SummerFellowshipProgramme2017

IndianInstituteofTechnologyMadras

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Status ME17SFP0638

APPLICATIONFORMFORADMISSIONTO
IITMSummerFellowshipProgramme2017

1.ApplicantName:KETHAVATHUMANTHRUNAIK

2.DateofBirth:19930201

2.1Age:24

2.2Mobile:7386567633

2.3email:manthru1@gmail.com

3.Address:19,K.P.PURAM,ANDHRAPRADESH522613
4.PersonalInformation:
Gender:Male PlaceofBirth:K.P.PURAM,VELDURTHI
MotherTongue:TELUGU Nationality:INDIAN
MartialStatus:Single Category:ST
WhetherPhysicallychallenged:No
Father's/Husband'sName:NANDUNAIK Mother'sName:KAUSALYABAI
Father's/Husband'soccupation:FARMER AnnualIncome:48000
5.DetailsofHSCStudied
HSCBoard:RGUKT SchoolName:APIIITNUZIVID Percentage:7.54
6.DetailsofUniversity/InstitutionStudied(Bachelor'sUG)
Institution:Newton'sInstituteofScience&Technology
University:JNTUK
Degree:B.Tech Branch:MECHANICALENGINEERING
Aggregate:74.26 MarksOutof:100
YearofGraduation:2015 Class/Rank:Distinction
Semester I II III IV V VI VII VIII
%/CGPA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
6a.DetailsofUniversity/InstitutionStudied(Master'sPG)
Degree:M.Tech Branch:INDUSTRIALENGINEERING
Institution:ANDHRAUNIVERSITYCOLLEGEOFENGINEERING(AUTONOMOUS)
University:ANDHRAUNIVERSITY
Aggregate: MarksOutof:
YearofGraduation:2018
Semester I II III IV
Percentage/CGPA 00.00 00.00 00.00 00.00
DepartmentInformation
Department:MechanicalEngineering ApplicationNo.:ME17SFP0638
FirstChoice:MANUFACTURING(MES,PEIL)
SecondChoice:THERMAL(HTTP,HTML,ICE,R&AC,TTML,TDCE)
ThirdChoice:DESIGN(MDS)
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DECLARATION

IherebydeclarethatIhavecarefullyreadtheinstructionsandparticularssuppliedtomeandthattheentriesmadeinthisapplicationformarecorrecttothebestofmyknowledgeandbelief.I
understandthatassociation(activeorpassive)withanyunlawfulorganizationisforbidden.Ifselected,IpromisetoabidebytherulesanddisciplineoftheInstitute.
ApplicationDate:2017021111:10:16 ApplicantName:KETHAVATHUMANTHRUNAIK