National Institute Of Technology Agartala

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

Application for Stipend (ODD 2018-19)

Name : GULSHAN KUMAR YADAV

Father Name : SURESH KUMAR

Degree : MASTER OF TECHNOLOGY

Scheme : FIRST SEMESTER MACHINE DESIGN

Semester : FIRST SEMESTER 18PME025

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 BSER VISHWA BHARTI SR 2010 0450131 473 600 78.83
SEC SCH,SINGHANA
Std 12th BSER NEW JHUNJHUNU 2012 1160070 397 500 79.40
ACADEMIC SR SEC
BTECH RAJASTHAN TECHNICALINSTITUTE OF ENGG AND TECHNOLOGY,ALWAR
UNIVERSITY 2017 13EIAME015 5463 8000 68.28

Entrance Exam :

Exam Name : GATE Year of Exam : 2018

Seat No : ME18S23022348 All India Rank : 19911 State Rank : 0

STIPEND SECTION :

Guardian Income Level : 50000 Student Acc. No : 2707000100197734

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 : 27/08/2018 9:23 am Page 1 of 1