8/23/2019 OnlineApplication_13311094

1/2

INDIAN INSTITUTE OF SCIENCE,

BANGALORE - 560012

APPLICATION FORM FOR ADMISSION TOCOURSE PROGRAMME (ME/ M TECH/ M DES) 2013

Application No

13311094

Name of the Candidate : Mr. KUNTALA RAHUL(as it appears in your Degree Certificate)

Gender : Male Nationality : IndianCategory : Scheduled CasteDate of Birth : 29 Feb 1992 State of Domicile : Andhra PradeshAddress forCorrespondence :

H.No:14-10-364,Jumerath Bazar,Lower Dhoolpet,Hyderabad, Andhra PradeshPIN Code : 500006E-mail Address : rahulkuntala9@gmail.comPhone Number : - Mobile Number : +91 - 9395315115Are you Currently Employed? NoEmployed Organisation : -Designation : -Office Address : -Work Experience : -

GATE Details :Year GATE RollNumber GATE Paper Score (out of1000)2012

2013 CS71551204 Computer Science andEngineering

374

National Entrance Test Details :National Entrance Test Year Register No. Marks (Out of100)

CEED 2012

CEED 2013

Preferences of Department(s) / Discipline(s):I : COMPUTER SCIENCE AND ENGINEERING

II : COMPUTATIONAL SCIENCE

III : PRODUCT DESIGN AND ENGINEERING

IV : TRANSPORTATION AND INFRASTRUCTURE ENGINEERING

V : CLIMATE SCIENCE

Educational Qualification :Schooling Year ofPassing Institution /School Board % ofMarks Rank Key Subjects10th Std 2007 Good Will High

School,Begumbazar,Hyd

erabad

Andhra Pradesh 68.30 - HINDI,TELUGU,ENGLISH,SCIEN

CE,SOCIAL STUDIES

12th Std 2009 Hasvita JuniorCollege,

Disluknagar,Hyderabad

Andhra Pradesh 85.90 - Hindi,Sanskrit,MathematicsA,Mathematics B, Physics,Chemistry

Submitted by Mr. KUNTALA RAHUL on Mar 21 2013 3:21PM

8/23/2019 OnlineApplication_13311094

2/2

Educational Qualification :Degree (Studying/ Completed) Year ofPassing Institution /College University Class Rank Key Subjects Sem /Year Marks /GPAB Tech-Computer

Science andEngineering

2013 JNTUH Collegeof

Engineering,Nachupally,karimnagar

Jawaharlal NehruTechnological

University

I - C,C++,JAVA,Operating

system,computernetworks,CD,Net

work security

1 79.9%

2

3 63.7%

4 66.3%

5 68.3%

6 66.7%

7 63.4%8

9

10

Qualifying Exam : B Tech Status : Appearing/AppearedBranch / Specialization: Computer Science and EngineeringUniversity : JNTUH College of Engineering,Nachupally,karimnagar, Jawaharlal Nehru TechnologicalUniversityYear of Passing : 2013

Declaration : I Confirm that all the information which I have given in this application is complete and true to the best of myknowledge and belief. If admitted, I will be bound by the rules and regulations of the Institute.

Place : Hyderabad

Date : 21/3/2013 Signature of the Applicant

Submitted by Mr. KUNTALA RAHUL on Mar 21 2013 3:21PM