Application Form for [Link]./[Link].
Programme
Application No.: 24100998
Date & Time of Submission: 02:45PM on March 24, 2024
1. Personal Information
FULL NAME : SARVESH KUMAR MISHRA
MOTHER's NAME : MADHURI MISHRA
FATHER's NAME : KRISHNA DEO MISHRA
Date of Birth : 08-08-1998
Email : mishrasarvesh857@[Link] Gender : Male
Nationality : Indian Category : GEN
Physically Challenged ? : No
Mobile Number : 8218317366
Correspondence Address: Vill-Lathiya kalan, Post-Shikarganj Tehsil-Chakia Disst-Chandauli Pin Coad-232103
Permanent Address : Vill-Lathiya kalan,Post-Shikarganj Tehsil-Chakia Disst-Chandauli Pin Coad-232103
State : Uttar Pradesh
COAP Registration ID: COAP24002128
2. Application Fee Details
Application Fee : 500
E-receipt no. : DUM4132148
Date of Payment : 2024-03-24
3. Programme Selection :
Registration Category : Full-Time Regular
3A. Select the Primary Programme you are applying for (Compulsory) :
Programme : [Link]
Department/School: Department of Civil Engineering
Discipline: Civil Engineering
Spec 1:STRUCTURAL ENGINEERING
Spec 2:GEOTECHNICAL ENGINEERING
Spec 3:TRANSPORTATION ENGINEERING
Spec 4:ENVIRONMENTAL ENGINEERING
Spec 5:GEOINFORMATICS ENGINEERING
Spec 6:HYDRAULICS AND WATER RESOURCES ENGINEERING
Spec 7:ENGINEERING GEOSCIENCES
3B. Additional Programme 1 : 3C. Additional Programme 2 :
Programme : null Programme : null
Dept/School:null Dept/School: null
Discipline: null Discipline: null
Spec 1:null Spec 1:null
Spec 2:null Spec 2:null
Spec 3:null Spec 3:null
Spec 4:null Spec 4:null
Spec 5:null Spec 5:null
Spec 6:null Spec 6:null
Spec 7:null Spec 7:null
Spec = Specialization
4. Details of GATE/GPAT (Mandatory for Full-Time Regular Category) :
GATE/GPAT Qualified : Yes Is Your GATE/GPAT Score Valid : Yes
Name of the Exam : GATE
Reg./Rollno. CE24S33036037
Exam discipline : Civil Engineering
Exam Year : 2024
Exam Rank : 10936
Exam Score : 358
5. Academic Details :
5A. Qualifying Degree details : 5B. Other Degree details :
Degree : UG Degree Degree :
Degree Status : Completed Degree Status :
Degree Name : BTech Degree Name :
University : DR.A.P.J ABDUL KALAM TECHNICAL
University UNIVERSITY
: UTTAR PRADESH
Discipline : Civil Engineering Discipline :
Exam Year : 2020 Exam Year :
% or CGPA : 7.57 % or CGPA :
5C. Intermediate (10+2):
Name of Certificate : INTERMDEIATE
Name of Board : U.P BOARD
Subjects : PHYSICS,CHEMESTRY, MATHS,HINDI,ENGLISH
Year of Passing : 2015
Final Aggregate % or CGPA: 78
5D. High School (10th):
Name of Certificate : HIGH SCHOOL
Name of Board : U.P BOARD
Subjects : MATHS,SCIENCE,ENGLISH,HINDI,SOCIAL SCIENCE,SANSKRIT
Year of Passing : 2013
Final Aggregate % or CGPA: 75.16
6. Work Experience(Mandatory if applying under sponsored category):
First Work Experience : Second Work Experience :
Period from : Period from :
Period to : Period to :
Organization : Organization :
Position : Position :
7. Declaration:
I declare that the information provided by me on this application form is correct to the
best of my knowledge and belief. I understand that any wilful misinterpretation of facts
will result in my disqualification and dismissal from the Institute if admitted.
Candidate signature
Application no.: 24100998
Date & Time of Submission: 02:45PM on March 24, 2024