NSR CCMT IIITDM KANCHEEPURAM Indian Institute of Information Technology Design and Manufacturing Kancheepuram

Information for Admission to MDes and MTech Programmes through CCMT-2017

The candidates who got seat allotment under CCMT-2017 process (in NSR) for admission into M.Des / M.Tech programme of IIITDM Kancheepuram, Chennai for the academic year 2017-18 are requested to report at IIITDM Kancheepuram, Chennai campus for Institute Admission as per the details given below: Reporting Details

∗ Reporting at Admitting Institute and depositing Institute Balance Fee

:

24 July - 31 July, 2017 Venue: Admin Block, First floor

∗ If candidate fails to report at the allotted institute as per the schedule mentioned above, then the allotted seat will be automatically cancelled.

∗ Orientation and Academic session will commence on 31-07-2017. Hostel accommodation will be provided from 29-07-2017 onwards only.

Documents to be Produced for verification

1) Document Verification Certificate (DVC) issued by the Reporting Center officials

: Original Certificates to be produced by the candidate at the time of Admission

2) Seat allotment letter downloaded from CCMT website 3) Transfer Certificate issued from the institute last attended 4) Migration Certificate 5) GATE score card (2015/2016/2017) 6) Statement of Grades/Marks obtained in the qualifying Examination (preferably

Consolidated Grade/Mark Sheet) 7) Degree / Provisional Certificate 8) Course completion certificate for result awaiting candidates 9) Birth certificate or Class X Board Certificate as proof of date of birth 10) Class XII certificate 11) Certificate of category (OB / SC / ST), if applicable, issued by the competent authority as

per the prescribed format (OB category certificate must be issued on or after 1.4.2017) 12) OBC undertaking form for OBC candidates, if applicable 13) Certificate for Persons with Disabilities (PWD), if applicable, issued by Medical Board

notified under PWD Act

∗ One set of self-attested copy of all the certificates listed above and three passport size color photographs are required to be submitted

Note:

∗ If any certificate is in languages other than Hindi or English, true copy of the same in English version is to be produced

∗ Those candidates who have appeared for final semester/year examination, provisional admission is permitted, provided their final marks are made available on or before 15th September, 2017

NSR CCMT IIITDM KANCHEEPURAM

∗ At the time of admission, if the candidate is not able to produce the certificate listed above in Sl. No. (3), (4) and (7) due to result awaiting/late issuance of certificate etc., he/she has to produce late submission undertaking

∗ Any candidate admitted provisionally shall produce the provisional/degree certificate and all mark lists in original on or before 15th September, 2017. Else, their admission shall stand cancelled automatically. For such candidates refund will be made as per the applicable institute norms

∗ All MDes/MTech students will get the Stipend only after the submission of Original Consolidated Mark/Grade sheet and Degree/Provisional certificate to this Institute

Fee to be Paid: Candidates reporting for admission to M.Des and M.Tech Programmes are informed to pay the balance institute fees of Rs 15275/- for OC and OBC candidates and Rs 25275/- for SC/ST candidates. Mode of payment is through online only: Use the link https://www.onlinesbi.com/prelogin/icollecthome.htm?corpID=370535

to go to State Bank collect page and ensure that "IIITDM -KANCHEEPURAM A/C" is displayed. Under payment details, please select "NEW ADMISSION M.DES. 2017-18". Follow the instructions provided there and pay the balance fee.

I. Institute Fees

Particulars SC/ST Others 1 One time fees 2500 2500 2 Semester fees 5000 25000 3 Deposits 2500 2500

4 Medical Insurance Premium (per annum)

575 575

Total 10575 30575 Total 10575 30575

II. Hostel Fees A. Deposits (Refundable) 1 Hostel Deposit (NS) 2000 Total (A) 2000 B. Hostel Fees & Mess Charges per semester 1 Hostel Admission fee 200 2 Hostel Seat Rent 1500

3 Hostel Maintenance Charges 6500

4 Advance dining charges 14000

5 Establishment B Charges 500

Total (B) 22700 Total (A+B) 24700

NSR CCMT IIITDM KANCHEEPURAM

General Information: How to Reach IIITDM Kancheepuram: Tambaram is the nearest railway station with attached bus stand. Frequent local bus service is available from Tambaram to Kandigai (Route No. 55C, 55D, 55K, 115, 515, 555). Please get down at Kandigai bus stop, IIITDM Kancheepuram is located at 1.5km from Kandigai bus stop. Infrastructure: IIITDM Kancheepuram is equipped with required infrastructure and is located at Melakottaiyur, off-Vandalur-Kelambakkam Road, Chennai – 600127. For more details visit: http://iiitdm.ac.in/Campus/Infrastructure.php Hostel Life: IIITDM Kancheepuram provides a good blend of academic, cultural, and social experience to all the students. For more details visit: http://iiitdm.ac.in/Campus/Hostel.php Sports: At IIITDM Kancheepuram, we provide facilities for students to experience “above and beyond” academic experience, to maintain their physical fitness and to excel as a bright student. For more details visit: http://iiitdm.ac.in/Campus/Sports.php Technical Club: The designers’ club aims to promote creativity and to increase the technical know-how and productivity of all the students of the college. For more details visit: http://iiitdm.ac.in/Campus/tClubs.php

