DIT Application Form

Application No: DITN2416733

Course Details
Admission UTTARAKHAND OR
Nationality NATIONAL Program Level UNDER GRADUATE
Category HIMALAYAN STATE
B.TECH CSE WITH SPECIALIZATION
Course B.SC IN STATISTICS (3/4 Course IN ARTIFICIAL INTELLIGENCE,
Entry Type REGULAR
Preference 1 YEARS WITH/WITHOUT HONS.) Preference 2 MACHINE LEARNING AND
ROBOTICS

Personal Details
Name ​YASHIKA​
Mobile No. +91-9897252364 Nationality INDIAN
Email Address YASHIKA006997@GMAIL.COM Date Of Birth 27/04/2006
MUKESHCHANDRA123580@GMAIL.C
Gender MALE Alternate Email Address
OM
Hostel Requirement Transport Requirement
Nationality INDIAN Parent's Name ​MUKESH​
Father's/Mother's Contact
Mother's Name ​ ​+91-9917986366​
Details *

Passport Details:
Passport Number/National ID/Citizenship Number Country ​ Place Of Issue
Date Of Issue Date Of Expiry

Address Details:
Is Correspondence Address Same As Permanent Address ? : YES
Correspondence Address Permanent Address
Country INDIA INDIA
State UTTARAKHAND UTTARAKHAND
District UDHAM SINGH NAGAR UDHAM SINGH NAGAR
City KASHIPUR KASHIPUR
House no
State / Province
Address Line 1 MOHALLA LAHORIYAN MOHALLA LAHORIYAN
Address Line 2 NEAR GAYTRI MANDIR NEAR GAYTRI MANDIR
Pincode 244713 244713

10th Details:
School Name Board / University Passing Year Score Type CGPA / Percentage
SAMAR STUDY HALL CENTRAL BOARD OF SECONDARY EDUCATION (CBSE) 2022 PERCENTAGE 93.2
After 10th Grade (Sophomore Year) Detail: 12TH GRADE / SENIOR HIGH

12th Details:
Score CGPA /
School Name Board / University Stream Passing Year Result Status
type Percentage
CENTRAL BOARD OF SECONDARY
SAMAR STUDY HALL SCIENCE 2024 AWAITED
EDUCATION (CBSE)

12th/PUC Subjects Wise Marks Details:

Subjects Maximum Marks Obtained Marks

IB Diploma Details:
Institute Passing Result Marks Maximum CGPA /
University Stream Score type
Name Year Status 0btained marks Percentage
Graduation Details:
Institute Passing Result Score Marks Maximum CGPA /
University Degree
Name Year Declared type obtained marks Percentage

Entrance Test Details:

Exam Year of appearing Result status Score Exam roll no Overall Rank (If Any)

Work Experience Details

Do You Have Any Work Experience?
Organisation Position Annual Income From (MM/YYYY) To (MM/YYYY) Experience in Months

Total Experience In Months :

Payment Related Details:

Transaction ID pay_O6PwPfWrY462pe Mode of Payment Online
Payment Method Online Payment Date 04/05/2024

Declaration
I Certify That The Information Submitted By Me In Support Of This Application, Is True To The Best Of Knowledge And Belief. I Understand
That In The Event Of Any Information Being Found False Or Incorrect, My Admission Is Liable To Be Rejected / Cancelled At Any Stage Of The
Program. I Undertake To Abide By The Disciplinary Rules And Regulations Of The Institute.

Applicant Name ​YASHIKA​ Parent Name ​MUKESH CHANDRA​ Date ​04/05/2024​