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Doctoral Program Application # DO1878794901 Select one program only Mathematics Application deadline April 30, 2015 Program Administration Office Doctoral program in Mathematics EPFL AA EDMA MA B2 424 (Bâtiment MA) Station 8 Other universities to which you are applying (each institution in a separate field) ? Personal information Legal Family Name Chakkingal Previous Name First Name Manu Date of Birth (dd.mm.yyyy) 31.05.1991 Sex Male Copy of passport document uploaded Correspondence address Home address Address Ambika Nivas Address Ambika Nivas Cheriya Gramam Cheriya Gramam Mannapra Mannapra City Palakkad City Palakkad Postal Code 678685 Postal Code 678685 County / Province / State Kerala County / Province / State Kerala Country India Country India Telephone 9037001085 Telephone 9037001085 Email [email protected] Mobile phone Nationality (country of citizenship) India 13-digit AVS number (for Swiss citizens and C permit holders only) If you are not a Swiss citizen, do you have a Swiss residence permit ? * No Yes If yes, type of permit B C Ci F G L N Place of origine (for Swiss citizens only) Place of birth (town) Mannapra, Palakkad Place of birth (country) India Marital status Single Number of children 0 Edoc application Chakkingal Manu 31.05.1991 / Application # : DO1878794901 / Mathematics / Validé : 25.12.2014 () - 25.12.2014 13:59 1

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Doctoral Program

Application #DO1878794901

Select one program only Mathematics Application deadline April 30, 2015

Program Administration OfficeDoctoral program inMathematicsEPFL AA EDMAMA B2 424 (Bâtiment MA)Station 8

Other universities to which you are applying (each institution in a separate field) ?

Personal information

Legal Family Name Chakkingal Previous Name

First Name Manu Date of Birth (dd.mm.yyyy) 31.05.1991

Sex Male Copy of passport ✔ document uploaded

Correspondence address Home address

Address Ambika Nivas Address Ambika Nivas

Cheriya Gramam Cheriya Gramam

Mannapra Mannapra

City Palakkad City Palakkad

Postal Code 678685 Postal Code 678685

County / Province / State Kerala County / Province / State Kerala

Country India Country India

Telephone 9037001085 Telephone 9037001085

Email [email protected] Mobile phone

Nationality (country ofcitizenship)

India 13-digit AVS number (forSwiss citizens and Cpermit holders only)

If you are not a Swisscitizen, do you have aSwiss residence permit ? *

❏ No ✔ Yes If yes, type of permit ❏ B ❏ C ✔ Ci ❏ F ❏ G ❏L ❏ N

Place of origine (for Swisscitizens only)

Place of birth (town) Mannapra, Palakkad Place of birth (country) India

Marital status Single Number of children 0

Edoc application Chakkingal Manu 31.05.1991 / Application # : DO1878794901 / Mathematics / Validé :25.12.2014

() - 25.12.2014 13:59 1

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Studies

Graduate and undergraduate studies

List Master and Bachelor level starting with the most recent degree at the top.

Country India

Institution name Other institution

If "other institution" Government Engineering College Thrissur

City Thrissur

Institution web site http://gectcr.ac.in/

Major field of study *Other*

Please specify Mechanical Engineering

Dates attended from (mm.yyyy) 06.2008 to (mm.yyyy) 06.2012

Normal duration of study towards thisdegree, full time and with no failures orinterruptions. (Number of years)

4

Degree Bachelor Date (mm.yyyy) 07.2013

GPA (grade point average) 79.6 Maximal possible grade 100

Home address at time of obtainingdiploma (town)

Ambika Nivas,CheriyaGramam,Palakkad,Kerala-678685

Country of home address India

Institution #1 diploma ✔ document uploaded Institution #1 grades ✔ document uploaded

Country India

Institution name Indian Institute of Technology Delhi

City 110016 New Delhi

Institution web site http://www.iitd.ernet.in

Major field of study Mechanics

Dates attended from (mm.yyyy) 06.2012 to (mm.yyyy) 06.2014

Normal duration of study towards thisdegree, full time and with no failures orinterruptions. (Number of years)

2

Degree Master Date (mm.yyyy) 11.2014

GPA (grade point average) 9.75 Maximal possible grade 10

Home address at time of obtainingdiploma (town)

