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7/31/2019 106 g 205 u Application
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1. This print out should contain the following pages.
(a) This page: Address Slip and Instructions.(b) Application form, filled with the information you provided online.(c) Bank Challan in Triplicate (available as a separate file for download from the
GATE Online Application Interface), if you have chosen Offline Challan Payment (Not applicable for female candidates).
2. On the GATE copy of the Application Form, paste a 4.5cm x 3.5cm printed copy of the SAME colorphotograph you uploaded online.(a) Use good quality glue to ensure that the photograph does not separate from the application.(b) Do not pin, stapple, sign, or attest the photograph.
3. Read the declaration and put your signature in the box next to it.
4. If you are in the final year or you have a backlog after appearing for the final year exam, you must get yourPrincipals or HODs sign and seal in the last portion of the application form. Submit the whole formto the Principals office without cutting it.
5. If you have opted for Challan payment, wait for 48 hours after your online submission to visit the banksbranch. You can visit any branch of the bank printed on your challan.
6. The bank teller will verify the details printed on the challan with the data available on their computer andthen accept the payment. The bank will retain one copy and give you back the remaining copies: one ofwhich you have to send along with the printed application form and the other is for your reference.
7. Mailing Documents to GATE office.(a) Cut the Address Slip and paste it onto an A4 sized 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 (if you
have uploaded the soft copy of the documents online, you need not send a hard copy). Mark 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. The
application packet should REACH the respective GATE office on or before Monday, 8 October 2012.
21-6-3
Rajahmundry
Devi Chowk
Instructions to the Applicant (GATE 2013)
Zone/Scrutiny Code
6FF
By Registered Post/Speed Post Only
(Mobile No.)
Indian Institute of Technology Kharagpur
GATE 2013
Andhra Pradesh, 533101
To
Padala Baby Durga Kiranmani
Chairman GATE
88852 29885
106 G 205 U
Kharagpur, 721302
Cut Here
Korlamapeta
From
Note: Application ID - 106 G 205 U. You should preserve this number for further correspondence.
7/31/2019 106 g 205 u Application
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(Application ID)06 G 205 U
GATE 2013Zone/Scrutiny Code
6FF
D.O.B)
Scribe Assistance Required:
Qualification Details
(Exam City 1)
Padala Baby Durga KiranmaniFull Name of Applicant)
5 May 1992 Female
ndian National
OBC-NC
No
B.Tech
Kakinada, AP
Rajahmundry, AP
EC
P D V Venkateswarao(Name of Parent)
Andhra Pradesh, 533101
Andhra Pradesh, 533461
Korlamapeta
Kakinada Institute Of Engineering And Technology For
(GATE Paper code)
Communication Address
2013
Electronics/Comm./Telecomm Engg.
88852 29885
hereby declare that all the particulars stated in this application form are true to the best of mynowledge and belief. I have read the Information Brochure and I shall abide by the terms and conditionsherein. In the event of suppression or distortion of any fact in my application form, I understand that I will
e denied the opportunity to appear in GATE 2013. Further, if any suppression or distortion of facts isound after appearing in the exam, any admission/degree acquired on the basis of GATE 2013 score isable to be cancelled.
Digital Fingerprint:
Rajahmundry
Devi Chowk
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
21-6-3
4.5 cm x 3.5 cm
Date: Seal
(For use as the eligibility certificate only for final year or backlog applicants)
Zonal GATE Office Contact
Chairman GATEIndian Institute of Technology Kharagpur
Kharagpur, 721302
f148fcae08a5e91f5efd7fdf6a2c82c3
Applicant's recent photograph
106 G 205 U
GATE Exam Details
(Mobile No.)
(Exam City 2)
Principal Certificate
This is to certify that Padala Baby Durga Kiranmani is a student enrolled in
Applicants signature inside the box in black inkDate: ....../....../............
India
She is a student of the final year of B.Tech.
Kakinada Institute Of Engineering And Technology For Women, Kakinada.
Kakinada
Application Form
Do not AttestDo not sign on photo