M.Tech.

INDIAN INSTITUTE OF TECHNOLOGY DELHIApplication Form for Admission to M.Tech. Programme

Please read the instructions given in the Information Brochure Before you fill up the form

Visit : http://www.iitd.ac.in/ Print Date : 09 Apr, 2014

Application Number: 00001617 Academic Program: M.Tech.(Master of Technology)

Admission Type: Full-Time Mode of Support: AssistantshipCategory: Scheduled Caste Physically Challenged: No

Test Year Registration ID Discipline Score(Max 1000) Score(Max 100)

GATE 2014 A113C95 Production and Industrial Engg 299 29

PROGRAMDepartment/Centre: Mechanical Engineering Program Code: MEE(Pref-1),MEP(Pref-2)

PERSONALName:Name: HARISH KUMAR TALETIA Gender: MaleDate of Birth: 30-MAY-1988Father Name: ARJUNKUMARTALETIA Mother Name: JAMNADEVITALETIA

QUALIFYING DEGREEQualifying Exam: Bachelor of Technology Course duration(Years): 7 Discipline: PEYear of Passing: 2013 Name of University/Institute: R.T.U, UCE[RTU] KOTA

City:kota Year Marks Obtained Max MarksYear 1 554 1000Year 2 1089 2000Year 3 1151 2000Year 4 1186 2000Aggregrate % marks (of all years/semesters): 57.00

PREVIOUS ACADEMIC RECORDExam/ Discipline Institute/ Year of Grading %Marks/ RankDegree University Passing Scheme CGPA10+2 MATH RBSE 2006 Percent 60 5

CONTACT DETAILSCorrespondence 380/7Address: keshavpura

kota, Rajasthan, IndiaPIN: 324009Email: h.k.taletia@gmail.com Mobile No.: 96607-69684

Permanent 380/7Address: keshavpura

kota, Rajasthan, IndiaPIN: 324009Email: h.k.taletia@gmail.com Mobile No.: 96607-69684

Payment InformationAmount submitted at SBI: Amount Rs: 50.00

Have you ever studied and discontinued your studies at IIT Delhi ? No

For P.G. Section Use Only(Recommendation/observations of the office)

The candidate may be provisionally admitted/not admitted subject to the following:

1) Submission of attested copies of the qualifying degree and marks sheet showing the required % of marks / CGPA by or before end October.

2) Submission of proof from the University/Head of the Institution of having appeared/passed in the qualifying degree examination by July end.

3) Submission of GATE Score Card/ CSIR /NET award letter (in original) by end July.

4) Submission of attested copy of OBC/ SC / ST/ PH certificate by end July.

5) Submission of relieving / sponsorship / No Objection Certificate from Employer by end July.

6) Any other.----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

DR (PGS&R) O.S. (PGS&R)