INDIAN INSTITUTE OF ECOLOGY AND ENVIRONMENT, NEW DELHI

(Recognised Learning Centre of Sikkim Manipal University of Health, Medical and Technological Sciences)

A 15, Paryavaran Complex, South of Saket, New Delhi-110030, Tel. : 011-29535079

ELIGIBILITY FORM FOR M.Sc. DEGREE

(Tick One Only)

MASTER OF SCIENCE (ECOLOGY AND ENVIRONMENT) MASTER OF SCIENCE (DISASTER MITIGATION) MASTER OF SCIENCE (SUSTAINABLE DEVELOPMENT) MASTER OF SCIENCE (TOTAL QUALITY MANAGEMENT) MASTER OF SCIENCE (ECO-TOURISM) MASTER OF SCIENCE (GEO-INFORMATICS) MASTER OF SCIENCE (POLLUTION CONTROL)
Annual Examinations are held in July and January every year

Affix your passport size photograph and attach three extra photographs

Choice for the Examination Centre for First Year and Second Year Examination .......................................................
(Write one Centre only out of the following Centres)

Andhra Pradesh : Hyderabad, Sikanderabad, Tirupati, Vijayawada, Visakhapatnam; Andaman and Nicobar : Port Blair; Assam : Dibrugarh, Guwahati, Jorhat, Silchar, Siliguri; Bihar : Bhagalpur, Muzaffarpur, Patna; Chandigarh : Chandigarh; Chhattisgarh : Bhilai Nagar, Raipur; China : Chongoing; Goa : Salcete; Gujarat : Ahmedabad, Kutch, Rajkot, Surat, Vadodara; Haryana : Faridabad, Gurgaon, Karnal, Rohtak; Himachal Pradesh : Shimla; Jammu & Kashmir : Jammu, Srinagar, Udhampur; Jharkhand : Bokaro, Jamshedpur, Ranchi; Karnataka : Bangalore, Belgaum, Davanagere, Hubli, Manipal, Mysore, Shimoga; Kerala : Alappuzha Dist., Cochin, Kottayam, Kozhikode, Thrissur, Tiruchirapalli, Tiruvananthapuram; Maharashtra : Aurangabad, Kolhapur, Mumbai, Nagpur, Pune; Manipur : Imphal; Meghalaya : Shillong; Madhya Pradesh : Bhopal, Gwalior, Indore, Jabalpur, Ujjain; Nagaland : Dimapur; Nepal : Janakpur Dham, Kathmandu; New Delhi : New Delhi; Orissa : Bhubaneshwar, Punjab : Barnala, Bhatinda, Jalandhar Cantt., Ludhiana, Patiala, Pathankot; Rajasthan : Bhilwara, Jaipur, Jodhpur, Kota, Sriganganagar; Udaipur; Sikkim : Gangtok, Rangpo; Sri Lanka : Battaramulla; Tamilnadu : Chennai, Coimbatore; Tripura : Agartala; Uttar Pradesh : Agra, Aligarh, Allahabad, Ghaziabad, Gorakhpur, Jhansi, Kanpur, Lucknow, Meerut, Moradabad, Noida, Varanasi; Uttarakhand : Dehradun; West Bengal : Asansol, Darjeeling, Howrah, Kolkata.

Name of the Applicant (IN CAPITAL LETTERS) ................................................................................................................................................ Father's / Husband's Name (IN CAPITAL LETTERS) ................................................................................................................................................ Address for Correspondence.................................................................................................. ................................................................................................................................................ ....................................................................................................Pincode............................... Phone (Office)........................................Phone (Residence).................................................. Nationality Sex : Male / Female Educational Qualifications : Mention details of all qualifications from Graduation onwards. Examination University / Board Institution Year Divison % of Marks Date of Birth

(Attach attested copies of graduation certificate / marks-sheet)

Details of Fees Paid : Draft No.......................Dated..................Drawn on............................... Permanent Address and Phone Number of the Applicant

Date

Place

Signature of the Applicant