At the time of admission, submit the filled-in forms attached herewith

Indian Institute of Information Technology Design & Manufacturing, Kancheepuram

***** APPLICATION FORM FOR ADMISSION TO M. Des/M.Tech PROGRAMME - Jul 2017

1. Applicant’s Name: _________________________________________ 2. Branch__________________________________________

3. Date of Birth: _____________________________ Sex:_____________

4. Nationality _______________________________

5. Category: OP SC ST PH OBC

Applicant’s Recent

Passport Size photograph with light blue color

background

6. Religion: ______________________________________________________

7. Parent’s/Guardian’s Name __________________________________________________________

8. Parent’s/Guardian’s Occupation &

Address_________________________________________________

9. Permanent Address Address for Communication ______________________________________ _____________________________________

______________________________________ _____________________________________

City: __________________ PIN code: _________ City: __________________ PIN code: ______

Landline No: ___________________________ Landline No: __________________________

Mobile No: ____________________________ Mobile No: ___________________________

Email: __________________________________________________________________________

10. Academic Qualifications :

Examination School Board / University Year of Percentage Passing of Marks

10th Class

10+2 Class/ Intermediate

15. Declaration: I hereby declare that the particulars stated above are true to the best of my knowledge and belief. In the event of suppression or distortion of any fact, I understand that my admission/degree acquired is liable to be cancellation. I shall abide by the rules and norms of the discipline of the Institute.

Place: ________________ Signature of the Candidate___________________________

Date: ________________ Counter Signature of Parent/Guardian: _____________________________

2017

*CCMT2017 1

Reg. No: HOSTEL OFFICE

Indian Institute of Information Technology Design and Manufacturing (IIITD&M) Kancheepuram Melakottaiyur, Vandalur – Keelambakkam Road, Chennai – 600 127

HOSTEL REGISTRATION FORM

Hostel Name: Room No:

FULL NAME (Capitals)

Father/Spouse AFFIX YOUR NAME

PASSPORT SIZE

Sex: Male/ Female DOB: PHOTOGRAPH

Nationality: Age:

Program: PhD/M.Des/M.Tech/B.Tech/ Roll _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Number:

Email ID: Date of Join:

Permanent Address: Local Guardian’s Address:

NAME:

City: City:

State: State:

Pin Code Pin Code

Ph. No(Land): Ph. No:

Mob: Mob:

Email: Email:

Major illness: (if any)

Sports at District Level or Above: (if any)

Student Signature Warden

2017

*CCMT2017 2

IIITD&M KANCHEEPURAM

STUDENT DATA FORM

(USE BOLD FULL CAPS LETTERS)

Name :

Roll No :

Date of Birth : Blood Group :

Religion :

Parent’s/Guardian’s Name :

Parent’s/Guardian’s Occupation & Address:

Mobile Number : Student (your mobile no if any) : Parents :

Email-Id : Student : Parents :

Permanent Address :

Landline Number : Hostel Address :

Local Contact Person : Name & Address :

Phone Number :

EDUCATION (From 10th onwards)

Duration School/College Course (10th, +2, HSC, etc.,)

2017

*CCMT2017 3

SKILLS Specific Academic Interests :

Softwares /Prof Languages Known :

Designing Tools : Other Tools: EXTRA CURRICULAR / CO-CURRICULAR ACTIVITIES (NSS, ROTRACT, ETC.,)* SPORTS INTEREST / ACHIEVEMENTS* OTHER ACHIEVEMENTS, AWARDS, RESPONSIBILITIES HELD ANY OTHER INFORMATION

*Indicate if you have represented district/ state/ national level

Signature

2017

*CCMT2017 4

INDIAN INSTITUTE OF INFORMATION TECHNOLOGY DESIGN & MANUFACTURING (IIITD&M) KANCHEEPURAM

Chennai

LOCAL GUARDIAN IN CHENNAI/TAMIL NADU Name :_______________________________________________________________ Relationship :_______________________________________________________________ Address :_______________________________________________________________

:_______________________________________________________________ Contact No :_______________________________________________________________ Email Id :_______________________________________________________________

2017

*CCMT2017 5

POSSESSION AND USE OF POWER VEHICLE IN THE IIITD&M KANCHEEPURAM CAMPUS

DECLARATION I,______________________________________________________________ Son

/ Daughter of __________________________________________________joining

B.Tech/M.Tech/M. Des/Ph. D ________________________________ program

hereby declare that I will not use any powered vehicles inside the IIITDM

Kancheepuram Campus during my stay as student of IIITDM Kancheepuram. Date: Signature of Parent/Guardian Signature of the Student

2017

*CCMT2017 6

2017

*CCMT2017 7

2017

*CCMT2017 8

2017

*CCMT2017 9

2017

*CCMT2017 10