PGECET Hall Ticket No. General Rank ( To be filled in English by the candidate ) 1. (a) Name ( In block letters as per S.S.C Record ) (b) Father's Name ( In block letters as per S.S.C Record ) (d) Date of Birth (c) Gender Male Female (e) Religion (f) Caste (g) Nationality (h) Mother Tongue (i) Place of Birth Country State Village/Town (j) Community status OC OC-EBC BC A B C D SC ST (k) Blood Group (l) Supernumerary Status PH Ex-servicemen NCC NSS Sports 2. Address for Communication (a) Permanent Pin Phone Mobile Residence Office (b) Local Pin Student Email Father/Gaurdian Email AFFIX YOUR LATEST PHOTOGRAPH www.nri.edu.in NRI INSTITUTE OF TECHNOLOGY Kothur, Near Gudur Gate, Kandukur Mandal, Srisailam Highway, R.R.Dist, Greater Hyderabad-501 359. Ph: 08414-235 201/2/4, Fax: 08414-235 203. Mobile: 91776 00038. e-mail: [email protected] APPLICATION FORM For Admission to M.Tech Course Academic year Academic Year: 201 - 201 M.Tech Specialization: FORM No.: REGISTRATION No.: NRI Management Counselling Spot Marks Subject TYPE OF ALLOTMENT: IMPORTANT NOTE: a) Incomplete application will not be considered. b) The candidate or parent must be in touch with the administrative office of college to know the result of selection and the last date for remittance of fee. The administrative office takes no responsibility for communicating the information with regard to payment of admission fee & submission of application form. The Following Documents are to be submitted at the time of admission Passport Size Photographs - 10 PGECET Documents - 2 Sets 1. Rank Card 2. Hall Ticket 3. Allotment Order 4. Fee Challan Education Related Documents - 2 Sets 1. SSC Certificate 2. Intermediate Memorandum of Marks 3. B.Tech Consolidated Marks Memo / Provisional Certificate/OD 4. Study & Conduct Certificate - SSC, Intermediate/Diploma & B.Tech 5. Transfer Certificate Fees Reimbursement Related Documents - 2 sets 1. MeeSeva Caste Certificate issued by the Competent authority in case of BC/SC/ST Candidates 2. MeeSeva Income Certificate from MRO 3.Aadhar Card 4. Ration / Voter ID Card 5. Bank Pass Book Front Page Non-Local / Out of State Students - 2 Sets 1. Residence Certificate of Father / Mother for a period of 10 years in AP from MRO in case of non-local Candidates. 2. Migration Certificate 3. Equivalence Certificate from out of State Students (SSC&Inter) NOTE: 1. The Application will not be considered, if the required Certificates are not enclosed. 2. Original Form to be submitted in College Office. 3. Duplicate Form to be Submitted in DEO-Hyderabad Office FOR OFFICE USE ONLY: 1. Certificate copies of all the documents submitted by the candidate are checked. 2. Candidate is eligible for admission to M.Tech Course. His / Her admission is in accordance with the admission rules ADMISSION INCHARGE DIRECTOR OF ADMINISTRATION DATE OF ADMISSION