National Institute of Technology Calicut

Application Form for Full Time M.TECH./ M. PLAN. /M.Sc. Programmes (SELF-SPONSORED) 2023-24



Personal Information
Name of the Candidate
As given in 10th/SSLC/10+2/HSC/PDC Certificate
Name of Father
Name of Mother
Blood Group
Date of Birth
Religion
Caste
Category
Nationality
Occupation of Father
State of Domicile
Annual income
Place of Birth
Aadhaar Card No
Physically Handicapped ?

Address Information
Address for Communication:
Address
(Please do not enter city,district, state & PIN in the address field)
City
District
State
PIN
Mobile 1
Parent Mobile
E-mail
Permanent Address:
Address
(Please do not enter city,district, state & PIN in the address field)
City
District
State
PIN
Phone
Nearest Railway Station

Educational Information
Qualification to degree programme
% of Marks


Details of the Degree Course:
Name of the Degree
Branch / Discipline
Passed all subjects in all semesters/years


Duration in years
Year of completion of degree programme
Grading method of degree programme
Total Marks Maximum Marks % of Mark
Aggregate Marks of All Semesters/Years

Details of scheme/department
Select the Scheme under which you wish to apply -->
If Gate/JAM qualified, please furnish the following details

Name of Employer

Experience

GATE Score(if any)

JAM Rank(if any)

Year of GATE/JAM qualification

GATE/JAM Subject



Department to which admission is sought
Online Banking Fee Details
DU Number
Amount
Issue Bank
Transaction Date