4/10/2019 MTech Admission Form

Applicant Details

Personal Details

Application Seq No Name of the candidate(as in qualifying degree certificate or 10th class certificate)

2019MTJULEE4278 POOJA SINGH

Name of Academic Programme Name of Discipline

Master of Technology Electronics and Electrical Engineering

Father / Guardian's name Date of Birth

jagdish prasad singh 20/Jan/1994

Gender

Female

Physically disabled Caste Category

No OBC-NCL

Date of issue of OBC-NCL Certificate (It should be issued on or after 01/04/2018) Marital Status

30/Jan/2019 Single

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Nationality

Indian

Correspondance Address

Address Line 1 Address Line 2

72/2A C.Y CHINTAMANI ROAD GEORGE TOWN

Country State

India Uttar Pradesh

City/Town/Village District

ALLAHABAD allahabad

Pincode/Zipcode Nearest Railway Station

211002 allahabad junction

Permanent Address

Address Line 1 Address Line 2

72/2A C.Y CHINTAMANI ROAD GEORGE TOWN

Country State

India Uttar Pradesh

City/Town/Village District

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4/10/2019 MTech Admission Form
ALLAHABAD allahabad

Pincode/Zipcode Nearest Railway Station

211002 allahabad junction

Contact Details

Contact Mobile Phone Number Email Address

9818434080 poojasinghec1092@gmail.com

Preference Details

Preference-1 Preference-2

VLSI Communication Engineering

Preference-3 Preference-4

Signal Processing and Machine Learning Systems, Control and Automation

Preference-5

RF and Photonics

Qualification Details

Studentship Category ?

Regular with GATE

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Regular with GATE Details

Year of Appeared Registration Number without Paper Code Examination Paper Code Score Marks All India Rank

2019 ec19s53034302 Electronics and Communication Engineering 603 48.67 2219

Educational Qualification

Examination/Degree Name of the School Board of Examination Subjects Equivalent Percentage of Marks (Out of 100) Year of Passing

Class 10 G.T.G.I COLLEGE UTTAR PRADESH BOARD SCIENCE 66.33 2008

Class 12 or Equivalent G.T.G.I COLLEGE UTTAR PRADESH BOARD PCM 69 2010

Bachelors Degree

Degree Awarded by
Name of Name of Institute/University Discipline/Major/Branch Status
Diploma/Degree college/Institute
A.K.T.U ELECTRONICS Passed
B.TECH U.C.E.R LUCKNOW AND
ALLAHABAD COMMUNICATION
Month and Year of Grading Format Aggregate 100% or Maximum
Passing Percentage/CGPA/CPI CPI
Marks in
JUNE 2015 Percentage 81.44 100

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Level of Your Qualifying Degree COAP-2019 Registration Number

Bachelors Degree or equivalent COAP19022844

Uploaded Documents

Photo Signature

To view Class 10 Mark sheet Click here.

To view Class 12 or Diploma Mark sheet Click here.
To View Bachelors Marksheet and Degree Certificate as a single PDF fileClick here.
To view I&A (for EWS) / OBC-NCL/ SC/ ST CertificateClick here.
To view GATE/CEED/NET Score Card. Click here.

Payment Details

Payment Mode Amount

online 150

Payment status

Declaration

I hereby declare that the entries made in this application form are correct to the best of my knowledge and belief. If
selected for admission, I promise to abide by the rules and regulations of IIT Guwahati. I note that the decision of
institute is final in regard to selection for admission and assignment to particular department / center and field of

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4/10/2019 MTech Admission Form
study.The institute shall have right to take any action it deems fit, including expulsion, against me at any time after my
admission, if it is found any information furnished by me is incorrect.

Version 13.06.01

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