Application for M.Tech.

Programme

APPLICATION NUMBER : MTECH/PED/2023/0039       APPLIED ON : 25-03-2023

1.  Full name of the Applicant MR. SHUBHRANSHU PANDEY

2.  Type Institute Assistantship

3.  Programme in which admission is sought Power Electronics and Drives

4.  Name of the Mother SMITA PANDEY

5.  Ocupation of the Mother housewife

6.  Name of the Father vinod kumar pandey 7.  Occupation of the Father ADEN Construction

8.  Date of Birth of Candidate 17-05-1998 9.  Nationality INDIAN

10.  Marital Status UNMARRIED 11.  Gender MALE

12.  Category GEN 13.  Religion HINDU

14.  PWD NO

15.  Whether applied previously for the same program in IIT Bhubaneswar? NO 16.  COAP Reg ID K2307217

17.  Address Details

Address for Correspondance Permanent Address

Kharagpur Adityapur
CM/IV/1 Unit-1, Railway Colony Flat no. 303,Saiawas,Sher e Punjab,Adityapur
medinipur west saraikela kharsawa
WEST BENGAL Jharkhand
PIN: 721301 PIN: 831013
Email: 01shubhranshu@gmail.com Email: 01shubhranshu@gmail.com
Cell Number: 8197168397 Cell Number: 08197168397

18.  Educational Qualification

Examination Passed University/Institute Year Subjects/ Discipline/ Specialization Division/Class Percentage CGPA

HSC CBSE 2014 NA First 9.8 / 10

HS cbse 2016 maths,physics,chemistry,english,computer science First 78

B.E. Sir M. Visvesvaraya Institute of Technology 2020 electrical and electronics engineering First 7.74 / 10

19.  Performance in GATE

Discipline Year of Examination GATE Reg.No. Subject Code Score AIR (All India Rank) Validity
electrical engineering 2023 EE23S36508198 EE 577 769 2026

20.  Experience, if any, of Service and/or Research including Present Postion held

Name and Address of Employer Designation From To Total Period Nature of Work Salary Draw Remarks
(mm/yyyy) (mm/yyyy) (mm/yy) (in INR)

NA NA / / 00/00 NA NA NA

21.  Details of any Research/Professional Experience/Publication in Journals.

NA

22.  LIST OF ENCLOSURES

(1) secondary school examination    (2) senior school certificate examination    (3) degree    (4) gate scorecard    

23.  Application Fee Payment Details

Fee Amount Payment Mode Payment Date Payment Reference No.

300 UPI 791103232509135773

Place: _______________    

Date: ________________

Signature of the Applicant