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PG Application Form

1) Nishant Kumar has applied for admission to the M.Tech program at the National Institute of Technology Rourkela for the 2013-2014 session in Electronics and Communication Engineering with a specialization in Communication and Networks. 2) He has provided his personal details including date of birth, gender, contact information, academic qualifications including a B.Tech in Electronics and Communication Engineering, and GATE score of 547. 3) Nishant has declared that the information provided in the application is true and he will abide by the rules and regulations of the institute.

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88 views2 pages

PG Application Form

1) Nishant Kumar has applied for admission to the M.Tech program at the National Institute of Technology Rourkela for the 2013-2014 session in Electronics and Communication Engineering with a specialization in Communication and Networks. 2) He has provided his personal details including date of birth, gender, contact information, academic qualifications including a B.Tech in Electronics and Communication Engineering, and GATE score of 547. 3) Nishant has declared that the information provided in the application is true and he will abide by the rules and regulations of the institute.

Uploaded by

NishantKumar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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NATIONAL INSTITUTE OF TECHNOLOGY ROURKELA

Application Form for Admission Session 2013-14 27-Jul-2013




To,
Asst. Registrar (Academic)
NIT Rourkela
Rourkela, 769008,
Odisha, India

Application No. :
Transaction No. :
Programme Applied :
2/AT13/0304
2000001545
M.Tech



Academic Information
Department Applied for :
Pref Department Specialisation
1
Electronics & Communication
Engineering
Communication & Networks
2
Electronics & Communication
Engineering
Electronics & Instrumentation
Engineering
3
Electronics & Communication
Engineering
Signal & Image Processing
Studentship Category : M.Tech with Scholarship



Personal Information
Applicant Name : NISHANT KUMAR Date of Birth : 20-MAR-1988
Cast Code : OBC Gender : Male
Blood Group : O+ve Marital Status : Unmarried
Email : [email protected] Mobile No : 7209660809



Communication Address
At : s/o sanjay kumar vidyarthi
City/Village/Town : pundag
Post : pundag
District : ranchi
State : Jharkhand
PIN Code : 834004
Country : India
Telephone No. : 7209422141

Permanent Address
At : s/o sanjay kumar vidyarthi
City/Village/Town : pundag
Post : pundag
District : ranchi
State : Jharkhand
PIN Code : 834004
Country : India
Telephone No. : 7209422141


Parental Information
Father's Name : sanjay kumar vidyarthi Mother's Name : mala vidyarthi

Financing Person : sanjay kumar vidyarthi Relationship : father
Parent's Mobile No. : 7209422141




Academic Career

Sl.No.
Name of
Examination
Branch of Study School / College
Board /
University
Year of
Passing
% of Marks
or CGPA
Division/ Class
Awarded
1 10th General dav kapildev ,ranchi cbse 2004 84.2 1st
2 12th Science dps,ranchi cbse 2006 71.6 1st
3 B.Tech
Electronics &
Communication
Engineering
the techno
school,bhubaneswar
bput 2012 70.3 1st
If the results of the qualifying examination are not declared, while coming for the interview, please come with a Course
Completion Certificate from Principal or Registrar of the College last attended stating that all examinations including
practical necessary for award of the degree have been completed. The results must be submitted before September 30,
2013, failing which the admission will be cancelled.



GATE/NET/Any Other Test Meant for Admission
Examination : GATE Subject :
EC - Electronics and Communication
Engineering
Results : Qualified
Score/Mark : 547.00 Year : 2013 Valid Till : 14-Mar-2014
Rank :




Declaration
I do hereby declare that the information furnished in this application is true to the best of my knowledge and belief. If admitted,
I shall abide by the rules and regulations of the Institute. If any information furnished in this application is found to be untrue, I
am liable to forfit the seat alloted to me any time in future and legal action to be taken against me.



Date : ___________________________
Place : ___________________________ Full Signature of the Applicant

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