Centralized Counselling for M.Tech./M.Arch./M.Plan.

Admissions
CCMT - 2018 (Coordinated by NIT, Delhi)

DECLARATION FOR THE LATE SUBMISSION OF RELEVANT DOCUMENTS

Candidate's Details

GATE Registration ID : EC18S53002045 GATE Score : 652

GATE Examination Year : 2018 GATE Examination Paper Name : Electronics and Communication Engineering (EC)

Candidate Name : SAMEER GUPTA GATE Marks out of 100 : 45

Father's Name : PRAKASH CHANDRA GUPTA Mother's Name : NISHA GUPTA

Date of Birth : 10/10/1994 Gender : Male

Category : General Person with Disability (PwD) : NO

Nationality : INDIAN

Qualifying Degree Details

Qualifying Degree Passing Status : Passed Year of Passing or Appearing : 2014

Qualifying Degree : B.E./B.Tech. Qualifying discipline Name : B.E./B.Tech. in Electronics & Communication
Engineering
Qualifying Result Preparation Mode Percentage Percentage of Marks 70.91
:

Allotment Details

Choice No. : 8 Round No. : 1

Institute : Malaviya National Institute of Technology Jaipur PG Programme : VLSI Design
Allotted Seat Type : OPEN Group Id : G1

The following documents are not currently available with me. I undertake that I will submit these documents at the Allotted Institute by September 15, 2018,failing which I shall forego
the seat allotted to me.

Sl.No : Documents Remarks

1 Original Grade/Mark Sheets of qualifying degree examination for all semesters
2 Original Degree/Provisional Certificate,if qualifying degree is completed
3 Original Migration Certificate from last Institute/University attended
4 Original Conduct Certificate from head of the institution last attended
5 Original Transfer Certificate from the head of the institution last attended
6 Any Other

 
Date Signature of the Candidate
 
 
 
 
Signature of the Verifying Official (CCMT)
Name: