INDIAN INSTITUTE OF SCIENCE, Application No

BANGALORE - 560012 19400492

APPLICATION FORM FOR ADMISSION TO
COURSE PROGRAMME (M MGT) 2019
Name of the Candidate : Mr. JAIN PRATIK ARVINDKUMAR
(as it appears in your Degree Certificate)
Gender : Male Nationality : Indian
Category : General
Date of Birth : 25 Sep 1995 State of Domicile : Gujarat
Address for 34,NALANDA SOCIETY-1,
Correspondence : NR. NALANDA WATER TANK,
WAGHODIA ROAD,
VADODARA, Gujarat
PIN Code : 390025
E-mail Address : pratikjain259.pj@gmail.com
Phone Number : 9586280296 Mobile Number : +91 - 9586280296
Are you Currently Employed? Yes
Experience Details : 20 months till 31st Jan. 2019
12 months: Kuesters-calico machinery Pvt Ltd(purchase department), 8 Months:Vcare engineering
Pvt Ltd (Design department)
GATE Details :
Year GATE Roll GATE Paper Score (out of
Number 1000)
2017 ME17S2202303 Mechanical Engineering 444
4
2018
2019
National Entrance Test Details :
National Entrance Test Year Register No. CAT- Rank (if known)
Percentile/GMA
T-Out of 800
CAT 2018 8082314 96.34
GMAT

Previous Entrance Test Details :

Educational Qualification :
Schooling Year of Institution / Board % of Rank Key Subjects
Passing School Marks/
CGPA
10th Std 2011 BRIGHT DAY Gujarat 93.80 - MATHEMATICS
SCHOOL, SCIENCE AND TECHNOLOGY
VADODARA SOCIAL SCIENCE
GUJARATI FL
ENGLISH SL
SANSKRIT
COMPUTER EDU
12th Std 2013 SHREE Gujarat 83.23 - PHYSICS
NARAYAN CHEMISTRY
VIDHYALAY, MATHEMATICS
VADODARA ENGLISH SL
COMPUTER EDU.
COMPUTER PRACT
CHEMISTRY PRACT
PHYSICS PRACT

Submitted by Mr. JAIN PRATIK ARVINDKUMAR on Feb 14 2019 7:23PM

 Educational Qualification :
Degree (Studying Year of Institution / University Class Rank Key Subjects Sem / Marks /
/ Completed) Passing College Year GPA
BE-Mechanical 2017 SARDAR GUJARAT - DESIGN OF 1 8.66/10
Engineering VALLABHBHAI TECHNOLOGIC MACHINE 2 8.74/10
PATEL AL HEAT
INSTITUTE OF UNIVERSITY TRANSFER 3 8.79/10
TECHNOLOGY REFRIGERATIO 4 9.21/10
N AND AIR
CONDITIONING 5 8.32/10
MATERIAL 6 9.39/10
SCIENCE AND
METALLURGY 7 8.97/10
QUALITY 8 8.97/10
ENGINEERING
OPERATION 9
RESEARCH 10
MECHANICAL
MEASUREMEN
T AND
METROLOGY
RENEWABLE
ENERGY
Qualifying Exam : BE Status : Passed
Branch / Specialization: Mechanical Engineering
University : SARDAR VALLABHBHAI PATEL INSTITUTE OF TECHNOLOGY, GUJARAT
TECHNOLOGICAL UNIVERSITY
Year of Passing : 2017
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 : VADODARA

Date : 15/02/2019 Signature of the Applicant

Submitted by Mr. JAIN PRATIK ARVINDKUMAR on Feb 14 2019 7:23PM