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    A 641 U 88 Application

    Uploaded by

    Arun Sankar
    Rajasekaran R is applying to take the GATE 2014 exam. The document provides instructions on completing and submitting his application form, including pasting his photograph, signing the declaration, including required enclosures, and mailing the completed form to the GATE office by the deadline of October 10, 2013 using the provided address slip. It also lists his personal details, exam details, education qualifications, and payment details for the Rs. 750 application fee paid online on October 1, 2013.

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    Download as PDF, TXT or read online from Scribd

    A 641 U 88 Application

    Uploaded by

    Arun Sankar
    14 views2 pages
    Rajasekaran R is applying to take the GATE 2014 exam. The document provides instructions on completing and submitting his application form, including pasting his photograph, signing the declaration, including required enclosures, and mailing the completed form to the GATE office by the deadline of October 10, 2013 using the provided address slip. It also lists his personal details, exam details, education qualifications, and payment details for the Rs. 750 application fee paid online on October 1, 2013.

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    A 641 u 88 Application

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    Rajasekaran R is applying to take the GATE 2014 exam. The document provides instructions on completing and submitting his application form, including pasting his photograph, signing the declaration, including required enclosures, and mailing the completed form to the GATE office by the deadline of October 10, 2013 using the provided address slip. It also lists his personal details, exam details, education qualifications, and payment details for the Rs. 750 application fee paid online on October 1, 2013.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    14 views2 pages

    A 641 U 88 Application

    Uploaded by

    Arun Sankar
    Rajasekaran R is applying to take the GATE 2014 exam. The document provides instructions on completing and submitting his application form, including pasting his photograph, signing the declaration, including required enclosures, and mailing the completed form to the GATE office by the deadline of October 10, 2013 using the provided address slip. It also lists his personal details, exam details, education qualifications, and payment details for the Rs. 750 application fee paid online on October 1, 2013.

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    Download as PDF, TXT or read online from Scribd
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    Zone/Scrutiny

    By Registered Post/Speed Post Only

    7ND
    To

    GATE 2014
    A641U88 Chairperson GATE Indian Institute of Technology Madras Chennai 600036

    From Rajasekaran R
    16 AYYAPPAN NAGAR DR MOORTHY ROAD KUMBAKONAM THANJAVUR Tamil Nadu 612001 78711 65559 (Mobile Number) Cut Here

    A641U88

    Instructions to the Applicant (GATE 2014)


    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 Principals or HODs 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 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.

    Note: Enrolment ID - A641U88. You should preserve this number for further correspondence.

    Zone/Scrutiny

    GATE 2014

    Applicant's recent photograph

    7ND
    A641U88
    (Enrolment ID)

    A641U88

    A641U88

    3.5 cm x 4.5 cm

    Rajasekaran R
    (Full Name of the Applicant)

    A641U88

    26 Aug 1989
    (D.O.B)

    Male
    (Gender)

    SC
    (Category)

    No
    (PD Status)

    Do not Attest Do not sign on photo Do not staple photo

    Indian National

    9443032158
    (Parent's Mobile Number)

    Ramalingam
    (Name of the Parent)

    Communication Address
    16 AYYAPPAN NAGAR DR MOORTHY ROAD KUMBAKONAM THANJAVUR Tamil Nadu 612001

    GATE Exam Details


    GATE Paper Code

    ME
    Coimbatore, TN
    (Exam City 1)

    78711 65559 (Mobile No.) [email protected]

    Thanjavur, TN
    (Exam City 2)

    Qualification Details
    B.E. Mechanical Engg. Graduated: Yes; Year of Graduation: 2011 ANJALAI AMMAL MAHALINGAM ENG KOVILVENNI Tamil Nadu 614403

    Ernakulam, KL
    (Exam City 3)

    Zonal GATE Office Contact


    Chairperson GATE Indian Institute of Technology Madras Chennai 600036

    Payment Details

    Enclosure Checklist
    Eligibility Certificate copy SC/ST Category Certificate copy

    Online
    01/10/2013

    Rs. 750.00

    Payment Ref. No.: MSBI3121461336

    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. The responsibility 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 opportunity to 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 be cancelled.

    Digital Fingerprint:

    b141f2e05d575e33d8615c749c946262

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

    Applicants signature inside the box in black ink

    This space is intentionally left blank

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