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A 154 M 19 Application
A 154 M 19 Application
5CD
To
GATE 2014
A154M19 Chairperson GATE Indian Institute of Technology Kanpur Kanpur 208016
A154M19
Note: Enrolment ID - A154M19. You should preserve this number for further correspondence.
Zone/Scrutiny
GATE 2014
5CD
A154M19
(Enrolment ID)
A154M19
A154M19
3.5 cm x 4.5 cm
Kiran Shah
(Full Name of the Applicant)
A154M19
15 Jan 1988
(D.O.B)
Female
(Gender)
SC
(Category)
No
(PD Status)
Indian National
8006818850
(Parent's Mobile Number)
Mr. M. L. Shah
(Name of the Parent)
Communication Address
kiran shah c/o pushpa arya, police station, garhi cantt dehradun dehradun Uttarakhand 248001
ME
Allahabad, UP
(Exam City 1)
Kanpur, UP
(Exam City 2)
Qualification Details
B.Tech Mechanical Engg. Graduated: Yes; Year of Graduation: 2010 kumaon engg. college almora Uttarakhand 246444
Lucknow, UP
(Exam City 3)
Payment Details
Enclosure Checklist
Eligibility Certificate copy SC/ST Category Certificate copy Stamped Bank Challan: GATE copy
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:
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Date: ....../....../.........