Apply

Step 01 of 04

Basic Information

Email Address *

Full Name *

Date of Birth *

Nationality *

Indian Other

Gender *

Male Female Other

Are you a Person with Disability? *

Yes No

Phone Number *

State *

District *

Pincode *

Home Address *

Is Permanent Address same as Home Address? *

Yes No, enter separately

Permanent Address *

Area Type *

Rural Urban Semi-Urban Remote

Government Category *

General SC ST OBC Minority Others

Change Stream

Step 02 of 04

Family Details

Mother's Name *

Mother's Occupation *

Mother's Contact *

Mother's Education *

Illiterate Primary School Secondary School Intermediate (X Pass) XII/ +2 / Junior College Graduate or Above

Is Mother's Address Same as Self? *

Yes No, please mention Address

Mother's Address *

Father's Name *

Father's Occupation *

Father's Contact *

Father's Education *

Illiterate Primary School Secondary School Intermediate (X Pass) XII/ +2 / Junior College Graduate or Above

Is Father's Address Same as Self? *

Yes No, please mention Address

Father's Address *

Head of Family

Mother Father Grand Parent Other Relatives Other Institutions/ Individual

If Other Institution/Individual, details including Name, Address and Contact details *

Annual Family Income *

Do you live in a single parent household? *

Yes No

If yes, give details *

Are you an orphan? *

Yes No

If yes, give details *

Step 03 of 04

Educational Details

Class X / Matriculation / Secondary

Name of Institution *

Address of Institution

Institution Contact Details (Mobile/Landline)

Type of Institution

Government Private Government Funded (Partial funding) International School Others

Area where Institution is situated *

Urban Rural Semi-urban

Board of Education *

What was your X percentage/ Grade/ CGPA? *

Class XII / Intermediate / Higher Secondary

Name of Institution *

Address of Institution

Institution Contact Details (Mobile/Landline)

Type of Institution

Government Private Government Funded (Partial funding) International School Others

Area where Institution is situated *

Urban Rural Semi-urban

Board of Education *

What was your XII/ +2 percentage/ Grade/ CGPA? *

What was your JEE Mains Rank? *

What was your JEE Advanced Rank? *

Undergraduate Course Details

Have you applied for admission for undergraduate course? *

If no, why? *

Which College have you applied to? *

IIT Madras IIT Delhi IIT Bombay IIT Kanpur IIT Kharagpur IIT Roorkee IIT Guwahati IIT Hyderabad IIT (Banaras Hindu University) Varanasi IIT Tiruchirapalli Other

Have you received admission to undergraduate course? *

Academic Year *

Is the College listed on our Website? *

Are you interested in Scientific Research? *

Why did you take up Science? *

What kind of Research interests you? *

Step 04 of 04

Upload Documents

Upload clear scans or photographs of your documents. Accepted formats: PDF, JPG, PNG — max 5 MB each.

X Std. Certificate

Click to select a file

★ Required

Browse File

X Std. Mark sheets

Click to select a file

Optional

Browse File

XII Std./10+2 Mark sheets

Click to select a file

★ Required

Browse File

XII Std./10+2 Certificate

Click to select a file

Optional

Browse File

Income Certificate

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Optional

Browse File

Disability Certificate

Click to select a file

Optional

Browse File

College Admission Proof

Click to select a file

Optional

Browse File

ID Proof

Click to select a file

★ Required

Browse File

B.Tech Scholarship

Basic Information

Family Details

Educational Details

Class X / Matriculation / Secondary

Class XII / Intermediate / Higher Secondary

Undergraduate Course Details

Upload Documents