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16101517
6. Nationality: Indian
CIVIL
Any back paper(s)/ Supplementary(ies): No Likly to Clear:
Subject Name:
(A candidate will be required to complete and have passed/appeared the qualifying examination including
back paper(s) /supplementary(ies) examination by the date of registratrion)
14. GATE Marks Out of 100: 35.40 15. GATE Qualifying Year: 2016
1 CED
19. Codes of Academic Programme, Preference wise (As per Table-2 of Information Brochure-16)
Choices once given shall not be changed for any reason after submission of online application.
1 2 3 4 5 6
21 18 16 20 19 17
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20. Amount of Application Fee including Fee for Additional Deptts. Paid (Rs.400-700): Rs. 440.00
21. Complete Postal Address for Correspondence
WANPOH
ANANTNAG
SRINAGAR
Jammu and Kashmir
Pin Code: 192102
Email: teezam3@gmail.com
Mobile No. 9906521200
Telephone No. 9906521200
Fax No.
Enclosures:
1. IITR Copy of Challan
2. Xerox / Downloaded copy of GATE score card
3. Copy of Final year marks sheet/Pre final year marks sheet
4. Proof of Mathematics at 10+2 or higher level marks sheet (If applicable)
5. Copy of Persons with Disability (PD) certificate (If applicable)
6. SC/ST candidates should attached caste certificates from the competent authorities. Candidates belonging
to OBC category must submit Xeroxed copy of category certificate on GOI format.Certificate should have
been issued after 31.03.2015 by a competent authority.
7. Annexure 1 / 2 / 3 / 4 / 5 as applicable.
Place...............................
Date
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