Professional Documents
Culture Documents
Application Gate
Application Gate
Zone/Scrutiny Code
1MX
To
GATE 2013
Chairman GATE Indian Institute of Science, Bangalore Bengaluru, 560012
108 S 280 Z
89853 32711
(Mobile No.)
Cut Here
Note: Application ID - 108 S 280 Z. You should preserve this number for further correspondence.
Zone/Scrutiny Code
1MX
108 S 280 Z
(Full Name of Applicant)
4.5 cm x 3.5 cm
(Application ID)
05 Jul 1991
(D.O.B)
Male
Janardhan
(Name of Parent)
OBC-NC
Indian National
Communication Address
3-59 Dharmaram Dharmaram Karimnagar Andhra Pradesh, 505301 India
Secunderabad, AP
(Exam City 1)
Karimnagar, AP
(Exam City 2) Scribe Assistance Required:
No
Qualification Details
B.Tech Information Science/Technology Graduated: Yes, Year of Graduation: 2012 Vijay Rural Engineering College Nizamabad Andhra Pradesh, 503001
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
Date: ....../....../............