Application form for admission to studies

Applicant number: 2453126

Semester: Winter Semester 2021/22
Higher Education Institute: Leibniz Universität Hannover

1. Information on the desired degree course

Target degree in Germany : Master of Science
Course number Course name Course
1. course M. Sc. International Mechatronics (Double Degree) 1

2. Personal details
Surname/Family name Raza
First/Given name(s) Mohammed Ashraf
Sex male
Date of birth 19.05.1998
Place of birth Ahmednagar
Nationality/Nationalities India

3. Correspondence address
c/o
House number/Street/Road etc. H. No 1-4-157/18 Datar colony
Address continued Ashapur road
Postcode/Zip code 584101
Place/delivery area Raichur
Country India
E-Mail raza19ashraf76@gmail.com

4. School leaving certificate

Country India

Studies completed at a German university/ German university of applied sciences

Studies completed outside of Germany

1st apprenticeship/study course/work

03/2013 to 03/2014
placement - from MM/YY to MM/YY
Name and place of institution (in the Smt Pyaribai Sampathraj Kothari C.B.S.E School
original language in latin script!) Raichur, Karnataka, India
Specify the field/subject(s): English, Kannada, Mathematics, Science, Social
Name of qualification/position of
SSLC(10th)
employment/placement
Pass? yes
2nd apprenticeship/study course/work
04/2015 to 03/2016
placement - from MM/YY to MM/YY

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Name and place of institution (in the Mahesh PU College ( Pre-University Education)
original language in latin script!) Mangalore, Karnataka, India
Physics, Chemistry, Mathematics, Biology, English,
Specify the field/subject(s):
Hindi.
Name of qualification/position of
PUC(Pre-University College or 10+2)
employment/placement
Pass? yes
3rd apprenticeship/study course/work
08/2016 to 08/2020
placement - from MM/YY to MM/YY
Name and place of institution (in the Ramaiah Institute of Technology Bangalore,
original language in latin script!) Karnataka, India
Specify the field/subject(s): Bachelors in Mechanical Engineering
Name of qualification/position of
BE (Bachelors of Engineering)
employment/placement
Pass? yes
4th apprenticeship/study course/work
02/2021 to 03/2021
placement - from MM/YY to MM/YY
Name and place of institution (in the Decibels Lab Private Limited, Bangalore,
original language in latin script!) Karnataka , India.
Specify the field/subject(s): Internship on Control System Engineering.
Name of qualification/position of
Intern
employment/placement
Pass? yes
5th apprenticeship/study course/work
10/2020 to 11/2020
placement - from MM/YY to MM/YY
Society for Space Education Research and
Name and place of institution (in the
Development [SSERD] Bangalore, Karnataka ,
original language in latin script!)
India.
Design of Concept lunar rover with autonomous
Specify the field/subject(s):
excavation mechanism
Name of qualification/position of
Research Intern
employment/placement
Pass? yes

Activities prior to application

Length of activity
(from MM/YY to 11/2020 to 01/2021
MM/YY)
Type of activity Goethe Zertifikat A1
Length of activity
(from MM/YY to 01/2020 to 06/2020
MM/YY)
Project titled 'Analysis and fabrication of soft robotic gripper for the
Type of activity handling of irregular and fragile objects compatible with Fanuc
M-10iD/12 industrial robot'.
Length of activity
(from MM/YY to 01/2019 to 06/2019
MM/YY)

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 Project titled "Development of 3D printing filament from expendable
Type of activity
HDPE plastics".
Length of activity
(from MM/YY to 01/2019 to 12/2019
MM/YY)
Type of activity Social Service : National Service Scheme (NSS) Volunteer

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or to the cancellation of my admission or enrollment by the university.

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