Professional Documents
Culture Documents
A Passport
Size
Photograph
should be
pasted in this
space
Name of Department/Centre in which admission is sought : MED - Mechanical & Industrial Engineering
Proposed Status: Full Time
Approved Research Centre: If PART TIME
: No
: No
: No
Nationality : Indian
Fathers Name : KRISHNA KUMAR PANDEY
Mothers Name : MANJU PANDEY
Address for Correspondence : ALOK PANDEY,
M.I.G.-71, VIKAS NAGAR VISTAR,
BARGADWA,
GORAKHPUR,
U.P. -273007
Pin Code : 273007
Mobile No. : 8565820901
Telephone No.:
Fax No. :
Category :GEN
ACADEMIC RECORD
Details of marks/grades secured in the examinations passed.
Exam Passed
Year of
Passing
2000
Marks
Obtained
347.00
2006
1,596.00 2,200.00
72.54
G.B.T.U.
2010
3,034.00 4,500.00
67.42
B.I.T. MESRA
2013
Duration
Subjects
Institute/Universit
10th Standard
Math,Hindi,Scien
ce, ENGLISH
12th Standard
B-TECH
M.E.
P.T.,T.O.M.,
M.M.C., M.D.,
S.O.M.
MECHANICAL
ENGINEERING
Design of
Mechanical
Equipment
U.P. BOARD OF
HIGH SCHOOL
AND
INTERMEDIATE
EDUCATI
B.T.E.U.P.
LUCKNOW
Max
% of
Marks Marks
600.00 57.83
8.20
10.00
0.00
0.00
82.00
0.00
Details of Marks/ Grade Point Average secured in the Qualifying Degree Examinations
Marks/CGPA Obtained
Max Marks/Scale
Semester/Yearly System
First
7.35
10.00
Semester System
Second
7.85
10.00
Semester System
Second
9.00
10.00
Year System
The undersigned is pleased to sponsor Mr./ Ms. ALOK KUMAR PANDEY who is working in this organisation for the last
....................... years and is presently holding the rank/ position of .............................................. for pursuing Ph .D.
programme
in
the
Department
of
................................................................................................................
with
Place : .............................................
Date : ..............................................
Name ..........................................................................
Designation .....................................................................
UNDERTAKING
I, ALOK KUMAR PANDEY
S/o, /D/o
vogue from time to time, and shall not indulge in any act of indiscipline. The factual information given by me are correct .If at
any time the information provided by me is found to be incorrect, my admission be cancelled.
Date: ................................
Signature of Candidate
Check List
i) Attested copies of the qualifying degree/ certificate and marks sheet showing the required % of marks/CGPA.
ii) Proof from the University/Head of the Institution of having appeared/passed in the qualifying Degree Exam.
iii) Attested Copy of GATE Score Card / Equivalent National Test certificate.
iv) Attested Copy of SC/ST/OBC/PD certificate. Candidates belonging to OBC category must submit xeroxed copy of
category certificate on GOI format. OBC Certificate should have been issued after 31.03.2013 by competent authority.
v) Certificates pertaining to No Objection/ Sponsorship on the proforma of the Application Form.
vi) IITR copy of Challan