I note that the decision of the Institute is final in regard to selection and assignment to a
particular department and field of study. The Institute shall have the right to expel me from the Institute
at any time after my admission, provided it is satisfied that I was admitted on false particulars furnished
by me or I don’t meet the prescribed eligibility criteria or my antecedents prove that my continuance in
the Institute is not desirable. I agree that I shall abide by the decision of the Institute, which shall be
final.
Place :
Date : Signature of Applicant

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9. List of enclosure
(f) D
(a) D
(g) D
(b) D
(h) D
(c) D
(i)
(d) D
(j) D
(e) D

10. Recommendation of the Commanding Officer of the Unit:

Signature of The Commanding Officer

11. Recommendation of the Head Quarter:

Authorised Signatory

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