Form : NITR/AC/201

National Institute of Technology

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Application Form for Admission to (M.Tech & M. Sc. Programmes)
1. Category of student : 1 M.Tech with Scholarship 2 M.Tech Self financed 3 M.Tech Sponsored
[Sponsored candidates must fill up Form NITR/AC/202]
4 M.Tech Slow pace 5 M.Sc Regular 6 M.Sc Slow pace

2. Choice of course : (See reverse for available options ; Enclose one copy of complete application
for each choice)
Choice Department Specialisation Course Code
1
2
3

3. Name of the candidate in full : ___________________________________________

4. Address of Correspondence : ___________________________________________
________________________________________________________________________
5. Phone : ________________________ 6. Email : _________________________________
7. Date of Birth in Christian era : ___________________ 5. Gender :  M F
8. Reservation Category :  General  SC  ST  OBC
9. Academic Career : (Examination passed)
Level Name of Branch of School/Colleg Board or Year of % of Marks Class
Examination Study e University Passing or CGPA Awarded
& City
10th std
+2
B.Sc (if
applicable
)
B.Tech /
M.Sc
If the results of the qualifying examination are not declared, please enclose a “Course Completion Certificate” from
Principal or Registrar of the College last attended stating that all examinations including practical necessary for award
of the degree have been completed. The results must be submitted before September 30, failing which the
admission will be cancelled.

8. GATE/NET Score (for M.Tech candidates only) :

GATE / Subject Score Percentile Year Valid till
NET

9. Bank Draft information : [Rs 300/- only irrespective of the number of choices (maximum 03)].
Issuing Bank : __________________________ City :______________ _______________
Draft No. ___________________ Date : ________________ Amount : _____________
10. Declaration: I certify that I shall accept admission to NIT Rourkela only if all my examinations for the qualifying
degree are completed before the date of admission. If for any reason, results of my qualifying degree are not
published or I fail to submit the results by September 30. I shall voluntarily withdraw from the Institute, and my
admission shall be cancelled.

____________________________________
Date : _____________ Full signature of the Applicant

P.T.O
 -2-

A. Category of Postgraduate Studentship

M.Tech with Scholarship 2. M.Tech Self financed
3. M.Tech Sponsored 4. M.Tech Slow pace
5. M.Sc Regular 6. M.Sc Slow pace
B. Postgraduate Courses offered by NIT Rourkela
M.TECH.
Department Course Specialisation Requisite Academic Qualification
Code
Biotechnology and BM1 Biomedical B.Tech in Biomedical / Mechanical / Electrical / Electronics /
Medical Engineering Engineering Chemical / Metallurgical / Instrumentation Engg. /
Biotechnology /Computer Science & Engg, M.Sc. Eletronics,
B.Pharm, MBBS with Mathematics in +2 level.
BM2 Biotechnology B.Tech in Biotechnology / Biomedical or Chemical Engg.,
B.Pharm or M.Sc in Biotechnology or Life Sciences with
Mathematics in +3 level
Civil Engineering CE1 Structural Engineering B.Tech. in Civil Engineering/Structural Engineering.
CE2 Geotechnical B.Tech. in Civil Engineering/Structural Engineering.
Engineering
CE3 Transportation B.Tech. in Civil Engineering
Engineering
Chemical CH1 Chemical Engineering B. Tech. in Chemical / Biochemical/ Biotechnology Engg.
Engineering
Ceramic Engineering CR1 Ceramic Engineering B.Tech in Ceramic / Metallurgy / Chemical / Mechanical Engg.
or M.Sc in Physics / Chemistry / Material Science
Computer Science & CS1 Computer Science B.Tech. in Computer Science & Engineering / Electronics /
Engineering Electrical Engg. / IT, MCA or M.Sc. in Computer Science with
GATE in Computer Science
CS2 Information Security B.Tech. in Computer Science & Engineering / Electronics /
Electrical Engg. / IT, MCA or M.Sc. in Computer Science with
GATE in Computer Science
Electronics & EC1 Telematics & Signal B. Tech. in Electronics / Electrical Engg. with GATE in EC
Communication Processing
Engg. EC2 VLSI Design & B. Tech. in Electronics or Electrical Engg. with GATE in EC
Embedded System
Electrical EE1 Electronics System & B.Tech.in Electronics / Electrical & Electronics/ Electronics &
Engineering Communication Communication / Electrical Engg. with GATE in EC
EE2 Power Control & B. Tech. in Electrical / Electronics Engg with GATE in EE
Drives
Mechanical ME1 Machine Design & B. Tech. in Mechanical / Automobile / Biomedical /
Engineering Analysis Aeronautical Engg.
ME2 Production B. Tech. in Mechanical / Production / Manufacturing / Industrial
Engineering / Metallurgy or Material / Polymer Engg
ME3 Thermal Engineering B. Tech. in Mechanical / Chemical / Biomedical / Automobile /
Aeronautical Engg
Metallurgical & MM1 Metallurgical & B.Tech. in Metallurgy / Met. and Mat. / Ceramic / Chemical /
Materials Materials Engineering Mechanical / Production / Manufacturing Engg. or M.Sc. in
Engineering Physics or Chemistry.
Mining Engg. MN1 Mining Engg. B.Tech. in Mining or in any other branch of Engineering or
M.Sc. in Geotechnology / Geophysics / Physics / Chemistry
with Mathematics in +3 level.
M.Sc.
Department Course Requisite Academic Qualification
Code
Chemistry CY1 B.Sc with Chemistry as a major subject ( Honours in Chemistry
preferred) and Mathematics at +2 level.
Mathematics MA1 B.Sc with Mathematics as a major subject ( Honours in Mathematics
preferred)
Physics PH1 B.Sc with Physics as a major subject ( Honours in Physics preferred)
and Mathematics at +2 level.
 Form : NITR/AC/202

