Application Blank - B. Tech. SHIVANGI GUPTA

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APPLICATION BLANK FOR THE Document No.

POST OF ENGINEER
(B.E./B.TECH./B.SC. ENGG.-2018) Rev. No.
Page 1 of 3

DISCIPLINE: ____Mechanical_____

1. Name of the Candidate : SHIVANGI GUPTA

(In Block Letters)

2. Father`s Name : PAPPU GUPTA

3. Date of Birth & Age : 31-10-1996, 21

4. Place of Birth : UNNAO, UTTAR PRADESH

5. Nationality : INDIAN

6. (a) Address (i) Present : 12/175, GANDHINAGAR SHUKLAGANJ, UNNAO

(ii) Permanent : 12/175, GANDHINAGAR SHUKLAGANJ, UNNAO

(b) Phone No. : 9952624866

(c) Email ID : [email protected]

7. Category (Please mention : GENERAL


clearly- General/SC/ST/OBC)

8. In case you belong to any of the Physically : NO


Handicapped categories, i.e., Orthopaedically
Handicapped or Visually Handicapped or Hearing
Handicapped, kindly mention category type and
percentage of disability

9. Educational Qualifications : B. TECH

a) Engg. Courses : (Pls. mention details B.E./B.Tech./B.Sc.- Engg. Also


mention the scale of grading in case of CGPA/CPI)

Examination Name of Institute Year of *CGPA/CPI/ Subjects Taken


Passed Passing Aggregate Percentage
of marks till last
examination held
B.TECH VELLORE 2018 9.71/10 MECHANICAL
INSTITUTE OF
TECHNOLOGY

Format No. 5-3042-0002-F1 Rev. 0 Copyrights EIL – All rights reserved


APPLICATION BLANK FOR THE Document No.
POST OF ENGINEER
(B.E./B.TECH./B.SC. ENGG.-2018) Rev. No.
Page 2 of 3

*Note: Please do not give your percentage of marks obtained year-wise. Indicate your
aggregate percentage of Marks/CGPA/CPI till last examination held only.

b) Before Joining Engineering course (Starting from Xth Class):

Examination Passed Board/University Year of Passing Percentage of


Marks

Xth CLASS ICSE 2012 88.2

XIIth CLASS ISC 2014 95.75

10. Please state clearly whether you have passed in


all subjects till last examination held : YES

11. Month/year of taking admission in B.E./B.Tech./B.Sc.-Engg : JULY/2014

12. Month/year of completion of B.E./B.Tech./B.Sc.-Engg : MAY/2018

13. Project work pursued in B.E./B.Tech./B.Sc.-Engg : DESIGN AND


FABRICATION OF SEED SOWING MACHINE
as part of degree requirement

14. Practical Training/Experience :

Organization Period Type of Training/Experience


From To
NORTHERN LOCOMOTIVE 30-05-16 29-06-16 SUMMER TRAINING
WORKSHOP (SUMMER
TRAINING)

15. Field of special interest : Fluid Mechanics & Strength of materials

16. Scholarships, prizes, etc. : 1) Certificate of merit in 11th, 12th


won since High School 2) Secured 2nd position in school in class 12th
3) Merit scholarship in 1st, 2nd, 3rd and 4th year in B.Tech.
4) Served as program representative of mechanical
during 2016-17, 2017-18

17. Extra curricular activities : 1) Served as crew member during the international symposium-
Mechnovate’15 at VIT university,2015
2) Served as coordinator during the international symposium-
Mechnovate’16 at VIT university,2016
3) Served as coordinator at the 2016 SPDC at VIT university,2016
4) Served as coordinator at the 2016 HPVC at VIT university,2016

Format No. 5-3042-0002-F1 Rev. 0 Copyrights EIL – All rights reserved


APPLICATION BLANK FOR THE Document No.
POST OF ENGINEER
(B.E./B.TECH./B.SC. ENGG.-2018) Rev. No.
Page 3 of 3

5) Served as an organizer towards SLDC 2016 at


VIT university,2016
6) Participated in HPV competition at the ASME E-fest, at the
LNMIIT, Jaipur, India,2017(1st position in innovation, 7th overall)
7) Team member of Team Anant-ASME technical team.
8) Member of management team – ASME

18. Other information, if any : 1) Certificate of appreciation for the best poster in the poster
exhibition.
2) Cent Percent attendance in the academic year 2014-2015
3) Special achiever during the year 2016-2017
4) Publication of final year project: Design and fabrication of
seed sowing machine

Place: UNNAO Signature : SHIVANGI GUPTA


Date : 16-06-2018 Name : SHIVANGI GUPTA

Format No. 5-3042-0002-F1 Rev. 0 Copyrights EIL – All rights reserved

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