M.Tech.

INDIAN INSTITUTE OF TECHNOLOGY DELHI

Application Form for Admission to M.Tech. Programme
Please read the instructions given in the Information Brochure Before you fill up the form

Visit : http://www.iitd.ac.in/ Print Date :31 Mar, 2014

Application Number: 00008307 Academic Program: M.Tech.(Master of Technology)

Admission Type: Full-Time Mode of Support: Assistantship

Category: General Physically Challenged: No

Test Year Registration ID Discipline Score(Max 1000) Score(Max 100)

GATE 2014 604403250 Mechanical Engg 667 57.56

PROGRAM
Department/Centre: Mechanical Engineering Program Code: MET(Pref-1),MED(Pref-2),MEP(Pref-3),MEE(Pref-4)

PERSONAL
Name: PRADYUMNA KESHARI NAHAK Date of Birth: 20-JUN-1992 Gender: Male
Father Name: KANHUCHARANNAHAK Mother Name: NALINI NAHAK

QUALIFYING DEGREE
Qualifying Exam: Bachelor of Technology Course duration(Years): 4 Discipline: MECH
Year of Passing: 2014 Name of University/Institute: BIJU PATNAIK UNIVERSITY OF TECHNOLOGY,RO, CET,BHUBANESWAR

BHUABANESWAR
City:

Year/Sem CGPA Obtained Max CGPA Year/Sem CGPA Obtained Max CGPA
Year1/Sem1 8.61 10PT Year1/Sem2 8.5 10PT
Year2/Sem1 8.3 10PT Year2/Sem2 7.85 10PT
Year3/Sem1 7.96 10PT Year3/Sem2 8.46 10PT
Year4/Sem1 8.52 10PT
CGPA 8.320 secured out of 10

PREVIOUS ACADEMIC RECORD

Exam/ Discipline Institute/ Year of Grading %Marks/ Rank
Degree University Passing Scheme CGPA
10+2 SCIENCE VIKRAM DEV COLLEGE,JEYPORE 2009 Percent 86.67 2

CONTACT DETAILS
Correspondence IN FRONT OF HEAD POST OFFICE,,
Address: AT-MAIN ROAD,
PO-JEYPORE,
DIST-KORAPUT
JEYPORE, Orissa, India
PIN: 764001
Email: pradyumnanahak@gmail.com Mobile No.: 9439916384

Permanent IN FRONT OF HEAD POST OFFICE,,

Address: AT-MAIN ROAD,
PO-JEYPORE,
DIST-KORAPUT,
JEYPORE, Orissa, India
PIN: 764001
Email: pradyumnanahak@gmail.com Mobile No.: 9439916384
Payment Information
Amount to be submitted at SBI: Amount Rs: 200.00

Have you ever studied and discontinued your studies at IIT Delhi ? No

For P.G. Section Use Only

(Recommendation/observations of the office)

The candidate may be provisionally admitted/not admitted subject to the following:

1) Submission of attested copies of the qualifying degree and marks sheet showing the required % of marks / CGPA by or before end October.

2) Submission of proof from the University/Head of the Institution of having appeared/passed in the qualifying degree examination by July end.

3) Submission of GATE Score Card/ CSIR /NET award letter (in original) by end July.

4) Submission of attested copy of OBC/ SC / ST/ PH certificate by end July.

5) Submission of relieving / sponsorship / No Objection Certificate from Employer by end July.

6) Any other.
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DR (PGS&R) O.S. (PGS&R)