Apply Texas

ApplyTexas
https://www.applytexas.org/adappc/gen/new_app_view.WBX
Logoff
My Account
Admissions Information
Application Instructions
Quick Links
Application Details
The University of Texas

at Arlington
International Graduate
Admission
Fall 2015
view of your submitted application

International Graduate application for BISWAS , SOMDEB
Application ID Number: 02001330

Name: SOMDEB BISWAS
Target University: University of Texas at Arlington
Expected Semester of Entry: Fall 2015
School/Major: GEN-EE__MSNT Electrical Engineering, M.S.
Application Type: International Graduate
Application Status: Application Forwarded to Receiving Institution
Application Status Date: 12/01/2014
User ID: bisw281
URL: https://www.applytexas.org:443
Biographical Information
1. Social Security Number:
Not provided
2. Date of Birth:
02/15/1992
3. Full, Legal Name:

BISWAS, SOMDEB
4. Other Names which may appear on academic records:

5. Gender:
Male
6. Place of Birth:
MUMBAI, INDIA
7. This question does not apply to International applicants.
1 of 9Print to PDF without this message by purchasing novaPDF (http://www.novapdf.com/)
12/17/2014 7:16 PM
ApplyTexas
8. Citizenship Information (Please answer all questions which

apply to you.)
a. Of what country are you a citizen?
INDIA
b. Do you hold Permanent Residence status (valid I-551) for the

U.S.?
No
c. Country of legal permanent residence:

INDIA
d. If you have an Individual Taxpayer Identification Number (ITIN)

and do NOT have a Social Security Number filled in above, please
enter it below. Otherwise, please leave blank.
Not provided
9. Mailing/Permanent Address:
SAI SHUBHAM SEC 8B 502 PLOT 7
NAVI MUMBAI CBD BELAPUR
MUMBAI, 400614
INDIA
Mailing/Permanent Address Standardized: International address, not
standardized
10. Physical Address (if different from Mailing/Permanent

Address):
Physical Address Standardized: (blank)
11. Telephone Numbers:

Preferred Phone Country Code: 91
Preferred Phone Number:
9867206986
Preferred Phone Type:

Cell
Alternate Phone Number: Alternate Phone Type:

(blank)
12. Emergency Contact Info:

MR
SUBAHSIS BISWAS
SAI SHUBHAM SEC 8B 502 PLOT 7
NAVI MUMBAI CBD BELAPUR
MUMBAI, INDIA 400614
Phone:
9969228284
Email Address:
sunnybiswas@gmail.com
13. Email address:

somdeb12@gmail.com
12/17/2014 7:16 PM
ApplyTexas
Biographical Information - continued

1. In addition to English, what languages do you speak
fluently?
Language
Years spoken
BENGALI; BENGLA
21
HINDI
21
2. Please indicate, for the most recent tax year, your family's
gross income. Include both untaxed and taxed income:
$20,000-$39,999
Educational Background
1. High School You Graduated From or Expect to Graduate
From:
000001DAV PUBLIC SCHOOLINDIA,
Graduation Date:
05 / 2009
2. If you did not graduate from high school, do you have a

GED?
Not applicable (blank)
3. Initial degree you wish to seek:

Master's
Ultimate degree you wish to seek in this major at University

of Texas at Arlington:
Master's
Are you a former University of Texas at Arlington student?

No
Have you previously applied to University of Texas at

Arlington?
No
4. Enter any specific area of interest or specialty within your

major: (if applicable)
5. Name of Institution Presently Attending (if applicable):
(blank)
6. List courses to be completed during the present semester. if

you will complete an additional term before enrolling at
University of Texas at Arlington, list those courses also. if
you need to list more than 10 courses, please send a list
directly to the graduate admissions office at University of
Texas at Arlington. Be sure to include your full name, social
security or student ID number, and application ID number
on any documents you send to the admissions office. No
12/17/2014 7:16 PM
ApplyTexas
Courses Entered
Educational Information (Colleges Attended)

1. Please list ALL post-secondary colleges or universities you
have previously attended or are presently attending,
including for extension, correspondence, and distance
learning credit, starting with the most recent. Failure to list
all institutions will be considered an intentional omission
and may lead to forced withdrawal.
College
Code
Name
City,
From: To:
State
Degree
Title
DR. BABASAHEB
AMBEDKAR
11 / 06 / ELECTRICAL
13355
INDIA,
TECHNOLOGICAL
2009 2013
ENGG
U
Date
Degree
Degree
Type
Earned
05 /
Bachelors
2013
2. Are you currently on academic suspension from a college or

university?
No
Test Score Information

20. Check those tests you have taken or plan to take. Report
scores from any test you have taken. (Please have official
test scores sent to the universities to which you apply.)
GRE: Graduate Record Examinations General Test:
Checked
When did you or will you take this test?

