Professional Documents
Culture Documents
7FF
To
GATE 2013
Chairman GATE Indian Institute of Technology Madras Chennai, 600036
From Saranya
191 K 424 G
99430 93034
(Mobile No.)
Cut Here
Note: Application ID - 191 K 424 G. You should preserve this number for further correspondence.
Zone/Scrutiny Code
7FF
191 K 424 G
4.5 cm x 3.5 cm
(Application ID)
Saranya
S 191 K 424 G
16 May 1992
(D.O.B)
Female
(Name of Parent)
SC
Indian National
Subramaniyan M
Communication Address
285C NEHRU STREET TINDIVANAM TINDIVANAM Tamil Nadu, 604001 India
Puducherry, PY
(Exam City 1)
Chennai North, TN
(Exam City 2) Scribe Assistance Required:
No
Qualification Details
B.E. Electronics/Comm./Telecomm Engg. Graduated: No, Year of Graduation: 2013 SURYA GROUP OF INSTITUTIONS VILLUPURAM Tamil Nadu, 605652
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
This is to certify that Saranya SURYA GROUP OF
(For use as the eligibility certificate only for final year or backlog applicants)
S is a student enrolled in
INSTITUTIONS, VILLUPURAM.
She is a student of the final year of B.E.. She 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:
Seal