Government of India
Ministry of Textiles
INDIAN INSTITUE OF HANDLOOM TECHNOLOGY
Foulkes Compound, Thillai Nagar , SALEM – 636 001
(Phone -0427-2296943, FAX 0427- 2295254, e-mail :
Application Form for Admission to
B.Tech. (Handloom & Textile Technology)
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Read “Information and Instructions to Candidates before filling the application Form
1.Name (In Block letters with initials at the end) : ………………………………………
2.Name of Parent/Guardian : ………………………………………
3.Address for Communication (IN BLOCK LETTERS) 4. Photo of the Candidate
………………………………………………………
……………………………………………………….
………………………………………………………
…………………………………………………………
PIN :Telephone No : …………………………………Mobile No …………………………
(With STD Code)
E-Mail ……………………………………………..
5 / Date of Birth (Christian Era / Date / Month / Year(Enclose a photocopy of 10th Mark Sheet as Proof)
6 / Gender / (Put / / Mark) / Male / Female / Transgender
7 / Citizenship / (Put / / Mark)
/ Indian / Others
8.School of Study (Enclose a photocopy of X Std Mark Sheet) ( All Columns have to be filled)
S No / Class / Year of Passing / Name of the School / Name of theDistrict / State
1 / VIII Std
2 / IX Std
3 / X Std
4 / XI Std
5 / XII Std (Equivalent)
9. / Whether candidate has Studied
VIII, IX,X, XI & XII Std. in respective state (If yes mention the state)
(Candidates appeared for HSC/ Equivalent Examination in March 2015
Must produce Original TC at the time of counseling, others to enclose a
copy of TC) / Name of the State
10 / Nativity (Name of the Sate)
11. / Religion / Buddhism / Christianity / Hinduism / Islam / Jainism / Sikhism / Others
(Put / / Mark)
12. / Community / ST / SC / SCA / MBC & DNC / BC / BCM / Others
(Put / / Mark)
(Enclose a photocopy of the Permanent Community certificate).
13.Name of the Community : …………………………………..
14. / Qualifying Examination / HSCState Board (Academic) / HSC
CBSE
(Central Board) / ISC / Others
(Put / / Mark)
15.Name of the Board of examination. ……………………………………………………..
16. / Whether Passed the Qualifying Examination / Yes / No(Put / / Mark)
17. / Details of Qualifying Examination Passed
(Enclose a photocopy of HSC Hall Ticket) / Regn. No / Month / Year
18 / Marks Obtained in HSC (Academic/ Equivalent ) Examination(Enclose a photocopy/ Downloaded copy of HSC Mark Sheet)
Subjects / Register Number / Month and Year / Maximum Marks / Marks Obtained / Percentage
Physics (P)
Chemistry (C)
Mathematics (M)
Total (P + C + M)
Fourth Optional # Subject
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# Write the Fourth Optional Subject and marks (e.g. Biology/Computer Science etc. Except Language) as per mark sheet.
19 / Annual Income of Parents / 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
(Put / / Mark)
DECLARATION BY THE APPLICANT
I, ……………………………….., Indian Citizen (Name in Full) Son/Daughter of …………………………………… hereby solemnly declare that the information furnished and the statements given in the application and the enclosures are true , correct and complete. I further declare that if it is found otherwise, I will be liable to forfeit my seat and / or removal from the rolls of the Institution at whatever stage of study I may be, besides making me liable for criminal prosecution. I am fully aware that as per the directions of the Hon’ble Supreme Court of India and Tamilnadu Prohibition of Ragging Act 1997, Ragging is an offence, as is banned in the Institutions and anyone indulging in ragging is liable to be punished such as expulsion from the Institution and / or rigorous imprisonment upto 3 years, and / or fine upto Rs 25,000/-
Place:
Date: (Signature of the Applicant)
……………………………………………………………………………………………………………………
DECLARATION BY THE PARENT / GUARDIAN
I, ______ (Name in Full) Son/Daughter of ______hereby solemnly declare that I am fully aware of the declaration made by the applicant, my Son / Daughter /Ward and I declare and bind myself on the same terms contained in the above declaration. The statement and the information given are true, correct and complete. If it is found otherwise, the applicant is liable to forfeit the seat and / or removal from the rolls of the Institution at whatever may be the stage of study, besides making me liable for criminal prosecution. I am fully aware that as per the directions of the Hon’ble Supreme Court of India and Tamilnadu Prohibition of Ragging Act 1997, Ragging is an offence, as is banned in the Institutions and anyone in ragging is liable to be punished such as expulsion from the Institution and or rigorous imprisonment upto 3 years, and / or fine upto Rs. 25,000/-.
Place:
Date:(Signature of the Parent / Guardian)
Note : Guardian can execute the above declaration, only if both the parents are not alive.
