INDIAN INSTITUTE OF SCIENCE,

BANGALORE - 560012
APPLICATION FORM FOR ADMISSION TO
COURSE PROGRAMME (ME/ M TECH/ M DES) 2014
Application No
14308459
Name of the Candidate : Mr. MANOJ SINGH
(as it appears in your Degree Certificate)
Gender : Male Nationality : Indian
Category : General
Date of Birth : 02 Feb 1988 State of Domicile : Haryana
Address for
Correspondence :
49-A,
JAGAT COLONY,
BHIWANI, Haryana
PIN Code : 127021
E-mail Address : manojsinghkatpal@gmail.com
Phone Number : 9896488188 Mobile Number : +91 - 7827195805
Are you Currently Employed? Yes
Employed Organisation : Anglo Eastern Ship Management Ltd.
Designation : 5th,4th and 3rd engineer
Office Address : 303, 3rd Floor, Leela Business Park, Andheri - Kurla Road, Andheri (East),, Mumbai - 400 059,
Maharashtra, India
Work Experience : 2 Years - 1 Month
GATE Details :
Year GATE Roll
Number
GATE Paper Score (out of
1000)
2013
2014 ME304103146 Mechanical Engineering 902
National Entrance Test Details :
National Entrance Test Year Register No. Marks (Out of
100)
CEED 2013
CEED 2014
Preferences of Department(s) / Discipline(s):
I : MECHANICAL ENGINEERING
II : AEROSPACE ENGINEERING
III : PRODUCT DESIGN AND ENGINEERING
IV : -
V : -
Educational Qualification :
Schooling Year of
Passing
Institution /
School
Board % of
Marks
Rank Key Subjects
12th Std 2004 Bal Bhawan
Bhiwani, Bhiwani
CBSE 81.00 - Physics,Chemistry,Mathematics,Engl
ish,Sanskrit
10th Std 2002 BAL BHAWAN
BHIWANI,
BHIWANI
CBSE 72.40 - English,Mathematics,Science,Social
Science,Sanskrit,Hindi
Submitted by Mr. MANOJ SINGH on Apr 3 2014 12:24AM
Educational Qualification :
Degree (Studying
/ Completed)
Year of
Passing
Institution /
College
University Class Rank Key Subjects Sem /
Year
Marks /
GPA
BE-Marine
Engineering
2009 Marine
Engineering &
Research Institute
Jadavpur
University,Kolkat
a
- Marine Auxiliary
Machinery,Marin
e Engines,Ship
Construction,Mari
ne
Elecrotechnology,
Power plants.
1 68.58%
2 70.27%
3 74.7%
4 73.09%
5 72.33%
6 73.09%
7 65.5%
8 68.1%
9
10
Qualifying Exam : BE Status : Passed
Branch / Specialization: Marine Engineering
University : Marine Engineering & Research Institute, Jadavpur University,Kolkata
Year of Passing : 2009
Declaration : I Confirm that all the information which I have given in this application is complete and true to the best of my
knowledge and belief. If admitted, I will be bound by the rules and regulations of the Institute.
Place : BHIWANI
Date : 25/7/2014 Signature of the Applicant
Submitted by Mr. MANOJ SINGH on Apr 3 2014 12:24AM