INDIAN INSTITUTE OF TECHNOLOGY KHARAGPUR
KHARAGPUR - 721302
Online Application Form For Admission to Joint MTech/MCP-PhD Programme 2016-2017
GATE RELATED DETAILS
Reg No
: CE16S76066154
Discipline
: CE
Choice Order : (1) CE5 (2) RE
Year
Degree
: 2016
: B.E./[Link]. or equivalent
Paper
: CE
GATE Score : 881
JMP Reg No : R3661
PERSONAL DETAILS
Name
: DIPAK PRASAD
Application : 2016114915426
Email
: prasaddipak514@[Link]
No
Phone/Mobile : 9007188174
Category
: GE
Gender
: MALE
Nationality
: INDIAN
DOB
: 30-01-1994
Postal
: H/O DIWALI GOSWAMI,NEARLAXMI CINEMA,50/5 B.T. ROAD,R.P. GUPTA PATH,TITAGARH,NORTH 24
Address
PARGANAS,KOLKATA,WEST BENGAL,PIN - 700119;
PAYMENT DETAILS
Amount : 500 Transaction Reference No : CP46669863
ACADEMIC PERFORMANCE DETAILS
Name of degree/Exam
University/Board/Council/Organisation
BACHELOR OF ENGINEERING
HIGHER SECONDARY EXAMINATION
MADHYAMIK PARIKSHA
INDIAN INSTITUTE OF ENGINEERING
SCIENCE AND TECHNOLOGY
WEST BENGAL COUNCIL OF HIGHER
SECONDARY EDUCATION
WEST BENGAL BOARD OF
SECONDARY EDUCATION
Year of
completion
Branch/Specialisation
2016
% of
marks/CGP
A
/ 10
2011
88
2009
84.1
HINA/ENGB/CHEM/MATH
/PHYS
HINFL ESL WPS
CIVIL ENGINEERING
DECLARATION OF THE APPLICANT
I have not been admitted to any ME/MTech/MCP programme anywhere in the country based on the GATE score mentioned in this application.
I hereby declare that all the particulars stated in this application are true to the best of my knowledge and belief. I have read the information given in the
web site ([Link]/jmp) and shall abide by all the terms and conditions mentioned therein.
Signature of the applicant with date
(DIPAK PRASAD)
Generation Date : Apr 5, 2016 4:16 AM
Generated Through : ERP, IIT KGP
Page : 1