APPLICATION NUMBER : PHD/ES/AUT13-14/0256

APPLIED ON : 20-04-2013

1. Full name of the Applicant

MR. TAPAS KUMAR DASH

2. Type

Institute Assistantship

3. Performance in GATE/NET
Name of the
Examination

GATE

Discipline

EC

Year of
Examination

Score Percentile

2013

544

98.73

AIR (All India

Validity
Rank)

3248

YES

4. School in which Position is sought

Electrical Sciences

5. Proposed Research Area

[Broad Area Only]

VLSI and Embedded Systems, Wireless and Mobile

communication,Digital Communication, Optical
Communication Systems,

6. Name of the Mother

KAMINI BALA DASH

7. Name of the Father

BIBEKA NANDA DASH

8. Occupation of the Father

EMPLOYEE AT HINDUSTAN AERONAUTICS LIMITED

9. Date of Birth of Candidate

30-06-1991

10. PLACE OF BIRTH

Town/Village

SOMANATHPUR

District

ANUGUL

State

ORISSA

11. Nationality

INDIAN

12. Marital Status

UNMARRIED

13. Gender

MALE

14. Category

GEN

15. Religion

HINDU

16. Address Details

Address for Correspondance

Permanent Address

Town/Village

NO:H-200,H.A.L.
: QTR
TOWNSHIP

Town/Village

NO:H-200,H.A.L.
: QTR
TOWNSHIP

Street

: SUNABEDA2,SUNABEDA

Street

: SUNABEDA2,SUNABEDA

District

: KORAPUT

District

: KORAPUT

State

: ORISSA

State

: ORISSA

Pin/Zip

: 763002

Pin/Zip

: 763002

Email

: iter1.tapas@gmail.com

Email

: iter1.tapas@gmail.com

Telephone Number
(with STD code)

Telephone Number (with

STD code)

Cell Number

: 9421668522

Cell Number

: 9421668522

17. Educational Qualification

Examination
Passed

University/Institute

Year

Discipline

HSC

BOARD OF
SECONDARY
EDUCATION,ORISSA

2006 NA

HS

CHSE,ORISSA

2008 SCIENCE

B.Tech.

SIKSHA O
ANUSANDHAN
UNIVERSITY,ORISSA

ELECTRONICS
2012 AND
COMMUNICATION

Specialization

Division/Class

Marks /
CGPA /
Equivalent

NA

1ST

90 out
of 100

SCIENCE

1ST

79.33
out of
100

ELECTRONICS
AND
COMMUNICATION

1ST

9.87 out
of 10

M.A.
M.Tech.

18. Whether the Applicant is Sponsored by any organization : NO

19. Experience, if any, of Service and/or Research including Present Postion held
Name and Address of
Employer

Total
Period
(mm/yy)

From
To
(mm/yy) (mm/yy)

NA

NA

NA

NA

NA

NA

NA

NA

NA

NA

NA

NA

NA

NA

20. Whether applied previously

Nature of
Work

Salary
Draw
(in INR)

Designation

Remarks

: no

21. Publication in refered Journals (if any)

NA
22. Bank Demand Draft Detail

Demand Draft Amount : 500 Demand Draft No. : 557127 Date : 18-04-2013

23. LIST OF ENCLOSURES

I.
II.
III.
IV.
V.
VI.

10th CERTIFICATE
10th MARKSHEET
12th CERTIFICATE
12th MARKSHEET
BTECH_MARKSHEET_PART1OF4
BTECH_MARKSHEET_PART1OF4

Name of the Bank

: STATE BANK
OF INDIA

VII.
VIII.
IX.
X.

BTECH_MARKSHEET_PART1OF4
BTECH_MARKSHEET_PART1OF4
BTECH CERTIFICATE
GATE SCORECARD

Place: _______________
Date: ________________

Signature of the Applicant