Appendix A: Certificate from Head of the Department/ Institute Certificate from Head of the Department/Institute bility Document for GATE 2019 Application] This is to certify that Mr. / Ms. Paste Recent Slo or Dio ... is a student enrolled Photo of the in the department of .... at the Institute/ oo o— College . forthe program as per the | (Passport Size) details below: Do not attest Do not sign on photo 1. Roll No/ Registration No/ Student ID : 2. The student is in the final year of ..... (CO B£/0 BTech/L) BS/0 BSc Research/[] MSc /[] Integrated M.Sc] B./ ‘Arch! O MCA). OR 3. The student is in the pre-final year of ...... (i Integrated M.E/] M.Tech) . 4. Duration of the program which the student is studying =... AC) M.E/0) M.Tech/(] Dual Degree/ .. Years 5, The student is pursuing the undergraduate program on lateral entry: [) Yes/ [] No (After completing B.Sc. / Diploma in Engineering or Technology) Signature of the Candidate with date: Signature of the Head of the Department / Institute with seal Date: ‘Note: Without signature ofthe Head ofthe Department/Institute & seal, the certificate isnot valid.