IITGN - Student Admission

Programme *

Discipline *

Research Area *

Basic Information

Personal Details

First Name *

Middle Name

Last Name *

Date of Birth (dd/mm/yyyy) *

Gender *

Marital Status*

Nationality *

Parents'/Guardian's name *

Parents'/Guardian's contact no *

Photo * (Allowed format jpg, jpeg, png) *

Present Address

Address Line 1 *

Address Line 2

Country *

State *

City *

Pin Code *

Contact Number *

Alternate Contact Number

Email Id *

Confirm Email Id *

Alternate Email Id

Skype Id *

Permanent Address

Same as present address

Address Line 1 *

Address Line 2

Country *

State *

City *

Pin Code *

Details of Examinations

Details

Exam	Degree	Specialization	School/College	University / Board	Year	Percentage	CGPA/CPI (Out of 10)
XII/Diploma*
UG*
PG
Other
Other

Rank in Institute/University (UG)

Rank in Institute/University (PG)

Files Attachments

Curriculum Vitae (CV). * (pdf file, 5 MB limit)

Statement of Purpose. * (Please highlight the motivation behind applying for an advance degree at IIT Gandhinagar) (pdf file, 5 MB limit)

Scan copy of Passport 1st & last page. * (merge all pages to one document and upload)
(pdf file, 5 MB limit)

Scan copy of Academic transcripts * (UG Onwards, merge all transcripts to one document and upload)
(pdf file, 5 MB limit)

Referee information

Please provide details of two (2) referees.

	Reference 1	Reference 2
Name *
Designation *
Department *
University *
Address *
Country *
State *
Contact info *
Email *

I hereby declare that I have carefully read and understood the instructions, and that the entries in this form as well as in attached sheets are true to the best of my knowledge and belief.

Name *

Place *

Date