Beruflich Dokumente
Kultur Dokumente
1CP
To
GATE 2013
Chairman GATE Indian Institute of Science, Bangalore Bengaluru, 560012
104 K 926 G
94839 08102
(Mobile No.)
Cut Here
Note: Application ID - 104 K 926 G. You should preserve this number for further correspondence.
Zone/Scrutiny Code
1CP
104 K 926 G
(Full Name of Applicant)
4.5 cm x 3.5 cm
(Application ID)
06 Feb 1992
(D.O.B)
Male
(Name of Parent)
OBC-NC
Indian National
Communication Address
g-4 classic home apartment marnamikatta mangalore Karnataka, 575002 India
Mangalore, KA
(Exam City 1)
Surathkal, KA
(Exam City 2) Scribe Assistance Required:
No
Qualification Details
B.E. Electronics/Comm./Telecomm Engg. Graduated: No, Year of Graduation: 2013 st joseph engineering colllege mangalore Karnataka, 575027
Enclosure Checklist
Stamped Bank Challan: GATE copy
Payment Details
I hereby declare that all the particulars stated in this application form are true to the best of my knowledge and belief. I have read the Information Brochure and I shall abide by the terms and conditions therein. In the event of suppression or distortion of any fact in my application form, I understand that I will be denied the opportunity to appear in GATE 2013. Further, if any suppression or distortion of facts is found after appearing in the exam, any admission/degree acquired on the basis of GATE 2013 score is liable to be cancelled.
Date: ....../....../............
Principal Certificate
st joseph engineering colllege, mangalore.
(For use as the eligibility certificate only for final year or backlog applicants)
He is a student of the final year of B.E.. He appeared in the final semester/year exam of the above degree, but has a backlog to be cleared from an earlier semester/year, and therefore cannot produce a course completion certificate.
Date:
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