भारतीय प्रौद्योगिकी संस्थान पटना

Indian Institute of Technology Patna

For Office Use: For Dept. Use:

Sl. No.: IITP/ACAD/PhD/2019/1_____________ App. No.:_______________________________

(Fill the details of the application fee in favour of IIT Patna)

Amount: 300 Ref IGAFUMFCT2 03/31/2019 SBI
Rs. No.: Dated: Bank:

1. Full Name of the Applicant: Rahul Prasad

Affix your
2. Father’s/ Guardian’s/Spouse’s Name: Ramadhar Prasad Recent
Passport size
3. Date of Birth: 02/18/1993 4. Nationality: Indian Photograph

5. Gender: Male 6. Marital Status: Single

7. Category: OBC Non Creamy Layer

(In case of SC/ ST/ OBC Non-Creamy Layer, enclose the attested copy of certificate for the proof of category)

8. Are you a Person with Disability (PD)? No

(If yes, enclose the attested copy of certificate from Govt. Medical Practitioner stating the type and percentage of physical disability)

9 (a). Contact Address: 9(b). Permanent Address:

H/no-1276 sector-21, Dundahera village, Gurugram, Haryana, Vill- Jalalpur, P.O- Rajanpur, P.S- Hasanpura,
122016
Dist- Siwan, Bihar, PIN- 841236

9(c). Contact Phone Number: 9(d). Contact Email Address:

8018779171 rahulprasadcse@gmail.com

10. Department/Centre at which the candidate seeks Ph.D. admission is: Computer Science and Engineering

11. Are you also applying for Ph.D. to any other Department/Centres at IIT Patna? No

If yes, list the names of other departments:

(Candidates applying for more than one department should submit a separate application for each department)
12. Seeking Ph.D. admission under the category:
Regular and Full Time

Part Time is permitted only to professionally employed person, who can attend the regular classes as per schedule of the Institute and carry out research while
employed for which his/her employer will give the leave of absence without any objection.

13. Choices for Area of Research for Ph.D. (See: Detailed Advertisement available on the website), in order of preference
1st Pref: Computer Vision, Deep Learning, Machine 2nd Pref: 3D-Reconstruction from 2D images
Learning

3rd Pref: Point Cloud Classification 4th Pref:

14. Details of Academic Record (Attach attested copies of certificates, mark sheets, etc)
Qualifying Degree already obtained or in progress:

Degree Discipline Name & Place of Institution/ University Year of Final Results Minimum Passing % Overall Percentage
Passing expected by of Marks or Grade of Marks obtained or
Average for the Final Grade
award of degree Average*
M.Tech. Information Security NIT Rourkela 2018 05/15/2018 7.81 10.00

Semester Sem - I Sem – II / Year - I Sem - III Sem – IV / Year- II Sem - V Sem – VI / Year - III
Percentage of
Marks or Grade
Average Obtained
Semester Sem - VII Sem –VIII / Year - IV Sem - IX Sem – X / Year - V
Percentage of
Marks or Grade
Average Obtained

* If degree is not obtained, write the percentage of marks obtained or final Grade Average up to the pre-final semester/ year.
Write the details of the academic record of 10th, 12th classes and the Degrees obtained other than Qualifying Degree mentioned above.

Degree/ Name of Institution/ Exam Board Year of Percentage of Class/ Subjects Taken
Examination Passing Marks/ Final Division
Grade Average Obtained
Class X Public High School Shahuli 2008 68.40 I Science, Social Science,
Hindi

Class XII D C Inter College, Barharia, Siwan 2010 58.80 II PCM

B.E. RGPV 2015 73.70 I Computer Science and

Engineering

M.Tech. NIT Rourkela 2018 7.81 I Information Security

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15. Professional examination (GATE/ UGC or CSIR NET/ NBHM/DBT-JRF/ other fellowship exams) passed:
Exam Name Exam Discipline Exam Score & Exam Passing Valid upto
Rank Year
GATE Computer Science and 461 5615 2018 2021
Engineering

- -
16. Professional Experience, if any. (Attach attested copy of the proof).
Name of Organization Position held Nature/ Type of Start Date End Date
Work
DronaMaps Pvt. Ltd. Deep Learning Analytics on Drone 06/04/2018 05/08/2019
Engineering Images

A candidate presently working (including those on projects) and applying for Ph.D. admission under the
category sponsored/ Institute Project Staff, must provide a “No Objection Certificate” from the employer
and/ or “Sponsorship Letter” from the sponsoring agency.

17. Checklist of Enclosures (Please tick)

A. Reference/Journal No. details

B. Self attested copies of

(a)Mark sheets & certificates (from class X to Highest degree obtained/appeared),(both sides)

(b)Caste certificate (if applicable), (both sides)

(c)GATE /NET/Certificate related to any fellowship (both sides)

(d)Experience certificate (if any) (both sides)

(e)Any other testimonials (both sides)