PHD 2019 Acceptance Form

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PhD. PhD.

Admission Committee FORM


July 2019 Indian Institute of Technology Hyderabad 01

Acceptance of Offer of Admission by the Candidate

To Application
No.
The Chairman
PhD Admission Committee Date__________________
_______________________Dept.
IIT Hyderabad

Sir/Madam,

With reference to your offer letter / email dated___________ , I hereby accept


your offer of admission to PhD program in the department _____________________.

Following are my details:-


Name of Candidate
(Block Letters, As per SSC)
Mode of Admission
Department
Specialization
Category
(GEN/OBC/SC/ST/PwD)

Address for
Communication (with
pin code) :

Email ID: Phone No.

The Qualifying examination on which present offer has been made is ____________
i.e, GATE / CSIR / UGC / Inspire / others (pls. specify)

I enclose the following:


(i) Copy of qualifying examination certificate
(ii) Payment details of Non-Refundable Advance fee (Rs.10,000/- for all categories)
(Pl. attach payment proof)
Amount (Rs.) DU Reference No. Date Name of the Bank

(iii) I am not employed.


I am currently employed at ______________________________________ .

I shall be reporting to the Institute on 24.7.2019 at 9:00 AM for Registration.

Place: Signature of the candidate


PhD. PhD. Admission Committee FORM
July 2019 Indian Institute of Technology Hyderabad 02

DECLINING OFFER OF ADMISSION

Name of Candidate
(Block Letters)

Offer letter reference


no.& date

Application No. Department

Reason for
Declining
(pls.specify)
:

Address
(with pin
code):

Note: If the candidate desires to decline the offer should send this filled-in
form.
However, if IIT Hyderabad does not receive any communication on the acceptance /
decline within the given timeline, the candidature will stand cancelled.

Signature of the candidate

To
The Chairman
Ph.D Admission Committee
____________________________Department
IIT Hyderabad
PhD. PhD. Admission Committee FORM
July 2019 Indian Institute of Technology Hyderabad 03

DECLARATION BY PARENT / GUARDIAN


[to be submitted at the time of Admission]

Name of Candidate
(Block Letters)

PhD Application No.

To

The Chairman
PhD. Admission Committee
IIT Hyderabad

Sir,

In the event of the applicant, my son/daughter/ward, being admitted to the PhD. programme at
Indian Institute of Technology Hyderabad, I undertake to pay regularly the amounts due from
him/her to the Institute towards tuition fee, mess charges, hostel seat rent, etc., within the
prescribed dates.

Place:

*
Date : Signature of Parent/Guardian : …………………………

Name in Block Letters : ……………………………………………………..…..

Profession : ………...………..………………………………………

Address : ..…………………………………………………………
………………………………………………………..…
….……………………………………….……………...
………………………………………………….……....

Pin Code

Phone No. with Office Residence Mobile


STD Code
E-mail, if available

*
Note: In the case of guardian, please give the relationship in brackets below the signature.
PhD. PhD. Admission Committee FORM
July 2019 Indian Institute of Technology Hyderabad 04

COURSE COMPLETION CERTIFICATE


Note : This form has to be furnished by the candidates whose final result is pending

Certified that Mr./Ms. ……………..………………………………………, Roll No. ………….…

final year student of this College, has completed all the requirements including practical,

project, Viva-voce, etc. for the award of the degree, and

a) He/She has appeared for the final examination held during …………..…….……….,
the results of which are awaited.

b) He/She has passed the final examination

(Strike out either (a) or (b) whichever is not applicable)

Place : Signature & Name of Principal


with Office Seal

Date :

Name of the College :

University :

NB: Selected candidate must have appeared for all the examinations including project viva
for the award of the qualifying degree by July 2019. Otherwise the candidate is not
eligible for admission even if the offer of admission to PhD. is issued by IIT Hyderabad.
PhD. PhD. Admission Committee
July 2019 Indian Institute of Technology Hyderabad

GENERAL INSTRUCTIONS

I. The candidate should send Form 1 for Acceptance (or) Form 2 for Decline by
post. Other forms may be furnished at the time of Registration.

II. Reporting for Admission/ Registration:

The candidate is required to report for Admission / Registration at 24.7.2019


(Wednesday) at 9.00AM at IIT Hyderabad, Kandi, Sangareddy, Telangana-502285

III. Certificates:
The candidate is required to bring all the following original certificates / documents
along with a set of Photostat copies for verification at the time of Registration. The
originals will be verified and returned.

(a) Check List Form


(b) Registration Form
(c) Fee Payment receipt.
(d) Offer of admission letter
(e) Anti-Ragging Form
(f) Non – using of Power Vehicle Form
(g) Medical Fitness Certificate
(h) Declaration by Parent (Form 03)
(i) SSLC / SSC / Matriculation certificate.
(j) Intermediate / 10+2
(k) Degree Certificate.
(l) Post-Graduation Certificate : Pass Certificate / Provisional / Consolidated / Semester
wise Mark sheets
(m) Qualifying Examination Proof : GATE/CSIR/UGC/Inspire /others
(n) Course Completion Certificate: (Form 04)

(Form 04 - All the candidates admitted in Ph.D program at IIT Hyderabad should have
completed all the examinations including Viva-voce by July 2019. If the results of the
final examination are not yet announced, a Course Completion Certificate from the Head
of your Institution must be produced. Such candidates must submit the Provisional
Certificate on or before August 2019) otherwise the candidate is not eligible for
admission even if the offer of admission to Ph.D is issued by IIT Hyderabad.

(o) If the candidate is employed and joining PhD program as sponsored / self-sponsored
must submit NOC and Experience Certificate from present employer
(p) If the candidate is employed and joining PhD program as full time regular candidate,
he/she must submit Experience Certificate /Relief Certificate from the employer

(q) Community Certificate:


SC/ST/OBC (Non-Creamy Layer) certificate issued by the Competent Authority.
(r) PwD Certificate (if applicable)
(s) Aadhar Card
(t) Photographs – 02

Directions to reach IIT Hyderabad: https://www.iith.ac.in/wp-content/uploads/2018/03/campus_map.pdf

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