11 / 2014
When did or will you request your GRE scores be sent to University of
Texas at Arlington?
11 / 2014
Test Score(s):
Verbal: 138
Written: 3.0
Quantitative: 152
Analytical: 0
GMAT: Graduate Management Admissions Test (business applicants

only):
**NOT** Checked
MCAT: Medical College Admission Test(medical school applicants only):

**NOT** Checked
MAT: Miller Analogies Test:

**NOT** Checked
DAT: Dental Admission Test (dental school applicants only):

**NOT** Checked
LSAT: Law School Admission Test:

**NOT** Checked
PCAT: Pharmacy College Admission Test:
12/17/2014 7:16 PM
ApplyTexas
**NOT** Checked
TOEFL: Test of English as a Foreign Language:

**NOT** Checked
IELTS: International English Language Testing System:

Checked
When did you or will you take this test?

01 / 2014
When did or will you request your IELTS scores to be sent to University
of Texas at Arlington?
12 / 2014
Test Score(s):
Listening: 6.5
Speaking: 5.5
Reading: 7.0
Overall: 6.5
Writing: 6.5
TSE: Test of Spoken English:

**NOT** Checked
TWE: Test of Written English:

**NOT** Checked
Employment, References and Honors Information

1. If you wish to be considered for a teaching assistantship,
research assistantship, or fellowship, complete the
following. Deadlines vary. Consult directly with the program
you wish to enter.
Type of Award sought:
Graduate Assistantship
If you are not offered a financial award, do you plan to

enroll if offered admission?
Yes
2. Employment History:
If relevant to your major, complete the following employment history section. Begin
with your most recent employer.
If you have been employed since attending school or have served in the armed
forces, list your employers or military service and type of work in chronological
order, beginning with your most recent employer. If you have been self-employed
(homemaker, writer, etc.), write "self" under "NAME OF EMPLOYER." If an employer
listed is not in the US, fill in "City" and leave "State" blank. If you are currently
employed, put the current month and year in the "To" section.
Current or most recent Employer:
BRIHANMUMBAI ELECTRIC SUPPLY & TRANMUMBAI,
Phone:
Fax:
Email:
May we contact you at work?: Yes
Job Category: Engineering
Industry Code: Energy
From: 07/2014
To: 07/2015
Type of Work/Job Title: GRADUATE APPRENTICESHIP
12/17/2014 7:16 PM
ApplyTexas
3. Other Employers:
(None Listed)
4. References:
Name
Position
Email Address
H.A. MUJAWAR
professor
hamujawar@gmail.com
M.F.A.R SATARKAR
professor
mfarsatarkar@dbatu.ac.in
VADIRAJACHARYA K.
professor
kvadiraj5959@gmaiL.com
5. List all honors, financial assistance, awards, fellowships,

scholarships, and assistantships received.
If you need to list more than three awards, please send a list, along with your
student ID number (if known), web application ID number, full name and date of
birth directly to the appropriate admissions office at University of Texas at Arlington.
(No honors, etc. information supplied)
Educational Experience and Application Representative

Educational Experience from the Beginning to the Present.
Instructions:
We wish to obtain a chronological record of your school attendance, beginning
with your first year in school through your current school, including the kind of
schools you attended, the certificates you earned, the examinations you
passed, and your graduations. By doing this carefully and correctly much
unnecessary, time consuming, and expensive correspondence can be avoided.
Column one represents your years in school: begin with the first year. There is
one line for each year.
Column two and three fill in the calendar years you attended each school.
In column four write your age. Perhaps you were five years old when you
entered your first year of school, so type 5 in the appropriate column; continue
by putting your correct age for each of the subsequent levels attended.
In column five type in the name of the level or class of each year. Use the
terminology of the country where the school was located. Do not try to
translate into American terminology.
In column six type in the kind of school you attended, using the terminology of
the country where the school was located. Do not try to translate into
American terminology.
In column seven type in the name of any examinations you passed or
certificates you earned at the end of the school year. For example, if you
completed secondary school at the end of your twelfth school year, type the
12/17/2014 7:16 PM
ApplyTexas
name of the final document you received. Do not try to express the name of
any document in the American equivalent.
Year in Year
Year
Class
Age
school (from) (thru)
Level
Type of School
(Elementary,
Secondary,
University etc.)
Certificates,
Diplomas, or
Degrees earned
1st
2006
2007
15
SSC
PRIMARY
SSC
2nd
2008
2009
17
HSC
SECONDARY
HSC
3rd
2009
2013
17 BTECH
UNIVERSITY
DEGREE
Preliminary Visa Information

