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Birla Institute of Technology & Sciences, Pilani


BITS HIGHER DEGREE-2025
ONLINE APPLICATION FORM

Application No.: 25701709

You have opted admission mode to be considered only on the basis of marks obtained in the BITS HD online test.

Full Name : SARTHAK TIWARI

Gender : MALE

Date of Birth : 06-JAN-2003

Father's Name : RAHUL TIWARI

Mother's Name : VANDANA TIWARI

Nationality : INDIAN

Email-Id : [email protected]

Address : 303 RAM NAGAR RAM NAGAR


KRISHNA NAGAR

City : DELHI - 110051

State : DELHI

Mobile No. : 8176849174

Alternate Contact No : 8176849174

Qualifying Degree Examination:-

Name of the Degree : B.Tech

Year of Passing : 2024

Discipline : INFORMATION TECHNOLOGY

If your final semester / year results are : Yes [% of Marks obtained : 64.3]
announced and avilable with you?

University : DR. A.P.J. ABDUL KALAM TECHNICAL UNIVERSITY

Online Test Center Preferences:-

Pref 1 : DELHI Pref 2 : NOIDA Pref 3 : GHAZIABAD

Payment:- Application fee paid through online mode (PayUMoney) with the below particulars.

Transaction Number Transaction Date Transaction Amount (INR)

22992605548 30-03-2025 3500

Application No.: 25701709


3/31/2025 6:57:44 AM

The programmes chosen by you in the order of your preferences are as given below.
1 . M.E Computer Science - [Pilani Campus]
2 . M.E Computer Science - [Hyderabad Campus]
3 . M.E Computer Science - [Goa Campus]
4 . M.E Software Systems - [Pilani Campus]

Academic Record: Details of all Diploma/degree examinations passed, starting from School Leaving Certificate

Aggregate%
Degrees/ Year of
Board/University Subject/ Branch of
Diplomas Passing
marks/grade

10th up board hindi, english,math science, social science,sanskrit 2018 70

English,Physics, Chemistry, Mathematics, computer


12th cbse 2020 58.3
science,physical education

Dr. A.P.J. Abdul Kalam Technical


Graduation information technology 2024 64.3
University

Institution last attended as regular student : Krishna Engineering College

Institution last attended, Number of year spent : 4

If you have ever been on the rolls of BITS, Pilani then give your ID No: No,

250-word Statement of Purpose describing what you propose to achieve by doing this programme and for what ultimate
goal:
I am eager to pursue an M.Tech in Computer Science at BITS to deepen my technical expertise and contribute meaningfully to
advancements in the field. With a strong foundation in computer science and a keen interest in areas such as artificial intelligence,
data science, and software engineering, I aspire to enhance my knowledge and develop cutting-edge solutions to real-world
challenges.
Declaration by father or guardian (or employer where applicable):

I RAHUL TIWARI do solemnly affirm that I shall be responsible for the discipline and conduct of my
son/daughter/ward/employee and pay regularly all his/her expenses during his/her stay in the Institute.

Declaration by the Applicant:


I have carefully read the Instructions and I hereby declare that all the information given and statements made in this
application and also in its accompanying attachments and enclosures are true to the best of my knowledge. I agree to the
condition that if any information or any statement were found to be false at a later stage, my admission to the Institute
would automatically be cancelled.

If admitted, I promise to abide by the rules and regulations in force at BITS, Pilani or those that may hereafter be made for
the administration of the Institute and I shall do nothing either inside or outside the Institution which will interfere with its
orderly working and discipline. In all matters concerning me and the Institution, its hostels, Practice School stations, etc.
the decision of the Vice-chancellor shall be binding on me.

25701709

3/31/2025 6:57:44 AM

Uploaded Documents:
1 . Photo Photo (.JPG format)
2 . Signature Signature (.JPG format)
3 . 10th Certificate 10th Certificate (JPG or PDF format)
4 . 12th Certificate 12th Certificate (JPG or PDF format)
5 . Certificate of qualifying degree Certificate of qualifying degree (JPG or PDF format)
6 . Mark Sheet of qualifying degree Mark Sheet of qualifying degree (JPG or PDF format)
Statement of Purpose Statement of purpose, explain why you are interested to pursue HD at least 250 words (JPG or
7.
PDF format).

* Please keep print out of this application form along with all the documents you have uploaded with you. The physical
copies will have to be produced at the time of admission at respective campus for verification of the correctness of data
supplied by you. You do not need to send any of these documents to BITS Pilani.

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