National Institute of Technology

Rourkela
(To be filled up by employers sponsoring candidates for admission to M.Tech Program at NIT Rourkela)
1. Name of the Employing : __________________________________
Organsation
2. Type of Organisation : Central Government
State Government
Government Autonomous Organisation
Public Sector Enterprise
Major Private Sector Industry
Others (Please Specify) ____________________

3. Address of Administrative : __________________________________________

Officer/HR Manager __________________________________________
__________________________________________
Phone : __________________ Fax:____________________
Email : ___________________________________________
4. Name of the employee seeking
admission at NIT : __________________________________________
5. Designation in the employing : __________________________________________
Organisation.
6. a) First joined on (date) : __________________________________________

b) Holding the present : __________________________________________

Position since (date)
c) Nature of Job : __________________________________________
(R & D, Design, Production, Marketing, Administrative, Teaching,Other )
d) Brief description of job __________________________________________
Assignment for the next
Three years : __________________________________________
(Relevant assignment only)
__________________________________________

7. Reasons for sponsoring the : Need for expertise in relevant area

candidate to the M.Tech/
Ph.D.Programme Expected improvement of performance

Other (Please specify) :

8. The candidate is sponsored for :
Two years’ full time study at NIT
One year full time study at NIT followed by project work at our organization. Dr/Mr/Mrs
will serve as his/her second supervisor, if accepted by NIT. A copy of his bio data is enclosed.
Certified that Mr/Ms.___________________________________________ employed as ________________________ in this
organization is sponsored for admission to the M.Tech programme of NIT, Rourkela. He is employed in this organization for at
least two years in a regular cadre. During his studies at NIT, he/she will be on deputation from this organization. On completion
of the programme he/she will continue to be employed by our organization. He/she has signed an agreement with our
organization to serve at least two years after completion of the study programme. A copy of the agreement is enclosed.

We have noted that, if selected as a sponsored candidate, a student will not be eligible for admission in another programme of
the Institute for at least three years after completing the present programme. Sponsored candidates are not eligible for
scholarship or placement facility.
Encl : As above
__________________________
Signature of Applicant
____________________________
Signature of Competent Authority
Name, Designation