Visvesvaraya Technological University “Jnana Sangama”, Belgaum-590 014, Karnataka State Application Fee: Rs.100 APPLICATION FORM FOR ADMISSION TO MASTER OF TECHNOLOGY (Part-Time QIP) Programme in M.TECH IN EXTENSION CENTRE: VTU Regional Centre, Mangalore Sahyadri College of Engineering & Management, Mangalore 1. Name of the candidate in Full : (as per University Marks card in block letters) 2. Date of Birth / Caste : 3. Sex : 4. Address of the Candidate for Correspondence : Name : Address : Phone : Mobile: 6. Details of Academic Record of Qualifying Examination. i) Qualifying Degree / Year : ii) Branch of Engg. / Specialization : iii) Name of the College : iv) University : v) University Reg No : vi) Year of passing

VTU MTech PartTime Application Form

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Visvesvaraya Technological UniversityJnana Sangama, Belgaum-590 01, !arnata"a StateApplication Fee: Rs.100

APPLICATION FORM FOR ADMISSION TO MASTER OF TECHNOLOG!Pa"t#Ti$e %IP& P"o'"a$$e inM.TECH IN

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