PhD CSE

INDIAN INSTITUTE OF TECHNOLOGY DHARWAD
Application Part - II: PhD Application Form for Autumn 2022-23

Department of Computer Science & Engineering
NOTE

Please read the admission brochure carefully, please ensure you meet all the eligibility criteria before filling the form. The application fee once paid will not be refunded. A submission Id is generated after the successful submission of the application form and note down the same for future reference.

Once you start filling the application form there is no option to save and fill later! Therefore, kindly keep all the required soft copies of the documents ready. If you fail to fill the application form in one go, kindly restart the filling of the application from the beginning.
Part - I Application Submission ID *
NAME *

First Name Middle Name Last Name
Gender *

Male Female Other
GMAIL ID *

Confirmation Email Confirm your Gmail ID
PHOTO *

Maximum file size is 100 KB
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APPLICATION FEES PAID *
SBI E COLLECT REFERENCE NUMBER *
TRANSACTION DATE *

Day Month Year
DATE OF BIRTH *

Day Month Year
CATEGORY *

General General -EWS OBC- (NCL) SC ST
UPLOAD A RELAVANT CASTE / CATEGORY CERTIFICATE *

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ARE YOU DIFFERENTLY ABLED ? *

Yes No
CHOOSE APPROPRIATE OPTION *

LOWER VISION/BLINDNESS HEARING IMPAIRMENT LOCOMOTOR DISABILITY OTHERS
UPLOAD PWD CERTIFICATE *

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NATIONALITY *
POSTAL ADDRESS *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
PERMANENT ADDRESS *

Same as above Different
PERMANENT ADDRESS

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
MOBILE NUMBER *
WHATSAPP NUMBER
NOTE
- Choose your Research Areas preferences carefully. However, at least one Research Area should be selected and not all preferences are compulsory.
- Once the preference is chosen, there will be no scope for further modifications.
- Your preference will be considered for the final recommendations for the Ph.D. program in that particular Research Area.
(Please do not assign same preference for two or more positions)

Application category Preference *

	First Preference	Second Preference	Third Preference	Fourth Preference
Au22_CSE_PhD_TA (Teaching Assistantship-TA)
Project Assistantship (PA) Au22_PhD_CSE_DSAI1 / Au22_PhD_EE_CSML1
Project Assistantship (PA) Au22_PhD_CSE_DSAI2 / Au22_PhD_EE_CSML2)
Externally sponsored Ph.D. (EX)

Please note that preferences for below mentioned Research Areas are available only for the TA category. If you are not applying under TA category, please choose Not Applicable

(Please do not assign same preference for two or more research areas)

Research Area Preference Among TA Category *

	First Preference	Second Preference	Third Preference
Data Science and Artificial Intelligence (DSAI)
Computer/Communication Networks (CN)
Embedded Systems and Computer Architecture (ESCA)
Not Applicable

Please note that preferences for below mentioned Research Areas are available only for the EX category. If you are not applying under EX category, please choose Not Applicable

( Please do not assign same preference for two or more research areas)

Research Area Preference Among EX Category ( Please do not assign same preference for two or more research areas) *

	First Preference	Second Preference	Third Preference	Fourth Preference	Fifth Preference
Data Science and Artificial Intelligence (DSAI)
Computer/Communication Networks (CN)
Embedded Systems and Computer Architecture (ESCA)
High Performance Computing and Programming Languages (HPCPL)
Theoretical Computer Science (TCS)
Not Applicable

EDUCATIONAL QUALIFICATION *

	Degree	Board/Universitry	Year of Completion	Specialization	Percentage/CPI
Masters
Bachelors
10+2
10th
Any other

GATE QUALIFIED? *

Yes No
UPLOAD GATE SCORE CARD *

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GATE Details *
NET-JRF QUALIFIED? *

Yes No
NET-JRF DETAILS *
UPLOAD A RELEVANT CERTIFICATE *

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LIST OF ANY OTHER FELLOWSHIPS/AWARDS
LIST OF PUBLICATIONS, IF ANY
WORK EXPERIENCE
Upload employer's sponsorship letter (For EX category only) (Refer to appendix A in the brochure)

(Please upload a pdf file)
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Upload CV of the co-supervisor from the employer (For EX category only)

(Please upload a pdf file)
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Upload SOP (Statement of purpose) *

(Please upload a pdf file)
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Any other information that you wish to share
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Declaration *

All the information I have furnished in this application is correct to the best of my knowledge
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INDIAN INSTITUTE OF TECHNOLOGY DHARWAD

Application Part - II: PhD Application Form for Autumn 2022-23