a 128 u 79 application
TRANSCRIPT
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7/27/2019 A 128 u 79 Application
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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 OfflinePayment.
3. On the GATE 2014 Application Form, paste a 3.5cm x 4.5cm color photograph with plain background (this should be the samethat 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 Principals orHODs 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 Principals office without cutting it.
6. If you have opted for challan payment, wait for 48 hours after your online submission to visit the banks branch. You can visit anybranch 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 alongwith 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. Theapplication packet should REACH the respective zonal GATE office on or before Thursday, 10 October 2013.
Instructions to the Applicant (GATE 2014)
2F/1034post and telegram colony5th street west 3rd mileTUTICORINTamil Nadu 62800887547 38070 (Mobile Number)
Zone/Scrutiny
7NDBy Registered Post/Speed Post Only
Indian Institute of Technology Madras
GATE 2014
ToChairperson GATE
A128U79
Chennai 600036
Cut Here
Note: Enrolment ID - A128U79. You should preserve this number for further correspondence.
From
Vinod A M
A128U79
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7/27/2019 A 128 u 79 Application
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(Enrolment ID)A128U79
Zone/Scrutiny
Payment Details
Rs. 750.00
7ND
(D.O.B)
Qualification Details
(Exam City 1)
Vinod A M(Full Name of the Applicant)
15 Sep 1989 Male
Indian National
SC No
B.E.
Murugan A M
Tamil Nadu 629180
NOORUL ISLAM COLLEGE OF ENGG
Communication Address
Graduated: Yes; Year of Graduation: 2012
Earth Sciences
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. Theesponsibility of following the GATE 2014 website and meeting various deadlines lies with me. In the event of
suppression or distortion of any fact in my application form, I understand that I will be denied the opportunityo appear in GATE 2014. Further, if any suppression or distortion of facts is found after appearing in the
exam, any admission/degree/benefit acquired on the basis of GATE 2014 score/marks is liable to becancelled.
Digitalingerprint:
OnlinePayment Ref. No.: MIOB3122648204
2F/1034post and telegram colony5th street west 3rd mileTUTICORINTamil Nadu 628008
87547 38070 (Mobile No.)[email protected]
3.5 cm x 4.5 cm
Eligibility Certificate copy
Zonal GATE Office ContactChairperson GATE
Chennai 600036
52294c9cb3359d432dba76782419ecab
Applicant's recent photograph
A128U79
GATE Exam Details
(Exam City 2)
Enclosure Checklist
Applicants signature inside the box in black ink
01/10/2013
Date: ....../....../.........
SC/ST Category Certificate copy
KANYAKUMARI
GATE 2014
Do not Attest
Do not sign on photo
(Exam City 3)
(Gender) (Category) (PD Status)
GATE Paper Code
9486983751
EE
Do not staple photo
Chennai South, TN
Tuticorin, TN
Chennai, TN
Indian Institute of Technology Madras
(Parent's Mobile Number) (Name of the Parent)
A128U79
A128U79