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SAAT : 2014 Application No.:614398
Program Detail
Program Type : Post Graduate
Course Code : (45) M.Tech. - Electrical Engineering
Lateral Entry : No
Test Centre : 1-(18)Bhubaneswar, 2-(20)Cuttack, 3-(25)Puri
Personal Detail
Candidate Name : BIKASH RANJAN DASH Relation Ship : Father
Father Name : JITENDRA KUMAR DASH Date Of Birth : 18/02/1991
Mobile No: 8763724218 STD Code : Phone No :
Identity Proof : Voter ID Card Identity Proof No : ZQZ0441915
Mother Toungue : Odia
Nationality : Indian Gender : Male
Email Id : [email protected] Category : Gen
Resident State: Odisha Alternative Mobile No : 9437747401
Correspondence Address
C/O Name : B.BISWAL Police Station : MANCHESWAR
House-No/Village : PLOT-3334,CHAKEISIHANI
City : BHUBANESWAR District : KHURDHA State : ODISHA
Country : INDIA Pin Code : 751010 Mobile No : 8763724218
Qualifying Detail
10th Exam Percentage : 47
Graduate Percentage : 72
Year Of Qualifying : 2012
Board Qualifying Exam : CHSE (State Board)
Qualifying Exam : Passed
Roll No./Reg.No. : 0801294334
Name Of School : G.C.D HIGH SCHOOL
School Location : RAYAGADA
Month &Year Of Passing/Appearing : 03/2006
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SAAT : 2014 Application No.:614398
SAAT-2014
Name : B.BISWAL
PLOT-3334,CHAKEISIHANI
MANCHESWAR BHUBANESWAR KHURDHA
Odisha INDIA PIN CODE :751010
MOBILE NO. : 8763724218
Voter ID Card:ZQZ0441915
[email protected]
Online Payment Details
Order Id: 614398 Transaction No : 2000002824
Date : 20/02/2014 Amount : 500/- Receipt No. : 405204566859
DECLARATION BY THE CANDIDATE
I here declare that all the particulars stated in this
application are true to the best of my knowledge and belief. I have
read the
Information Brochure and I shall abide by the terms and
conditions.In the event of suppression or distortion of any fact
like
suppressing like category or education qualification or
nationality etc. made in my application form, I understand that I
will be denied
the opportunity to appear in SAAT-2014 and if already admitted,
my admission /degree /degree acquired is liable for cancellation.
I
understand that the decision of the Siksha 'O' Anusandhan
University Regarding my admission to engineering / Medical
/Dental
/Nursing /Pharmacy /Biotechnology /MBA /Hotel Management /MCA
/Law is final and I shall abide by the decision.Further, if
admitted, I
Promise to abide by the rules and norms of discipline of the
Siksha 'O' Anusandhan University.
Place : ..............................................
Date : ..............................................Full
Signature of Candidate
Name of Parent/Guardian (In Block Letters) Full Signature By
Parent/ Guardian
Send the Complete Application form to the following address:
The Director (Admissions)
Admission Cell,
Siksha 'O' Anusandhan Deemed University
Institute of Technical Education &Research CampusJagamara,
Post: Khandagiri, Bhubaneswar
Odisha, India. Pin Code: 751030
