Online Application Form - IIST Ph.D. ADMISSIONS : July 2019
 
   Personal Details
Name *
(As same as in 10th standard or equivalent certificate)
Father's Name *
Email*
Telephone Number(with STD Code)
Mobile Number*
Gender*
Marital Status*
Religion*
Category*
Are you a Person with Disability (PWD)*
Date of Birth*
Aadhaar No.
Annual Family Income *
State of Domicile *
Nearest Railway Station*
Nationality *
    Permanent Address Communication Address
Address Line 1* Same as permanent address
Address Line 1 *
Address Line 2* Address Line 2*
Address Line 3  Address Line 3  
District/City* District/City*
State*           State*          
Pincode*        Pincode*       
   Academic Details (Applicants who have pursued degree/specialization in related areas other than listed ones shall choose Others and enter the qualification as given in their degree certificate / marklist)
Current Advanced Educational Status (Whether results has been declared or not by the University) * Yes    No   
Whether pursuing any Higher Studies Yes No
If Yes, Fill the details Course : University/Institution :
Name of Exam  Specialisation  Board / University  Year of Passing  % of mark  CGPA  Grade / Class 













Gate score details indicated for admission to masters degree : (For BS-MS/Integrated Master's Degree,specify your Gate Score and Year if available)
Score : Year :
   Employment Details
Current Employment Status* No    Yes   
Name of Organization with full address Designation Period of Service Total Emoulment Nature of Organization Experience Upload Add
From To
  Delete
Photo *(Max. Size : 100kb)
Signature *(Max. Size : 100kb)
List of Uploads - Reservation Category(jpg/pdf/png)
Note:OBC-NCL certificate issued on or after 01/04/2020 only will be accepted.
OBC-NCL/EWS candidates who do not possess a valid category Certificate may download the undertaking form from the downloads link and upload the same.
Area of Interest
(Other achievements,List of Publications if any. maximum 150 words)
Any Other Relevent Information
(For example: Additional qualification, Achievements,GATE Score,Awards etc.)

I affirm that the information given in this application are true and correct to the best of my knowledge and belief. I also fully understand that if at any stage it is discovered that any attempt has been made by me to willfully conceal or misrepresent the facts, my candidature may be summarily rejected and my admission to the programme terminated