Ambika Nivas,CheriyaGramam,Mannapra,Palakkad,Kerala-678685

Country of home address India

Institution #2 diploma ✔ document uploaded Institution #2 grades ✔ document uploaded

Edoc application Chakkingal Manu 31.05.1991 / Application # : DO1878794901 / Mathematics / Validé :25.12.2014

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Federal Matricule

If you are not currently studying, state what you havebeen doing since your last degree-level study

List articles, books or other publications that you haveauthored, co-authored or inventions you have patented

If applicable, specify the web site of where yourpublications are available

List academic honors, prizes and fellowships you havereceived

List relevant occupations, other than as a student, in which you have engaged to any considerable extent, giving names and location ofemployers and dates of employment. Include military service and any teaching or voluntary work experience you have had.

Occupation / responsibility Employer / location From (mm.yyyy) To (mm.yyyy)

Senior Engineer Rober bosch Engineering and BusinessSolution,Coimbatore

06.2012 12.2014

Any other relevant information about yourself (hobbies,skills, interest, ...)

Edoc application Chakkingal Manu 31.05.1991 / Application # : DO1878794901 / Mathematics / Validé :25.12.2014

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Languages

Indicate your mother tongue and specify your level in written and oral expression in English, French and any other languages you know

Mother tongue Written Oral

fluent fair poor none fluent fair poor none

English ❏ ✔ ❏ ❏ ❏ ✔ ❏ ❏ ❏

French ❏ ❏ ❏ ❏ ✔ ❏ ❏ ❏ ✔

Malayalam ✔ ❏ ❏ ❏ ❏ ❏ ❏ ❏ ❏

Hindi ❏ ✔ ❏ ❏ ❏ ✔ ❏ ❏ ❏

List language of instruction in

Primary School English University English

Secondary School English Graduate School English

Indicate here your language and GRE scores (each program may have different requirements, please check these carefully)

TOEFL 103 Computer based ✔ Paper based ❏ Internet based ❏

GRE

Verbal Quantitative Analytical

Please indicate here if you had your scores directlysent to EPFL by the test organization

❏ TOEFL ❏ GRE

TOEFL or other certificates of language proficiency ✔ document uploaded

GRE scores no document

Alternative test(s) / certificate(s) of English or Frenchproficiency with scores

Objectives and scientific interests

Scientific interests * Mathematical modellingNumerical AnalysisScientific computing

Potential host laboratories Abdulle AssyrDeparis SimonePicasso MarcoQuarteroni AlfioRappaz Jacques

Edoc application Chakkingal Manu 31.05.1991 / Application # : DO1878794901 / Mathematics / Validé :25.12.2014

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Referee #1Title Dr

Last name Srinivasan First name Balaji

Institution Indian Institute Of Technology Delhi

Address

Department Of Applied MechanicsIndian Institute Of Technology DelhiHauz Khas, New Delhi - 110016

Postal Code 110016 City New Delhi

County / province / state Country India

Email [email protected]

Referee #2Title Dr

Last name Suman First name Sawan

Institution Indian Institute Of Technology Delhi

Address

Department Of Applied MechanicsIndian Institute Of Technology DelhiHauz Khas, New Delhi - 110016

Postal Code 110016 City New Delhi

County / province / state Country India

Email [email protected]

Referee #3Title Mr.

Last name Varghese First name Jayee K

Institution Government Engineering College Thrissur

Address

Department Of Mechanical EngineeringRamavarmapuramThrissur-680009KeralaIndia

Postal Code 680009 City Thrissur

County / province / state Kerala Country India

Edoc application Chakkingal Manu 31.05.1991 / Application # : DO1878794901 / Mathematics / Validé :25.12.2014

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Email [email protected]

Edoc application Chakkingal Manu 31.05.1991 / Application # : DO1878794901 / Mathematics / Validé :25.12.2014

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ValidationHow have you heard about our doctoral school ? via my fellow students of EPFL

Statement of objectives ✔ document uploaded

Curriculum vitae (CV) ✔ document uploaded

Comments

Program Administration OfficeDoctoral program inMathematicsEPFL AA EDMAMA B2 424 (Bâtiment MA)Station 8

Edoc application Chakkingal Manu 31.05.1991 / Application # : DO1878794901 / Mathematics / Validé :25.12.2014

() - 25.12.2014 13:59 7