Appendi

xA:Cer
ti
fi
cat
efr
om Headoft
heDepar
tment
/Inst
it
ute
Cer
ti
fi
cat
efr
om Headoft
heDepar
tment
/Inst
it
ute

(
Eli
gibi
li
tyDocumentf
orGATE2020Appl
icat
ion)

Thi
sist
ocer
ti
fyt
hatMr
./Ms.……………………………….
………….
………….
.. Past
eRecent
S/
oorD/
o……………………………………….
….i
sast
udentenr
oll
ed Photooft
he
Candi
dat
e
i
nthedepar
tmentof………………………………………………att
heI
nst
it
ute/
(
Passpor
tSi
ze)
Col
l
ege…………………….
.….
.….
..
..
..
..
..
..
..
..
..
..
..
..
..
.fort
hepr
ogr
am aspert
he

det
ail
sgi
venbel
ow:
Donotattest
Donotsi
gnon
Si
gni
nsi
det
headj
acent phot
o

1.Rol
lNo/Regi
str
ati
onNo.
/St
udentI
D:………………….
.….
.….
.….
.

2.Thest
udenti
sinthefi
naly
earof………………….
..
..
..(
B.E./B.
Tech/B.
S./B.
ScResear
ch/M.
Sc/
Int
egr
atedM.
Sc/B.Ar
ch/M.C.
A). OR

3.Thestudenti
sint
hepr
e-f
inal
yearof……………….
.(
ME/M.
Tech/Dual
Degr
ee/I
ntegr
atedM.
E./
M.Tech).

4.Dur
ati
onoft
hepr
ogr
am whi
cht
hest
udenti
sst
udy
ing:
………….Year
s

5.Thest
udenti
spur
sui
ngt
heunder
graduat
epr
ogr
am onl
ater
alent
ry:1. Yes 2. No

Si
gnat
ureoft
heCandi
dat
ewi
thdat
e:

Si
gnat
ureoft
heHeadoft
heDepar
tment/I
nst
it
utewi
thseal

Dat
e:

Not
e:Wi
thoutsi
gnat
ureoft
heHeadoft
heDepar
tment
/Inst
it
ute&seal
,thecer
ti
fi
cat
eisnotv
ali
d.