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Ministry of Textiles
2.
Name of Parent/Guardian
3.
:
4.
PIN :
Telephone No : Mobile No
(With STD Code)
E-Mail ..
5
Mark)
Citizenship (Put
Mark)
Date
Month
Male
Female
Indian
Others
Year
Transgender
8.
9.
School of Study (Enclose a photocopy of X Std Mark Sheet) ( All Columns have to be filled)
S No
Class
Year of
Passing
VIII Std
IX Std
X Std
XI Std
XII Std
(Equivalent)
Name of the
District
State
10
11.
Religion
(Put
12.
Buddhism
Community
Hinduism Islam
Jainism
Sikhism Others
Mark
)
(Put
Christianit
y
ST
SC
SCA
MBC
&
DNC
BC
BCM
Mark
)
..
HSC
State Board
(Academic)
HSC
CBSE
(Central
Board)
ISC
Others
Mark)
15.
16.
Mark)
Yes
No
Others
Regn. No
17.
18
Month
Year
Register
Number
Month
and Year
Maximum
Marks
Marks
Obtained
Percentage
Physics (P)
Chemistry (C)
Mathematics (M)
Total (P + C + M)
Fourth Optional #
Subject
-----------------# Write the Fourth Optional Subject and marks (e.g. Biology/Computer Science etc. Except
Language) as per mark sheet.
19
Annual Income of
Parents
(Pu
t
Rs 60, 000
& Below
Rs 60,001
Rs 100,000
Rs 100,001 to
Rs 2,00,000
Rs 200,001
to
Rs 2,50,000
Rs 200,001
to
Rs 2,50,000
Rs 250,001
to
Rs 4,49,999
Rs
4,50,000
& above
Mark
)
Place
Date
:
:
Note : Guardian can execute the above declaration, only if both the parents are not alive.
CHECK LIST
(To be Filled by the Candidate)
TICK
TICK
1.
5.
2.
6.
3.
7.
4.
Yes
No*
Mathematics
(For 100)
Physics
(For 50)
Chemistry
(For 50)
Total
(For 200)
Scrutinizing Staff
Name ..Signature
Write your name in BLOCK letters, with initials at the end (Exactly in the same way as
it has been given in all your other records(. If your name is S AANESH MOORTHY
write it as
A
Item No 2
Write the name of your Parent. Write your Guardians Name, if both the parents are not
alive.
Item No 3
Write mailing address with Pin Code, Telephone Number with STD Code, Mobile No and
E-Mail neatly.
Item No 4
Affix your recently taken passport size photograph in the space provided with self
attestation.
Item No 5
Enter your Date of Birth. If your date of birth is 06.06.1997 enter in the boxes provided as
0
Item No 6
For filling the Gender Column Tick the Relevant Column as applicable
Item No 7
Item No 8
Fill the details of your school of study in the space provided (All columns have to be
filled.
If you have studied VIII, IX, X, XI & XII Std. in respective state, mention the name of
the State.
Item No 9
Item No 10
Item No 11
For filling the Religion , Tick the relevant Column of your Religion
Item No 12
For filling the Community, Tick the relevant Column of your Community
Item No 13
Item No 14
Tick the Column Corresponding to your qualifying examination. If you have passed
HSC Academic in State Board, Tick the Relevant Column of HSC , State Board
(Academic)
Item No 15
Fill the name of the Examination Board in which you have studied HSC..
Item No 16
If you have passed the qualifying Examination, Tick the Column Yes accordingly.
Item No 17
Give the details about the qualifying examination in the space provided. Enter the
Register No, Month and Year.
Item No 18
Item No 19
Mode of Selection
1.
The selection of candidates will be based on the marks obtained in the prescribed subjects reduced to
200 (Mathematics -100, Physics + Chemistry -100) in the qualifying examination.
2.
The marks obtained by the students in the relevant subjects in the qualifying examination conducted
by various Boards or Authority shall be equated with the marks obtained by the students in the same subjects
in the qualifying examination conducted by the State Board of respective state by adopting the method of
normalization (e.g) If the highest mark secured by the student of State Board in Physics is 100 and the
Highest mark secured by a student of any other Board in the same subject is 90 both the highest marks will be
considered to be equal to 100. If a student of the other Board secures 60 marks in physics when the first mark
in Physics in the same Board is 90, 60 marks will e considered to e equal to 66.66 marks as arrived below :100 X 60 = 66.66
---------------------90
3.
After normalization of marks in the relevant subjects in the qualifying examination conducted by
different Boards, the qualified students shall be merged into a common merit list.
4.
In the case of candidates who have qualified from National Boards namely CBSE and ISCE, the
highest mark obtained in the relevant subject by the candidates at the National Level alone will be taken into
consideration for normalization.
5.
The Other Boards will be requested to furnish the maximum marks scored in the relevant subjects. In
case such marks are not available before the preparation of rank, the maximum marks scored in that Board
will be considered as 100%
Enclosures
The candidates are directed to enclose the following certificates along with the application.
Xth Std Mark Sheet
HSC/Equivalent Mark Sheet
Transfer Certificate
(Candidates appeared for HSC/Equivalent Examination in March 2015 must produce original Mark
Sheet and TC at the time of Counseling. However, downloaded copy of mark sheet should be
enclosed, others to enclose a copy of Mark Sheet and TC).
Permanent Community Certificate Card for ST/SC/SCA/MBC & DNC/ BC and BCM candidates
(either Permanent card or electronic Form/ digitally signed e- certificate.
HSC Hall Ticket.
Nativity Certificate if applicable.
Submission of Application.
The duly filled application should be submitted to the Director, Indian Institute of Handloom
Technology, Foulkes Compound, Thillainagar, Salem - 636 001 by Speed /Registered Post or by hand.
The last date and time to receive the application at Indian Institute of Handloom Technology, Salem is
15.07.2015 at 05.00 PM.
Applications received after the due date or not in the prescribed form or not correctly filled-up
application or incomplete prescribed certificates or documents not enclosed or unfullfilment of the terms of
the instructions will be considered defective and are liable for rejection without notice. The Indian Institute
of Handloom Technology, Salem will not be responsible for any delay in post or otherwise in respect of the
receipt of application after the due date. No correspondence will be entertained in this respect.
Fees to be paid
Amount
(In Rs)
Admission Fee
Cost of Regulation & Syllabus Book
Provisional Certificate & Degree Certificate
Personality & Character Development Programme
Placement and Training Charges
Total
Payable Every Semester
200.00
200.00
500.00
200.00
700.00
1800.00
1
Tuition Fee
2
Development Fee *
3
Library Fee
4
Computer Charges
5
Laboratory Contingent Charges
6
Educational Media Charges
7
Sports and Games Fee
8
Student Accident and Medical Relief Fund
9
Registration and Enrollment Fee
10
YRC / Army Flag Day Subscription
11
Examination Fee
Even Semester Total Fee
Industrial Visit Fee Payable in Odd Semester
Odd Semester Total Fee
Total Fee Paid by the student per annum
1000.00
1000.00
200.00
200.00
200.00
100.00
400.00
150.00
200.00
10.00
200.00
3660.00
1000.00
4660.00
8320.00
(3660 + 4660)
Fees to be paid
Caution Deposit *
Hostel Rent
Block Maintenance and Development Charges
Electricity Charges including Ceiling fan provided
Total
Amount
(In Rs)
6000.00
1000.00
2000.00
1500.00
10500.00