8/17/2019 A 162 g 36 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 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)

Qtr.No.A-12, AAI ResidentialColony, #16, Cambridge Layout,UlsoorBengaluruKarnataka 56000899455 14411 (Mobile Number)

Zone/Scrutiny

1NDBy Registered Post/Speed Post Only

Indian Institute of Science Bangalore

GATE 2014

ToChairperson GATE

A162G36

Bengaluru 560012

Cut Here

Note: Enrolment ID - A162G36. You should preserve this number for further correspondence.

From

A Toshiba Praveen Kumar

A 1   6  2   G 3   6  

8/17/2019 A 162 g 36 Application

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This space is intentionally left blank 

(Enrolment ID)A162G36

Zone/Scrutiny

Payment Details 

Rs. 1500.00

1ND

(D.O.B)

Qualification Details 

 (Exam City 1)

A Toshiba Praveen Kumar(Full Name of the Applicant)

31 Oct 1989 Male

Indian National

OBC No

B.Tech

A V Ramana

Andhra Pradesh 533003

JNTU KAKINADA

Communication Address 

Graduated: Yes; Year of Graduation: 2011

Electronics/Comm./Telecomm Engg.

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.: MSBI3106665782

Qtr.No.A-12, AAI ResidentialColony, #16, Cambridge Layout,UlsoorBengaluruKarnataka 560008

99455 14411 (Mobile No.) pk.vizag@gmail.com 

  3.5 cm x 4.5 cm

Eligibility Certificate copy

Zonal GATE Office Contact Chairperson GATE

Bengaluru 560012

372c9165920f3ea1ef675645b33eb274

Applicant's recent photograph

A162G36

GATE Exam Details 

 (Exam City 2)

Enclosure Checklist

Applicant’s signature inside the box in black ink

15/09/2013

Date: ....../....../.........

KAKINADA

GATE 2014

Do not Attest

Do not sign on photo

 (Exam City 3)

(Gender) (Category) (PD Status)

GATE Paper Code

7388845774

EC

Do not staple photo

Bengaluru, KA

Tumkur, KA

Hyderabad, AP

Indian Institute of Science Bangalore

(Parent's Mobile Number) (Name of the Parent)

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A162G36