Name of the Parent / Guardian *

Relationship of Parent/Guardian *

City *

State *

Gender *
MaleFemaleOther

Nationality *
IndianNon-IndianNRI

Mobile No *

Email *

Date of Birth *

Sponsored Candidate *
NoYes

Category *
GeneralSC/STOBCOther

Discipline/Subject *

University/Board *

School/College*

Year of Passing *

% of Marks *

CGPA Obtained

Discipline/Subject *

University/Board *

School/College*

Year of Passing *

% of Marks *

CGPA Obtained

Discipline/Subject *

University/Board *

School/College*

Year of Passing *

% of Marks

CGPA Obtained*

Do you wish to take IIT Madras Admission Test? *
NoYes

If No, please give a valid CAT, GMAT or GRE Score within last 5 years

Position *

Company *

Duration *

Position

Company

Duration