Immigration Status
If you are admitted, additional information regarding your immigration status
is required. Upon submission of your electronic application, you will be sent a
"Certification of Financial Responsibility" form to complete and return to the
school to which you are applying. if you are, or will be, in F-1 or J-1 status,
evidence of adequate financial support is required for issuance of an
immigration document (Form I-20 or Form DS-2019). IMPORTANT: This
information is NOT required for consideration of your application for admission
but may be required prior to initial enrollment.
Are you currently residing in the U.S.?
No
If you are already in the U.S., indicate your current immigration status
(visa type) of I-94:
(blank)
If an expiration date is indicated on your form I-94, please enter:
(blank)
Will you require a change in your visa status?
(blank)
If you are already in the U.S., do you plan to leave the U.S. before enrolling
at the University?
(blank)
If yes, estimate the date of travel:
(blank)
If you will require a change in your visa status, what type of visa is
expected?
Student (F-1)
Expected source of financial support if you are, or will be, in F-1 or J-1
12/17/2014 7:16 PM
ApplyTexas
status:
Marital Status:
Single
Dependent Information
List the following information for all dependents who will require immigration
documents to accompany you to the U.S. (including your future spouse, if you
plan to marry before traveling to the university):
Spouse
No spouse information provided
Children
No child information provided
Application Representative
U.S. law (Family Rights and Privacy Act of 1974) prohibits universities from
releasing information about you to anyone else. if you want someone besides
yourself to be able to discuss your file with the target university's admissions
office, please fill in information below:
Title:
Name:
Phone:
Custom Questions
There are 7 university and/or major specific questions assigned to this
application.
Title
Required? Saved?
Question Type Number
Scholar Groups
REQUIRED Saved
Univ. specific - 013
Selective Admission
REQUIRED Saved
Payment Amount
REQUIRED Saved
GRE Test Score Name
REQUIRED Saved
GMAT Test Score Name
REQUIRED Saved
TOEFL/IELTS Test Score

Name
REQUIRED Saved
Course Repeat
REQUIRED Saved
Major specific - 001
12/17/2014 7:16 PM
ApplyTexas
View university and/or major specific questions for this application.

(opens new window)
Certification of Information
FERPA certification box checked on 11/29/2014
Meningitis certification box checked on 11/29/2014
Truth certification box checked on 11/29/2014
Application Fee Information

** NOTE: ** Depending on each institution's policy, applications may not be
processed until the application fee is received. A nonrefundable processing fee
is required with each admission application. DO NOT SEND CASH. We accept
only cashiers checks, bank money orders, or bank drafts in U.S. dollars on U.S.
banks.
This application fee was processed online.

Credit Card Type: Visa
Payment Status: PAID
Transaction Amount: $ 90
Transaction Time: 11/29/2014 2:14:01 AM
Transaction Trace Number: VLENB8E063AC
CC Number: **withheld**
Expires on: **withheld**
Card Holder Name: **withheld**
End of Application
Last updated November 18 , 2014
Privacy FAQ
12/17/2014 7:16 PM

Apply Texas

Uploaded by

Document Information

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Apply Texas

Uploaded by

Copyright:

Available Formats

ApplyTexas

The University of Texas

view of your submitted application

Application ID Number: 02001330

3. Full, Legal Name:

4. Other Names which may appear on academic records:

7. This question does not apply to International applicants.

1 of 9Print to PDF without this message by purchasing novaPDF (http://www.novapdf.com/)

8. Citizenship Information (Please answer all questions which

b. Do you hold Permanent Residence status (valid I-551) for the

c. Country of legal permanent residence:

d. If you have an Individual Taxpayer Identification Number (ITIN)

10. Physical Address (if different from Mailing/Permanent

11. Telephone Numbers:

Preferred Phone Type:

Alternate Phone Number: Alternate Phone Type:

12. Emergency Contact Info:

13. Email address:

2 of 9Print to PDF without this message by purchasing novaPDF (http://www.novapdf.com/)

Biographical Information - continued

2. If you did not graduate from high school, do you have a

3. Initial degree you wish to seek:

Ultimate degree you wish to seek in this major at University

Are you a former University of Texas at Arlington student?

Have you previously applied to University of Texas at

4. Enter any specific area of interest or specialty within your

6. List courses to be completed during the present semester. if

3 of 9Print to PDF without this message by purchasing novaPDF (http://www.novapdf.com/)

Educational Information (Colleges Attended)

2. Are you currently on academic suspension from a college or

Test Score Information

When did you or will you take this test?

GMAT: Graduate Management Admissions Test (business applicants

MCAT: Medical College Admission Test(medical school applicants only):

MAT: Miller Analogies Test:

DAT: Dental Admission Test (dental school applicants only):

LSAT: Law School Admission Test:

PCAT: Pharmacy College Admission Test:

4 of 9Print to PDF without this message by purchasing novaPDF (http://www.novapdf.com/)

TOEFL: Test of English as a Foreign Language:

IELTS: International English Language Testing System:

When did you or will you take this test?

TSE: Test of Spoken English:

TWE: Test of Written English:

Employment, References and Honors Information

If you are not offered a financial award, do you plan to

5 of 9Print to PDF without this message by purchasing novaPDF (http://www.novapdf.com/)

5. List all honors, financial assistance, awards, fellowships,

(No honors, etc. information supplied)

Educational Experience and Application Representative

6 of 9Print to PDF without this message by purchasing novaPDF (http://www.novapdf.com/)

Preliminary Visa Information

7 of 9Print to PDF without this message by purchasing novaPDF (http://www.novapdf.com/)

Question Type Number

Univ. specific - 013

Univ. specific - 014

Univ. specific - 015

GRE Test Score Name

Univ. specific - 017

GMAT Test Score Name

Univ. specific - 018

TOEFL/IELTS Test Score

Univ. specific - 019

Major specific - 001