Earthquake Engineering Literature Survey Workshop
for Post Graduate Students from Engineering Colleges across India
at IIT Kanpur during 07-16 July 2011
Application Form
(Last Date: 15 April 2011)


* Marked Entries are Essential.
   
Name*
Sex*
Full Postal Address with Pin*
Email Address*
Phone Numbers*
   
B.E/B.Tech Details:
College/University*
Year*
% of Marks/CPI*
   
M.E./M.Tech/Ph.D Details:
GATE Score (if applicable)
Current Rank in M.E/M.Tech Class
   
Thesis Supervisor Details:  
Name*
Office Address*
Telephone*
E-mail*
Thesis Title*
Write about your career Objective*
(mentioned here as: "Pdf uploaded")
   
College Details:
Name*
Complete Postal Address with Pin*
Email Address
Phone Numbers
   
Nomination form (download)
 
Upload all documents in a single file (.pdf format):
1. Copies of grade/marksheets
2. Nomination form duly forwarded by Head of the Department
3. Thesis problem (in 200 words) duly forwarded by your Thesis Supervisor
4. Career objective (in 200 words)
Upload documents (*PDF)*
Upload Photograph (*JPG)*