Uflgrad 92656210 20241022114934
Uflgrad 92656210 20241022114934
PersonalInformaon
CollegeNETID: 96916105 DateofSubmission: 10-22-2024
Sex:Male
GenderIdenty(Oponal): Male PrimaryLanguage: Bengali
Hispanic(Oponal): No
Ethnicity(Oponal): Asian
DateofBirth: 01-03-2001
NaonofCizenship: India
SocialSecurityNumber:
MilitaryService:No MilitaryAliaon:
ServedOnorAer09/11/01: EligibleDependent/Spouse:No
VAEducaonalBenets: EligibleAs:
EducaonalMisconduct: No
LegalMisconduct: No
ResidencyClaim: No
Excepons: No
Emergency Contact
Name: Surajit Chatterjee
Relaonship: Father
Address: Mondal Para Road, Utsa ,Madhuban,Khirishtala,Sonarpur
Kolkata, West Bengal, 700150
India
Phone: 912331939
Cell: 912331939
Email: [email protected]
Graduate Applicaon Summary
ApplicaonInformaon
ApplicaonTerm: Fall 2025
College: College of Education - GREDU
Major: Mathematics Education - MAE_MAE
Concentraon:
Locaon: Main Campus - Gainesville
PreviouslyAppliedtoUF: No
PreviouslyAendedUF: No
Readmissions:
Jointdegree:
3/2Program:
UndergraduateMajor: Mathematics
UndergraduateSpecializaon:Algebra
JrSrSelfreportGPA:
Housing: On campus
Special Programs
FeeWaiver:
Fulbright:
Acvies
Acvity1 Study
Kolkata, West Bengal, India From:09-2024
To:12-2024
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Graduate Applicaon Summary
Acknowledgement
Bycheckingtheboxbelow,Icerfythattheinformaonprovidedinthisapplicaoniscompleteandaccu
rate.Iunderstandthatfalseorfraudulentstatementswithinthisapplicaonorresidencystatementcanre
sultindisciplinaryacon,denialofadmissionandinvalidaonofcreditsanddegreesearned.
Ifadmied,IagreetoabidebythepoliciesoftheFloridaBoardofGovernorsandtherulesandregulaonsof
theUniversityofFlorida.Ifurtheragreetothereleaseofanytranscript,studentrecordandtestscoretothis
instuonthatitmayrequest.
AnoerofAdmissionisconngentupontheaccuraterepresentaonofinformaonwithinthisapplicaon
andsuccessfulcompleonofyourcurrentstudies.YouareobligedtonofytheUniversityofanychangesin
theinformaonsubmied.TheUniversityofFloridareservestherighttowithdrawanoerofadmissionat
anymeifwereceiveinformaonthat,inourjudgment,hasasignicantimpactonyourcharacterortness
forstudyorparcipaonintheUFcommunity.
PerFloridaStatute1009.24(14a)allapplicaonfeesareconsiderednonrefundable.Pleaserefertoyourde
partmentorcollege'swebsitetoassureyoureligibilitypriortosubmingyourapplicaon.
ShouldanyofthisinformaonchangebeforeIenroll,IwillimmediatelynofytheO ceofAdmissions.
X PleaseCheckthisboxtoCerfy
Today’sDate:10-22-2024
AdministraveUseCode: WaiverCode:
Graduate Applicaon Summary
NonFloridaResidencyDeclaraon
IdonotqualifyasaFloridaresidentfortuionpurposesforthetermforwhichthisapplicaonissubmied.Iunderstandthat
shouldIqualifyforafutureterm,itwillbenecessaryformetosubmitanupdatedResidencyDeclaraonwhileprovidingpre
scribed,supporngdocumentaontosubstanateas"reclassicaon"ofmystatus.IunderstandbeingclassiedasanonFlorida
residentwillnotexcludemefromthepossibilityofreceivingawaivertocoverpartoralloftheoutofstatefeeasdenedins.
1009.26,FloridaStatutes.SubmissionofanupdatedResidencyDeclaraonmustoccurpriortothebeginningofthetermforwhich
residencyissought.Idonothavetocompleteanyfurtherporonofthisformexceptforthesigningbelow.
Checkingtheboxbelowrepresentsmysignatureauthority.
Chirayata Chatterjee
(FirstNameMiddleNameLastName) X
Graduate Applicaon Summary
InternaonalInformaon
NaonofCizenship: India
Visa Informaon
PermanentResidentalien: No
ResidentAliennumber:
CurrentlyinUS: No
VisaType:
IfOther:
IntendedVisaType: F1
IfOther:
U.S.Address: