Professional Documents
Culture Documents
3AL
To
GATE 2013
Chairman GATE Indian Institute of Technology Delhi Hauz Khas, New Delhi, 110016
213 Q 631 R
88908 43443
(Mobile No.)
Cut Here
Note: Application ID - 213 Q 631 R. You should preserve this number for further correspondence.
Zone/Scrutiny Code
3AL
213 Q 631 R
4.5 cm x 3.5 cm
(Application ID)
Nishant Jain
(Full Name of Applicant)
213 Q 631 R
03 Sep 1989
(D.O.B)
Male
(Name of Parent)
GEN
Indian National
Communication Address
hostel no 8 room no g29 mnit college, jln marg jaipur Rajasthan, 302017 India
Jaipur, RJ
(Exam City 1)
Agra, UP
(Exam City 2) Scribe Assistance Required:
No
Qualification Details
B.E. Mechanical Engg. Graduated: Yes, Year of Graduation: 2009 walchand institute of technology,solapur solapur Maharashtra, 413006
Payment Details
Online
Rs. 1200.00
Docs Uploaded Eligibility Certificate
MICI2819876320 30/09/2012
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: ....../....../............