Application Form 2024-25
Application ID : IITP/PG/2024-25/12272
Application / Course Details
Programme
Post-Graduation
Course
[Link] in Artificial Intelligence & Data Science Engineering
Personal Details
Basic Details:
First Name Last Name
Sourav Mahata
Email Phone Number
souravmahata24@[Link] +91-6294007115
Nationality Aadhaar Number
Indian 527737709015
Category Gender
OBC Non-Creamy Layer Male
Date of Birth as per Aadhar Disability
02/07/1999 None
Religion Blood Group
Hinduism B+
Alternate Phone Number Alternate email id
-- --
Parent Details:
Father or Spouse Name Father's Email ID
Arun Kumar Mahata dr.arunmahata1965@[Link]
Father's Mobile Number
+91-9732804835
Mother's Details
Mother's Name Mother's Phone Number
Renuka Mahata +91-9735616147
Mother's Email ID
--
Guardian's Details
Guardian's Name
Arun Kr. Mahata
Guardian's Phone Number
+91-9732804835
Guardian's Email ID
--
Academic Details
10th Standard:
Class X Name of the School Class X Name of the Board
Jhargram Kumud Kumari Institution Other
Class X Name of the Board Other Class X Year of Passing
West Bengal Board of Secondary Education 01/01/2015
Class X Overall Percentage or CGPA
82.43
12th Standard:
Class XII Name of the School Class XII Stream
Jhargram Kumud Kumari Institution Science
Class XII Name of the Board Class XII Name of the Board other
Other The West Bengal Council of Higher Secondary Educat
Class XII Year of Passing Class XII Overall Percentage or CGPA
01/01/2017 72.2
Under Graduate Details:
Graduation Name of Institute or college Graduation Stream
Govt. College of Engg. & Textile Technology Apparel Production & Management
Graduation Degree Graduation Year of Passing
[Link] 01/01/2021
Graduation Overall Percentage or CGPA
77.7
Post Graduate Details:
Have you done any post graduation Post Graduation Name of Institute or college
No --
Post Graduation Stream Post Graduation Degree
-- --
Post Graduation Year of Passing
--
Address Details
Present Address:
Address 1 Address 2
Chandabila, Bagghori ,721505 --
Country Corresponding Address District Corresponding Address
India Paschim Medinipur (West Medinipur)
State Corresponding Address City Corresponding Address
West Bengal Jhargram
District Corresponding Address Pincode Corresponding Address
Paschim Medinipur (West Medinipur) 721505
Street Name Corresponding Address Building No Corresponding Address
Chandabila, Bagghori ,721505 --
Permanent Address:
Address line 1 Permanent address Address line 2 Permanent address
Chandabila, Bagghori ,721505 --
State Permanent Address City Permanent Address
West Bengal Jhargram
Pincode Permanent Address Building No Permanent Address
721505 --
Street Name Permanent Address Country Permanent Address
Chandabila, Bagghori ,721505 India
Entrance Exam Details
Entrance Exam Obtained Marks
CAT 8.59
Total Marks Percentage
198 4.34
Percentile Exam Rank
28.31 --
Exam Year
2023
Work Experience Details
Do you have work experience Name of the Organisation
-- --
Designation Total No of Work Experience in Months
-- --
2nd Work Experience
2nd Name of the Organisation 2nd Designation
-- --
2nd Total No of Work Experience in Months
--
3rd Work Experience
3rd Name of the Organisation 3rd Designation
-- --
3rd Total No of Work Experience in Months
--
Declaration
I do hereby declare that the information furnished herein above are true to the best of my knowledge and belief in case
any information is to be found false, my admission may be terminated.
First Name Signature
Sourav