UNDERGRADUATE APPLICATION FORM

APPLICATION NO: 3001241585

Personal Details

Name Navoswan Nil Bhattacharjee

Email navoswan.bhattacharjee77@gmail.com Gender Male

Date of Birth 10-03-2004 MobilePhone +91 8096467452

Nationality Indian Blood Group B+

Is permanent address same as address for

Yes
correspondence?

Correspondence Permanent

Country India India

State Telangana Telangana

City Hyderabad Hyderabad

Pincode 500078 500078

Parent/Guardian Details

Parent/Guardian 1 Parent/Guardian 2

Relationship with the

Mother
Applicant

Parent/Guardian Name Sarmistha Banik

Parent/Guardian Email
sarmistha.banik@hyderabad.bits-pilani.ac.in
Address

Parent/Guardian
918466054465
Mobile Number

Parent/Guardian
Professor
Occupation

Family Income 25
Other Details

How did you first hear about BITS Design

Education Fair
School

Caste/Category General

Religion Hindu

Aadhaar Card/Passport Number 925110425357

Education Details

10th/SSC OR Equivalent 12th/HSC OR Equivalent

Central Secondary Education Central Secondary Education

Exam Board Board (CBSE) Board (CBSE)

Sadhu Vaswani International

School/College Name School
Delhi Public School

School/College Address Kompally,Hyderabad Nacharam.Hyderabad

Year of Passing 2021 2023

Aggregate Marks Secured 423 432

Aggregate Marks Out of 500 500

Grade/Percentage/CGPA 84.6 86.4

What Specilization you may want to take Visual Design

Funding and Scholarship Details

Whether you want to apply for the

Yes
scholarship programe

How do you plan to fund your tuition

Self Sponsored
expenses for the programme

Personal Accolades

List your extracurricular

participation and acitivities
Elocution, art and extempore competitions in middle school.
(awards, achievements,
publications or others)

Work experience or Design

 exposure (if any) image and video editing with free softwares.

Entrance Test Details

NID No

UCEED No

BITS-DAT Yes

NID

NID Candidate ID/Registration No

NID DAT Score

NID All India Rank

UCEED

UCEED Registration No

UCEED Score

UCEED All India Rank

BITS-DAT

Choose your BITS-DAT Online Exam Date 7th April 2024

Interview

Mode of Interview Online

Interview and portfolio preferred date. 30th April 2024

Statement of Purpose

I have been reading books, comics from when i was able to read. It
cultivated an appreciation of art from a very early age. Exposure to
various art forms such as comics, manga, anime made me aware
about the differences in art style, portrayal of various ethnicities and
cultures. Also portrayal of various eras as a theme, real or fictional
was very appealing to me, such as gothic, steampunk, cyberpunk and
medieval themes. I read a lot of fantasy novels starting with Percy
Tell us about yourself. Why do Jackson in the 3rd grade, and it's only been an uphill slope from then
you wish pursue your career in on, as a result i favour medieval fantasy a lot more than other genres.
DESIGN? Playing games with that theme such as Witcher series and Elden ring
and other soulslike games have also enhanced my love for art and
design. I would also like to create similar stories in the future,
 creating worlds and stories, designing and creating art which would
captivate people in the same way that iw was in my childhood.
Hence, i would also like to learn design and art at a professional level
and give something back to the various communities who have
fostered and entrapped me as a child.

Declaration

1. I hereby declare that the details given by me in the admission form are complete and true to the best
of my knowledge and based on records.

2. I hereby undertake to present the original documents immediately upon demand by the concerned
authorities of the BITS Design School.

3. I hereby promise to abide by the admissible rules and regulations, concerning discipline, attendance,
etc. of BITS Design School, and also to follow the code of conduct prescribed for the students of the
BITS Design School, as in force from time to time and subsequent changes/modifications/amendment
made thereto. I acknowledge that, the BITS Design School has the authority for taking punitive actions
against me for violation and/or non-compliance of the same.

4. I hereby declare that, I will neither join in any coercive agitation/strike for the purpose of forcing the
authorities of the institute to solve any problem, nor I will participate in activity which has a tendency to
disturb the peace and tranquility of life of the BITS Design School campus and/or its hostel premises.

5. I hereby declare that, I will not indulge in, nor tolerate ragging, in any form, even in words or
intentions, and I accept to give an undertaking in the prescribed format for the same. I, hereby declare
that, I shall be solely responsible for my involvement in any kind of undesirable/disciplinary activities
outside the campus, and shall be liable for punishment as per institution. I, further understand that, the
institute shall in no way provide any support to me and will not be held responsible for my any such
action.

6. I also declare that, I am not suffering from any serious/contagious ailment and/or any
psychiatric/psychological disorder.

7. I further declare that, my admission may be cancelled, at any stage, if I am found ineligible and/or the
information provided by me are found to be incorrect.

8. I hereby undertake to inform the BITS Design authorities, about any changes in information
submitted by me, in the admission form and any other documents, including change in addresses and
contact number, from time to time.

9. I hereby declare that, in case I cancel my admission during anytime of course, I will follow all the
rules and regulations of the institution.

10. I hereby declare that, I will not indulge in, nor tolerate sexual harassment, in any form, even in
words or intentions, and will be solely responsible for any undesirable actions as per the applicable
UGC regulations.

11. I authorize BITS Design School or its representatives to carry out any kind of verification of
academics or employment details given in my application.

12. I authorize BITS Design School to share my personal identifiable information for any activity
relating to the processing of my application.
I hereby confirm that, I have read and understood all the guidelines, instructions, and / terms and conditions
provided as part of BITS Design application.

Applicant Name Navoswan Bhattacharjee Date 30-03-2024