Documents to be Produced for verification:

Transcription

1 Indian Institute of Information Technology Design and Manufacturing Kancheepuram IIITDM Kancheepuram, Chennai Information for Admission to B.Tech and Dual Degree Programmes through DASA-2017 The candidates who got seat allotment under DASA-2017 process for admission into B.Tech/Dual Degree programme of IIITDM Kancheepuram, Chennai for the academic year are requested to report at IIITDM Kancheepuram between 21-July and 25-July for institute admission. Reporting for admission during the mentioned period is must, failing which the seat will be cancelled. Orientation and Academic session will commence on *. Hostel accommodation will be provided from *Note: Please follow the Institute website for any change in the date of commencement of academic session, which depends on JoSAA admissions Documents to be Produced for verification: Original Certificates to be produced by the candidate at the time of Admission Passport/Citizenship Card, PIO Card, OCI Card 1) For Indian Nationals (NRIs including CIWG) proof for 11th and 12th examination from abroad. 2) For CIWG Category 1. Passport of parent working in gulf 2. Visa of parent working in gulf 3. Letter from company of parent working in gulf 3) For candidates from Nepal-Authentication of citizenship card 4) Proof for DOB 5) 10th mark sheet / certificate 6) 11th mark sheet / certificate 7) 12th mark sheet / certificate 8) School certificate (as per the format given in admission brochure) 9) If result is awaited, candidate has to produce late submission undertaking 10) Other relevant documents uploaded at the time of registration 11) One-set of self-attested xerox-copy of the above certificates 12) Proof for fee payments 13) Passport size photographs 3 Nos 14) Application forms and Medical certificate appended herewith Fee to be Paid: Candidates reporting for admission shall pay the balance fee in INR. The balance fee is Rs /- plus deficit amount if any. Mode of payment is online. Payment shall be made at the time of admission.

2 Fee Details I. Institute Fees Particulars Fee Amount B.Tech / DD A One time Fees 2500 B Semester Fees 4800+(Tuition fee)* C Deposits (Refundable) 2500 D Medical Insurance (per annum) 575 Total [A+B+C+D] * First semester Tuition fee will be transferred by DASA-HQ to Institute II. Hostel Fees E Deposits (Refundable) 2000 F Hostel Fees & Mess Charges per Semester* Total (E+F) * Includes approximate food expenses per semester * Under revision III. Deficit amount (if any) General Information: Contact Details: Office: Admissions: / Hostels: / How to Reach IIITDM Kancheepuram: IIITDM Kancheepuram, Chennai is located near Kandigai on Vandalur-Kelambakkam road. Pre-paid / post-paid taxi is available from various places viz., Chennai airport, Chennai central railway station, etc. Infrastructure: IIITDM Kancheepuram is equipped with required infrastructure and is located at Melakottaiyur, off-vandalur-kelambakkam Road, Chennai For more details visit: Hostel Life: IIITDM Kancheepuram provides a good blend of academic, cultural, and social experience to all the students. For more details visit: Sports: At IIITDM Kancheepuram, we provide facilities for students to experience above and beyond academic experience, to maintain their physical fitness and to excel as a bright student. For more details visit: Technical Club: The designers club aims to promote creativity and to increase the technical know-how and productivity of all the students of the college. For more details visit: At the time of admission, submit the filled-in forms attached herewith

3 Indian Institute of Information Technology Design & Manufacturing, Kancheepuram ***** APPLICATION FORM FOR ADMISSION TO BTECH/DUAL DEGREE PROGRAMME (To be submitted by the students allotted to this Institute by DASA) 1. Application ID. 2. SAT Score 3. Passport No. 4. Nationality 5. Category: OP SC ST PH OBC 6. Religion: Paste colour photo with white coloured background Size of 51mm x 51 mm 7. Applicant s Name: 8. Date of Birth: 9. Sex: 10. Parent s/guardian s Name 11. Parent s/guardian s Occupation & Address 12. Permanent Address 13. Address for Communication City: PIN code: Landline No: Mobile No: City: PIN code: Landline No: Mobile No: Academic Qualifications Examination School Board / University 10 th Class 10+2 Class/ Intermediate Year of Passing Percentage of Marks 15. Declaration: I hereby declare that the particulars stated above are true to the best of my knowledge and belief. In the event of suppression or distortion of any fact, I understand that my admission/degree acquired is liable to be cancellation. I shall abide by the rules and norms of the discipline of the Institute. Left Thumb Impression of the Candidate Signature of the Candidate Place: Date: Countersignature of Parent/Guardian:

4 IIITD&M KANCHEEPURAM STUDENT DATA FORM (USE BOLD FULL CAPS LETTERS) Name : Roll No : Date of Birth : Blood Group : Religion : Parent s/guardian s Name : Parent s/guardian s Occupation & Address : Mobile Number Student (if any) : Parents : -Id Student : Parents : Permanent Address : Landline Number : Hostel : Local Contact Person : Name & Address : Phone Number :

5 EDUCATION (From 10 th onwards) Duration School/College Course (10 th, +2, HSC, etc.,) SKILLS Specific Academic Interests : Softwares /Prof Languages Known : Designing Tools : Other Tools: EXTRA CURRICULAR / CO-CURRICULAR ACTIVITIES (NSS, ROTRACT, ETC.,)* SPORTS INTEREST / ACHIEVEMENTS* OTHER ACHIEVEMENTS, AWARDS, RESPONSIBILITIES HELD *Indicate if you have represented district/ state/ national level Signature of the student

6 *Reg. No: HOSTEL OFFICE Indian Institute of Information Technology Design and Manufacturing (IIITD&M) Kancheepuram Melakottaiyur, Vandalur Keelambakkam Road, Chennai HOSTEL REGISTRATION FORM Hostel Name: FULL NAME (Capitals) Father/Spouse NAME Gender: Nationality: Program: ID: Permanent Address: B.Tech/Dual Degree/ M.Des/ PhD/ Others DOB: Age: *Roll Number: *Room No: Date of Join: Local Guardian s Address: NAME: Paste colour photo with white coloured background Size of 51mm x 51 mm City: State: Pin Code: Ph. No: (Land line) Mob: City: State: Pin Code: Ph. No: (Land line) Mob: Major illness: (if any) * to be filled by the office DECLARATION I, Son / Daughter of joining B.Tech/DD/M. Des/Ph. D program hereby declare that I will follow hostel rules and regulations and will not use any powered vehicle inside the Institute premises during my stay. Student Signature Hostel Office For office use only Parent / Guardian Signature Warden

7 POSSESSION AND USE OF POWER VEHICLE IN THE IIITD&M KANCHEEPURAM CAMPUS DECLARATION I, Son / Daughter of joining B.Tech/M.Tech/M. Des/Ph. D program hereby declare that I will not use any powered vehicles inside the IIITDM Kancheepuram Campus during my stay as student of IIITDM Kancheepuram. Date: Signature of Parent/Guardian Signature of the Student

8 INDIAN INSTITUTE OF INFORMATION TECHNOLOGY DESIGN & MANUFACTURING (IIITD&M) KANCHEEPURAM Chennai LOCAL GUARDIAN IN CHENNAI/TAMIL NADU Name Relationship Address : : : : Contact No Id : :

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