INDIAN INSTITUTE OF TECHNOLOGY KANPUR
APPLICATION FOR FOR ADMISSION TO POST-GRADUATE PROGRAMME
(For filling this application form, please see instructions overleaf)
Paste your
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1. Full Name:
2. Study in India (SII) ID (For Foreign Nationals only)* : ----------------------------------------------------
*([Link]
3. Date of Birth: 4. Place of Birth: 5. Gender: Male/Female/Transgender
6. Marital Status: 7. Nationality:
8. Father’s Name:
Codes for Items 12-16 are given overleaf
9. Address of Correspondence:
12. Department/Programme
13. Admission for Degree
14. Student Status
State: Pin Code :
15. Financial Status
10. Contact Details:
16. Category
Phone No. : Mobile No. :
17. Physically Disabled Yes / No
E-mail address :
11. Details of Application fee paid:
Online mode:
a) Amount Rs . ……………………… Trans Ref No. …………………..……………… Date …………………
b) (Bank Name & Branch) …………….…………………….…………….……….……………………………………..
18. Academic Record/Work Experience
A. GATE/CSIR/UGC, other fellowship exam details
Exam Name Exam discipline GATE Score/CSIR/UGC Rank Exam Year
B. Qualifying Degree already obtained or in progress
Institute/ College University Discipline Degree Exam Date Final Pass
(Name & Address) (Name & Address) results Marks %
expected or Grade
by Average
% Marks or Sem. I Sem. II Sem. III Sem. IV Overall % or
Grade Average Grade Average
(if degree completed)
Sem. V Sem. VI Sem. VII Sem. VIII
C. Other Degrees obtained after 10+2 (Do not include the degree listed in 17 B)
Institute/ College University Discipline Degree Marks or Date of
(Name & Address) (Name & Address) CPI completion
D. Working Experience
Dates (from-to) Employer Position Nature of Work
E. Number of Technical Papers: Published in Journals Presented in Conferences
Provide details separately
19. Areas of specialization in the Department/Programme (See Information Brochure)
Pref. 1 Pref. 2
Pref. 3 Pref. 4
20. Names and addresses of two referees from whom letters of reference have been obtained (For Ph.D. applicants only)
1. 2.
21. Declaration by the applicant:
Certified, that all information provided by me on this form is correct to the best of my knowledge and belief. I understand that any
willful misrepresentation of facts will result in my dismissal from the institute. If admitted, I shall abide by all the rules and regulations
of the institute.
Date : Signature :
INSTRUCTIONS FOR F ILLING THIS FORM
1. This form is to be used for applying to all Departments and IDPs,
2. Either TYPE or WRITE the entries on the form neatly.
3. Go through the codes for Items 12-16 given below, and fill them carefully in the boxes on Page 1.
CODES (FOR ITEMS 12-16)
Item 11 : Bank details for payment of application fees are given below. You are required to pay the fees and send back the online
receipt of the same.
Beneficiary name: Registrar, IIT Kanpur
Bank name: State Bank of India
Bank branch: IIT Kanpur, IIT Campus Kanpur - 208016
Bank A/c No.: 10426002137
Bank SWIFT code: SBININBB499
The application fee is Rs. 500 for General, EWS, OBC and OBC-NCL candidates and Rs. 250 for SC/ST and all DAP candidates.
The application fee is waived for candidates in the 'Foreign National' category.
Item 12: Department/Programme Codes: {Aerospace Engg. = AE}, {Civil Engg. = CE}, {Computer Science & Engg. = CSE}, {Earth
Sciences = ES}, {Electrical Engg. = EE}, {Management Sciences = DoMS} {Mechanical Engg. = ME}, {Materials Science &
Engg. = MSE} {Chemistry = CHM}, {Mathematics and Statistics = MTH}, {Humanities & Social Sciences = HSS},
{Materials Science Programme = MSP}, {Nuclear Engg. & Technology = N ET}, {Photonics Science & Engg. = PSE}, {Biological
Sciences and Bio - Engineering = BSBE},{Physics = PHY},{ Economic Sciences = ECO}, { Chemical Engineering = CHE},{
Sustainable Energy Engineering = SEE},{ Space, Planetary & Astronomical Sciences & Engineering = SPASE},{ Cognitive Science =
CGS},
{Design= DES}, { Cybersecurity = CYS}
Item 13: PH = PhD. MT = MTech. MD = MDes MSR= MS (By Research)
Item 14: Student Status: Full Time = FT; Part-Time = PT, External = EXT; Foreign National = FN
Item 15: Financial Status:
Sponsored = SD; Institute Assistantship requested = IA; Fellowship (if CSIR/UGC/DBT/ICAR/ICMR) = FEL;
Other (exceptional case which is other than these three) = OTH
Item 16: Category:
SC = Scheduled Caste (certificate required); ST = Scheduled Tribe (certificate required);
OBC = Other Backward Class (Non-creamy layer); GN = General; FN = Foreign Nationals;
CHECKLIST (CIRCLE THE ENCLOSED DOCUMENTS). Send Only Self-Attested Copies.
(Original certificates must be produced at the time of admission).
1. Date of Birth (DOB) Certificate or High School (Class Te n) Certificate with DOB
2. SC/ST/OBC(NCL) Certificate, if applicable (Item 15). Certificate format is given on the website.
3. Certificate of Physical Disability, if applicable (Item 16). Certificate format is given on the website.
4. Sponsorship certificate for sponsored candidates. (Item 14)
5. GATE/CSIR/UGC score card (Item 17 A) (Computer generated printout is also accepted)
6. Copies of mark/grade sheets of qualifying degree or higher (Items 17 B & 17C)
7. No Objection Certificate from employer (only for part-time/external) (Item 13). Full time students currently working must
produce NOC or Relieving Certificate from the employer at the time of admission.
8. Fee payment receipt.
9. Two letters of reference (for PhD applicants only)
