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.) [email protected]
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)
A 1 6 2 G 3 6
A162G36