CHECK LIST
(To be Filled by the Candidate)
TICK / TICK1. / Self Attested Photograph affixed on the Application / / 5. / Photocopy of Permanent Community Certificate Card for ST, SC, SCA, MBC & DNC, BC, BCM
2. / Photocopy / downloaded copy of HSC / Equivalent Mark Sheet / / 6. / Photocopy of HSC Hall Ticket
3. / Photocopy of Transfer Certificate (Candidates Appeared for HSC/ Equivalent Examination in March 2015 must produce original TC at the time of counseling, others to enclose a copy of TC) / 7. / Photocopy of Nativity Certificate –
if applicable
4. / Photocopy of 10th Mark Sheet /
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FOR INSTITUTE USE ONLY
Application Complete / Yes / No*1 / If’ ’No’, tick the relevant item in the following defects / 4 / Not obtained minimum Percentage of marks in the prescribed Subjects
2 / Not satisfying Tamilnadu Nativity / 5 / No proper Community Certificate
3 / Not passed the prescribed qualifying examination / 6 / Any other deficiency :
The candidate is eligible/ Not eligible …………………………………………………………………..
(If Not eligible, specify the reason)
Cut Off Mark / Mathematics (For 100) / Physics (For 50) / Chemistry (For 50) / Total (For 200)
Scrutinizing StaffName …………………………..Signature ………………………………
INDIAN INSTITUTE OF HANDLOOM TECHNOLOGY, SALEM
INSTRUCTIONS TO FILL UP THE APPLICATION.
B.Tech (Handloom & Textile Technology)
General
The candidates have to fill up all the details in the application form.
Guidelines to fill –up the Application Form.
Use only BALL PEN to fill-up the application form. For many items you have to furnish the required
information by / ( / / ) marking the column as applicable to you.Item No 1 / 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
G / A / N / E / S / H / M / O / O / R / T / H / Y / . / S
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 / 6 / 0 / 6 / 1 / 9 / 9 / 7
Item No 6 / For filling the Gender Column Tick the Relevant Column as applicable
Item No 7 / For filling the Citizenship Tick the Relevant Column as applicable
Item No 8 / Fill the details of your school of study in the space provided (All columns have to be filled.
Item No 9 / If you have studied VIII, IX, X, XI & XII Std. in respective state, mention the name of the State.
Item No 10 / Write the name of the state in the nativity. Column.
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 / Fill the name of the Community.
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 / Fill up the exam marks of the subject in the appropriate Column.
Item No 19 / If your parents annual Income is Rs 2,50,000/- then Tick the Column Accordingly..
INDIAN INSTITUTE OF HANDLOOM TECHNOLOGY, SALEM
GENERAL NOTES TO THE APPLICANTS
B.Tech (Handloom & Textile Technology)
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
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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, Foulke’s 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.
INDIAN INSTITUTE OF HANDLOOM TECHNOLOGY, SALEM
COURSE : B.TECH (HANDLOOM & TEXTILE TECHNOLOGY)
DURATION OF THE COURSER : 4 YEARS
UNDER GRADUATE (FULL TIME) : 2015-16
FEES TO BE PAID AT THE TIME OF ADMISSION
S.No / Fees to be paid / Amount (In Rs)1 / Admission Fee / 200.00
2 / Cost of Regulation & Syllabus Book / 200.00
3 / Provisional Certificate & Degree Certificate / 500.00
4 / Personality & Character Development Programme / 200.00
5 / Placement and Training Charges / 700.00
Total / 1800.00
Payable Every Semester
1 / Tuition Fee / 1000.00
2 / Development Fee * / 1000.00
3 / Library Fee / 200.00
4 / Computer Charges / 200.00
5 / Laboratory Contingent Charges / 200.00
6 / Educational Media Charges / 100.00
7 / Sports and Games Fee / 400.00
8 / Student Accident and Medical Relief Fund / 150.00
9 / Registration and Enrollment Fee / 200.00
10 / YRC / Army Flag Day Subscription / 10.00
11 / Examination Fee / 200.00
Even Semester Total Fee / 3660.00
Industrial Visit Fee Payable in Odd Semester / 1000.00
Odd Semester Total Fee / 4660.00
Total Fee Paid by the student per annum / 8320.00
(3660 + 4660)
INDIAN INSTITUTE OF HANDLOOM TECHNOLOGY, SALEM
HOSTEL FEE STRUCTURE FOR
COURSE : B.TECH (HANDLOOM & TEXTILE TECHNOLOGY)
UNDER GRADUATE (FULL TIME) : 2015-16
S.No / Fees to be paid / Amount(In Rs)
/ Caution Deposit * / 6000.00
/ Hostel Rent / 1000.00
/ Block Maintenance and Development Charges / 2000.00
/ Electricity Charges including Ceiling fan provided / 1500.00
Total / 10500.00
* Refundable subjected to terms and conditions.