National Institute of Technology Agartala

Jirania, Tripura(W)-799046
url:http://www.nita.ac.in

Application for Stipend (ODD 2019-20)

Name : SAKET KUMAR

Father Name : BIMLENDU YADAV

Degree : MASTER OF TECHNOLOGY

Scheme : FIRST SEMESTER TRANSPORTATION ENGINEERING (2014)

Semester : FIRST SEMESTER 19PCE012

ACADEMIC DETAILS :

Name of Name of Name of Year of Examination Total Mark Out of Percentag

Examination Board/University School/College Passing Seat no. Obtained Marks e/ CPI

Std 10th BSEB HIGH SCHOOL 2010 0256 397 500 79.40
MAUNBEHAT
Std 12th BSEB L.C.S. COLLEGE, 2013 10235 349 500 69.80
DARBHANGA
BTECH AKU ,PATNA LOK NAYAK JAI PRAKASH INSTITUTE
2018 OF TECHNOLOGY,
10914 CHA4777 6350 75.00

Entrance Exam :

Exam Name : GATE Year of Exam : 2019

Seat No : CE19S84017219 All India Rank : 10711 State Rank : 0

STIPEND SECTION :

Guardian Income Level : <100000 Student Acc. No : 6225385833

Sr. No. Selected Stipend

1 GATE SCHOLARSHIP,

I hare by declare that the information provided in the application is true to the best of my
knowledge and belief. I declare that I have not received any scholarship from any other source. I also know
that I shall be responsible for legal or any other disciplinary action deemed fit by the institute against me
and that the scholarship may be recovered in full from me if the given statement is found to be false.

Applicant Signature

Print Date : 20/08/2019 9:00 pm Page 1 of 1