Date: 17th February 2014

Application ID: 1009

Application Form for 2014 SURGE Programme
2014 SURGE Programme @ IIT Kanpur
Indian Institute of Technology Kanpur
:: Providing Research Opportunities for
Undergraduate Students
NON-IITK Students Applying to IITK
PERSONAL DETAILS
Full Name: VISHAL MISHRA Gender: male
CONTACT DETAILS
Mailing Address: D/30, M S SWAMINATHAN HALL OF
RESIDENCE (HALL 5), NIT ROURKELA, ROURKELA-769008,
ODISHA
Postcode: 769008
State: ODISHA
Cell No.: 9439035135 Email: vsmishra1992@gmail.com
AFFILIATED ENROLLMENT DETAILS
Name of the Institute: NATIONAL INSTITUTE OF
TECHNOLOGY ROURKELA Program of Study: B.Tech.
Department at IITK: Electrical Engineering
Cumulative Performance Index (CPI): 9.01 / 10 Year of
Study:3rdyr
NAME OF RECOMMENDERS
1. Name: Prof. Sukadev Meher Contact: 9437245472 Email:
smeher@nitrkl.ac.in
2. Name: Prof. Kamalakanta Mahapatra Contact: 9437246541
Email: kkm@nitrkl.ac.in
Sub-Topic One: Signal Processing, Communications &
Networks
Sub-Topic Two: RF, Microwaves and Photonics
STUDENT DECLARATION:
I declare that the information presented in this application and
the accompanying documentation is true and complete. I
acknowledge that the provision of incorrect information or
documentation relating to this application may result in
cancellation of the offer of SURGE program.
Message has been sent