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By Registered Post/Speed Post Only


GATE 2014
A515Y26 Chairperson GATE Indian Institute of Science Bangalore Bengaluru 560012

From Anil Mani
KUZHIKKULATHIL(House) MONAPPILLY(kara) PUTHENCRUZE(P.O) ERNAKULAM Kerala 682308 95672 52208 (Mobile Number) Cut Here


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 Principal’s or HOD’s 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 Principal’s office without cutting it. 6. If you have opted for challan payment, wait for 48 hours after your online submission to visit the bank’s 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 - A515Y26. You should preserve this number for further correspondence.

but has a backlog to be cleared from an earlier semester/year..B) Male (Gender) OBC (Category) No (PD Status) Do not Attest Do not sign on photo Do not staple photo Indian National 8547375335 (Parent's Mobile Number) K K Mani (Name of the Parent) Communication Address KUZHIKKULATHIL(House) MONAPPILLY(kara) PUTHENCRUZE(P./. any admission/degree/benefit acquired on the basis of GATE 2014 score/marks is liable to be cancelled.. Year of Graduation: 2014 MBITS Nellimattom KOTHAMANGALAM Kerala 686693 Ernakulam.. Graduated: No..O.Tech. Further..5 cm Anil Mani (Full Name of the Applicant) A515Y26 21 May 1993 (D./Electrical and Electronics Engg... In the event of suppression or distortion of any fact in my application form.. KL (Exam City 1) 95672 52208 (Mobile No. I have read the Information Brochure and I shall abide by the terms and conditions therein. 1500. (For use as the eligibility certificate only for final year or backlog applicants) This is to certify that Anil Mani is a student enrolled in He appeared in the final semester/year exam of the above degree.Tech Electrical Engg. He is a student of the final year of B.) anilkm66@gmail.. KL (Exam City 3) Zonal GATE Office Contact Chairperson GATE Indian Institute of Science Bangalore Bengaluru 560012 Payment Details Enclosure Checklist Stamped Bank Challan: GATE copy Challan Rs...O) ERNAKULAM Kerala 682308 GATE Exam Details GATE Paper Code EE Kothamangalam. The responsibility of following the GATE 2014 website and meeting various deadlines lies with me. Digital Fingerprint: f7c5596b49e7cb4ca499c174fed49a64 Date: .com Muvattupuzha. KL (Exam City 2) Qualification Details B./.. and therefore cannot produce a course completion certificate.00 State Bank of India I hereby declare that all the particulars stated in this application form are true to the best of my knowledge and belief. if any suppression or distortion of facts is found after appearing in the exam.. Date: Signature of Principal/ HOD Seal .... I understand that I will be denied the opportunity to appear in GATE 2014... Applicant’s signature inside the box in black ink Certificate from Principal MBITS Nellimattom.5 cm x 4. KOTHAMANGALAM.Zone/Scrutiny GATE 2014 Applicant's recent photograph 1CP A515Y26 (Enrolment ID) A515Y26 A515Y26 3.