A275 t66application
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1. The document provides instructions for Pooja Yadav to submit her application for GATE 2014. 2. It lists the steps she must take, including pasting her photo and signature on the application, collecting payment receipt and enclosure documents, and mailing the application packet by speed post to the specified GATE office address by the deadline. 3. It also provides details about Pooja's registration including her enrollment ID, exam paper code choice, qualification details, payment details, and a certificate from her college principal since she has not completed her degree.
A275 t66application
- 1. By Registered Post/Speed Post Only Zone/Scrutiny 5NP GATE 2014 Chairperson GATE Indian Institute of Technology Kanpur Kanpur 208016 A275T66 To From Pooja Yadav SHRAWAN KANTA ARCADE GIRLS HOSTEL, OPPOSITE SHREE KHERAPATI MANDIR,NIGAMUDIN BHOPAL Madhya Pradesh 462021 96910 35560 (Mobile Number) A275T66 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 Principals or HODs 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 Principals office without cutting it. 6. If you have opted for challan payment, wait for 48 hours after your online submission to visit the banks 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 - A275T66. You should preserve this number for further correspondence.
- 2. Zone/Scrutiny GATE 2014 5NP A275T66 A275T66 A275T66 Applicant's recent photograph (Enrolment ID) Pooja Yadav (Full Name of the Applicant) 3.5 cm x 4.5 cm A275T66 01 Apr 1993 Female OBC No (D.O.B) (Gender) (Category) (PD Status) Indian National Do not Attest Do not sign on photo Do not staple photo 9838517424 Bharat Singh Yadav (Parent's Mobile Number) (Name of the Parent) Communication Address GATE Exam Details SHRAWAN KANTA ARCADE GIRLS HOSTEL, OPPOSITE SHREE KHERAPATI MANDIR,NIGAMUDIN BHOPAL Madhya Pradesh 462021 GATE Paper Code EC Bhopal, MP 96910 35560 (Mobile No.) deokmr239@hotmail.com (Exam City 1) Jabalpur, MP Qualification Details (Exam City 2) Delhi-NCR, DL B.E. Electronics/Comm./Telecomm Engg. Graduated: No; Year of Graduation: 2014 M.I.T.S BHOPAL BHOPAL Madhya Pradesh 462044 (Exam City 3) Zonal GATE Office Contact Chairperson GATE Indian Institute of Technology Kanpur Kanpur 208016 Payment Details Rs. 750.00 Online Payment Ref. No.: MSBI3114253123 23/09/2013 I hereby declare that all the particulars stated in this application form are true to the best of my knowledge and belief. I have read the Information Brochure and I shall abide by the terms and conditions therein. The responsibility of following the GATE 2014 website and meeting various deadlines lies with me. In the event of suppression or distortion of any fact in my application form, I understand that I will be denied the opportunity to appear in GATE 2014. Further, if any suppression or distortion of facts is found after appearing in the exam, any admission/degree/benefit acquired on the basis of GATE 2014 score/marks is liable to be cancelled. Digital Fingerprint: 9e02076157616f8a2460e8dd17c8ca7b Certificate from Principal Date: ....../....../......... Applicants signature inside the box in black ink (For use as the eligibility certificate only for final year or backlog applicants) This is to certify that Pooja Yadav is a student enrolled in M.I.T.S BHOPAL, BHOPAL. She is a student of the final year of B.E. She appeared in the final semester/year exam of the above degree, but has a backlog to be cleared from an earlier semester/year, and therefore cannot produce a course completion certificate. Date: Signature of Principal/ HOD Seal