SURVEY OF INDIA INDIAN INSTITUTE OF SURVEYING & MAPPING (In collaboration with JAWAHARLAL NEHRU TECHNOLOGICAL UNIVERSITY) HYDERABAD ADMISSION – 2013-15 Registration : Rs. 500/- Registration No. Last Date for receipt of Application 31-05-2013 APPLICATION FORM FOR ADMISSION TO Affix recent passport size 1. M. Sc. (Geospatial Science & Technology) photograph duly attested by the Gazetted officer with official seal Course applied for Choice of Centre Code 1. 2. 3. Three Choices priority wise to be mentioned. Registration:Fee Rs.500/-(in case of SC/ST candidates Rs.125/-) DD drawn in favour of "Regional Pay & Accounts Officer, Survey of India, Hyderabad " payable at Hyderabad. D.D. No. Date Name of the Bank 1. Name ( in block letters ) : ___________________________________________________________________________ 2. Father's / Husband's Name : ____________________________________________________________________________ 3. Permanent Address : ____________________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ 4. Address for Correspondence : ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ phone no. _______________________ e-mail ________________________________ 5. Whether applying under Internal Candidate of Survey of India / sponsored Category / Private : 6. Reservation : 7. Date of Birth : 8. a) Sex SC / ST / OBC Date b) Marital Status Month Year c) Nationality 9. Particulars of Examinations passed, commencing from SSC / Matriculation. Name of the Qualifying Examination Name of the University or Board 1 2 Year and month of passing 3 Percentage of Marks 4 Division 5 DECLARATION BY THE APPLICANT I declare that all the foregoing statements made in this application are true. I accept that any statement made in this application, if found incorrect on scrutiny, will render the application liable for rejection. Signature of the candidate Date : Place : Note : 1. Incomplete applications will be summarily rejected. No correspondence in this regard will be entertained. 2. Fee paid will not be refunded under any circumstances. 3. Institute will not be responsible for any postal delay/loss in transit. ENCLOSURES (Attested Xerox copies) : a. b. c. d. e. f. Certificate of Educational qualifications. Integrated Caste certificate from M.R.O. in case of SC/ST/OBC candidates. Three self addressed envelops of 30 cm X 10 cm size each with Rs. 5/- stamps affixed. Proof of Date of Birth (SSC or equivalent) Transfer certificate (for private candidate). In case of sponsored candidates : Certificate from sponsoring authority. ORIGINAL HALL TICKET SURVEY OF INDIA, INDIAN INSTITUTE OF SURVEYING & MAPPING (In collaboration with JAWAHARLAL NEHRU TECHNOLOGICAL UNIVERSITY) ENTRANCE TEST FOR ADMISSION TO M. Sc. (Geospatial Science & Technology) Name of the Discipline : Hall Ticket No. DATE OF EXAMINATION : Centre of Examination : TIME : (to be filled by the candidate) Affix recent passport size photograph duly attested by Gazetted officer with Official Seal Name of the candidate Father's Name Identification Marks : (1) (2) ADMISSIONS CO-ORDINATOR, JNT UNIVERSITY Signature of Candidate DUPLICATE HALL TICKET SURVEY OF INDIA, INDIAN INSTITUTE OF SURVEYING & MAPPING (In collaboration with JAWAHARLAL NEHRU TECHNOLOGICAL UNIVERSITY) ENTRANCE TEST FOR ADMISSION TO M. Sc. (Geospatial Science & Technology) Name of the Discipline : Hall Ticket No. DATE OF EXAMINATION : (to be filled by the candidate) Name of the candidate Centre of Examination : TIME : Affix recent passport size photograph duly attested by Gazetted officer with Official Seal Father's Name Identification Marks : (1) (2) ADMISSIONS CO-ORDINATOR, JNT UNIVERSITY Signature of Candidate INSTRUCTIONS TO BE WITH ORIGINAL HALL TICKET 1. Candidates will not be admitted after the commencement of examination and not allowed to leave the hall until the end of the examination. 2. The Hall Ticket shall be produced at the time of examination, failing which the candidate will not be allowed to appear for the examination. 3. Answers must be in black/blue ink. Sketch pen or ink pen of any other colour is not allowed. 4. THE HALL TICKET SHALL BE PRESERVED TILL THE TIME OF ADMISSION - without which the candidate is not eligible for admission. 5. No travelling expenses will be paid for journey undertaken for appearing for the Entrance Examination. 6. Adoption of any kind of unfair means at the time of examination or taking part in any act of impersonation will render the applicant liable for cancellation of his/her script and forfeiture of his/her claim for appearing for the examination. Decision of the Chief Superintendent of the Examination Centre shall be final in all these matters. 7. Issue of Hall Ticket and appearance at the Entrance Examination does not automatically entitle a candidate for admission. 8. Mathematical Tables, Calculators, Pagers, Cell Phones, Digital Diary etc., will not be allowed into the Examination Hall. "SPONSOR CERTIFICATE" (This certificate is to be signed by Head of the Office / Organisation) This is to certify that Shri / Smt / Kum S/o Daughter of a candidate applying for admission into is currently employed in Full-Time service in our organisation and we sponsor him / her for the above course. The details of his / her employment are given below : 1. Name and Address of the Organisation : 2. Organisation : Central / State / Public Sector / Private 3. Date of Joining the Organisation : : 4. (a) Present position and date of appointment / promotion to this post : (b) Scale of pay and total monthly Salary : 5. Total periods of full time service in this organisation : Years Months 6. This office / Organisation has NO OBJECTION to the candidate appearing for the Entrance and joining the full-time PG Course if selected. Date : 1. Name : Place : 2. Designation : Seal of Office Signature of Head of the Organisation Private Sector Organisation shall furnish documentary evidence for recognition.