a275 t66application
TRANSCRIPT
1. This print out should contain the following pages. (a) Page 1 : This page contains Instructions and Address Slip (cut and paste the Address Slip on A4 size envelope). (b) Page 2 : Application form that you have filled online.
2. Bank challan in Triplicate is available as a separate pdf file to be downloaded. This is available only if you have opted for Offline Payment.
3. On the GATE 2014 Application Form, paste a 3.5cm x 4.5cm color photograph with plain background (this should be the same that you have uploaded during application filling). The photograph should be taken in a studio. (a) Write your Enrolment ID. and Name on the reverse side of the photo. (b) Use good quality glue to ensure that the photograph does not separate from the application. (c) Do not pin, staple, sign or attest the photograph.
4. Read the declaration and put your full signature in the box next to it. Please note that signature should not be in capital letters.
5. If you are in the final year or you have a backlog after appearing for the final year examination, you must get your Principal’s or HOD’s Signature and Seal in the Certificate from Principal that is provided at the last portion of the application form. Submit the whole form to the Principal’s office without cutting it.
6. If you have opted for challan payment, wait for 48 hours after your online submission to visit the bank’s branch. You can visit any branch of the bank printed on your challan.
7. The bank teller will verify the details printed on the challan with the data available in their system and then accept the payment. The bank will retain one copy and give you the remaining two copies: one of which is the GATE Copy that you have to send along with the printed application form and the other is the Candidate Copy for your reference.
8. Keep a photo copy of the completed application form for your reference.
9. Mailing Documents to GATE office. (a) Cut the Address Slip and paste it onto an A4 size envelope (Do not fill address by hand or tamper the address slip). (b) Collect the supporting documents shown under Enclosure Checklist in the application form. Mark the enclosures in the checklist boxes. (c) Do NOT FOLD the application form and Do NOT STAPLE or pin the documents to the form. (d) Send the packet by Speed Post (preferably) or by Registered Post to the address mentioned in the address slip. The application packet should REACH the respective zonal GATE office on or before Thursday, 10 October 2013.
Instructions to the Applicant (GATE 2014)
SHRAWAN KANTA ARCADE GIRLSHOSTEL, OPPOSITE SHREEKHERAPATI MANDIR,NIGAMUDINBHOPALMadhya Pradesh 46202196910 35560 (Mobile Number)
Zone/Scrutiny
5NPBy Registered Post/Speed Post Only
Indian Institute of Technology Kanpur
GATE 2014
To
Chairperson GATE
A275T66
Kanpur 208016
Cut Here
Note: Enrolment ID - A275T66. You should preserve this number for further correspondence.
From
Pooja Yadav
A275T
66
(Enrolment ID)A275T66
Zone/Scrutiny
Payment DetailsRs. 750.00
5NP
(D.O.B)
Qualification Details
(Exam City 1)
Pooja Yadav(Full Name of the Applicant)
01 Apr 1993 Female
Indian National
OBC No
B.E.
Bharat Singh Yadav
Madhya Pradesh 462044
M.I.T.S BHOPAL
Communication Address
Graduated: No; Year of Graduation: 2014Electronics/Comm./Telecomm Engg.
I hereby declare that all the particulars stated in this application form are true to the best of my knowledge andbelief. I have read the Information Brochure and I shall abide by the terms and conditions therein. Theresponsibility of following the GATE 2014 website and meeting various deadlines lies with me. In the event ofsuppression or distortion of any fact in my application form, I understand that I will be denied the opportunityto appear in GATE 2014. Further, if any suppression or distortion of facts is found after appearing in theexam, any admission/degree/benefit acquired on the basis of GATE 2014 score/marks is liable to becancelled.
DigitalFingerprint:
OnlinePayment Ref. No.: MSBI3114253123
She appeared in the final semester/year exam of the above degree, but has a backlog to be clearedfrom an earlier semester/year, and therefore cannot produce a course completion certificate.
Signature of Principal/ HOD
SHRAWAN KANTA ARCADE GIRLSHOSTEL, OPPOSITE SHREEKHERAPATI MANDIR,NIGAMUDINBHOPALMadhya Pradesh 46202196910 35560 (Mobile No.)
3.5 cm x 4.5 cm
Date: Seal
(For use as the eligibility certificate only for final year or backlog applicants)
Zonal GATE Office ContactChairperson GATE
Kanpur 208016
9e02076157616f8a2460e8dd17c8ca7b
Applicant's recent photograph
A275T66
GATE Exam Details
(Exam City 2)
Certificate from Principal
This is to certify that Pooja Yadav is a student enrolled in
Applicant’s signature inside the box in black ink
23/09/2013
Date: ....../....../.........
She is a student of the final year of B.E.
M.I.T.S BHOPAL, BHOPAL.
BHOPAL
GATE 2014
Do not AttestDo not sign on photo
(Exam City 3)
(Gender) (Category) (PD Status)
GATE Paper Code
9838517424
EC
Do not staple photo
Bhopal, MP
Jabalpur, MP
Delhi-NCR, DL
Indian Institute of Technology Kanpur
(Parent's Mobile Number) (Name of the Parent)
A275T
66
A275T66