The document provides instructions for applicants taking the GATE 2012 exam. It outlines the application process which includes:
1. Printing the application form and documents on A4 paper.
2. Filling out personal details on the application form and attaching a photo.
3. Paying the application fee of Rs. 1000 plus bank charges at any SBI branch using a payment challan.
4. Submitting the completed application, documents and payment receipt in a laminated envelope by Speed Post to the respective GATE zonal office by October 24, 2011.
The document provides instructions for applicants taking the GATE 2012 exam. It outlines the application process which includes:
1. Printing the application form and documents on A4 paper.
2. Filling out personal details on the application form and attaching a photo.
3. Paying the application fee of Rs. 1000 plus bank charges at any SBI branch using a payment challan.
4. Submitting the completed application, documents and payment receipt in a laminated envelope by Speed Post to the respective GATE zonal office by October 24, 2011.
The document provides instructions for applicants taking the GATE 2012 exam. It outlines the application process which includes:
1. Printing the application form and documents on A4 paper.
2. Filling out personal details on the application form and attaching a photo.
3. Paying the application fee of Rs. 1000 plus bank charges at any SBI branch using a payment challan.
4. Submitting the completed application, documents and payment receipt in a laminated envelope by Speed Post to the respective GATE zonal office by October 24, 2011.
The document provides instructions for applicants taking the GATE 2012 exam. It outlines the application process which includes:
1. Printing the application form and documents on A4 paper.
2. Filling out personal details on the application form and attaching a photo.
3. Paying the application fee of Rs. 1000 plus bank charges at any SBI branch using a payment challan.
4. Submitting the completed application, documents and payment receipt in a laminated envelope by Speed Post to the respective GATE zonal office by October 24, 2011.
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Instructions and Application Form for GATE 2012
Instructions for the Candidate:
1. 2. Your Login ID is MANO011010. Remember your password and do not disclose it to anyone. There are 5 pages in this pdf file. These pages should be printed on A4 size white sheets using a laser/ink jet printer. Page - 1: Instructions for the candidate to be retained by the candidate. Page - 2 : Application Form (GATE Copy). a. Paste your recent color photo (3.5cm x 3.5cm) in the designated place. Before pasting, please write your name and application number on the backside of the photo with black ball point pen. b. Sign at the designated place. Page - 3 : Application Form (Candidate copy) to be retained by the candidate. Page - 4 : Address page to be pasted on a 10 inch X 12 inch size laminated envelope. Page - 5 : Bank challan in triplicate. Take it to any SBI branch and pay the application fee plus the bank service charge. The Bank will retain its copy and will return the remaining two copies to you. Out of these two copies, retain the Candidate's copy with you and attach the GATE copy with the Application Form. Without folding, insert the completed Application Form (GATE copy) and attested copies of all the application documents (SC/ST/PD certificate, copy of degree certificate etc.) into a 10 inch X 12 inch laminated envelope and send by Speed Post (preferably) or by Registered Post using the address printed on page-4 so as to reach the respective Zonal GATE office on or before 24th October 2011. Application sent through courier will not be accepted.
3. 4.
5. 6. 7.
8.
Put List of Documents to be attached with the Application Form:
1. 2. 3. 4. 5. 6. Application Form (GATE Copy) Bank Challan (GATE Copy) Self Attested Copy of SC/ST/PD certificate (if applicable) Self Attested Copy of affidavit for change of name (if applicable) Self Attested Copy of the degree certificate if the year of qualifying degree is 2011 or earlier. If the year of qualifying degree is 2012 or later, a certificate signed by the principal of the college clearly indicating the year of qualifying degree (format available on GATE website). Candiates with backlog: copy of final semester/year marks sheet or course completion certificate or a letter from principal.
7.
____________End of Instructions____________
APPLICATION NO. 7092177
GATE COPY
GATE 2012 APPLICATION FORM
Zone: IIT Madras 1. Name of the Candidate as in the 10th Class Certificate 2. Date of Birth (DD/MM/YYYY) 3. Gender
Payment Mode: Bank Challan (SBI)
MANOJ KUMAR 01/10/1990 MALE 9. Choice of GATE Paper 10. E-mail Address
4. Nationality 5. Category 6. Person with Disability (PD)
INDIAN OBC(Non-Creamy Layer) No
12. PINCODE of Address for Correspondence 13. Year of Degree 14. Discipline 15. Name of Parent
7. Qualifying Degree
B.E./B.Tech./ B.Sc. (Engg.)/B.Sc.(Tech.)/B.Arch.
16. State/Union Territory of Permanent Residence
8. Choice of Examination City1 Choice of Examination City2
708 - Ernakulam 717 - Kottayam
17. Mobile / Landline No.
08714546181
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 contents of GATE 2012 website and I shall abide by the terms and conditions therein. 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 2012. Further, if any such suppression or distortion of facts is found after appearing in the exam, any admission/degree acquired on the basis of GATE 2012 score is liable to be cancelled. Place : Date :
18. Signature
19. Photograph
Full Signature of the candidate using BLACK INK PEN only (do not sign in CAPITAL LETTERS)
3.5 cm x 3.5 cm
708EE7092177
Send this form along with the necessary documents to IIT Madras.
APPLICATION NO. 7092177
CANDIDATE COPY
GATE 2012 APPLICATION FORM
Zone: IIT Madras 1. Name of the Candidate as in the 10th Class Certificate 2. Date of Birth (DD/MM/YYYY) 3. Gender
Payment Mode: Bank Challan (SBI)
MANOJ KUMAR 01/10/1990 MALE 9. Choice of GATE Paper 10. E-mail Address
4. Nationality 5. Category 6. Person with Disability (PD)
INDIAN OBC(Non-Creamy Layer) No
12. PINCODE of Address for Correspondence 13. Year of Degree 14. Discipline 15. Name of Parent
7. Qualifying Degree
B.E./B.Tech./ B.Sc. (Engg.)/B.Sc.(Tech.)/B.Arch.
16. State/Union Territory of Permanent Residence
8. Choice of Examination City1 Choice of Examination City2
708 - Ernakulam 717 - Kottayam
17. Mobile / Landline No.
08714546181
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 contents of GATE 2012 website and I shall abide by the terms and conditions therein. 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 2012. Further, if any such suppression or distortion of facts is found after appearing in the exam, any admission/degree acquired on the basis of GATE 2012 score is liable to be cancelled. Place : Date :
18. Signature
19. Photograph
Full Signature of the candidate using BLACK INK PEN only (do not sign in CAPITAL LETTERS)
3.5 cm x 3.5 cm
708EE7092177
Retain this copy with you for future reference.
BY SPEED / REGISTERED POST (Please do not Courier) GATE 2012 Application Form
To Chairman, GATE Indian Institute of Technology Madras Chennai - 600036
708EE7092177 Do not tamper with the bar code. For GATE official use.
Last date for acceptance of challan in bank : 24 October 2011.
CASH CAN BE TENDERED AT ANY SBI BRANCH GATE 2012 Application Fee Payment Challan Use CBS Screen No. : FEE Type : Registration ID / Ref No. : Date of Birth : 8888 16 7092177 01/10/1990
Last date for acceptance of challan in bank : 24 October 2011.
CASH CAN BE TENDERED AT ANY SBI BRANCH GATE 2012 Application Fee Payment Challan Use CBS Screen No. : FEE Type : Registration ID / Ref No. : Date of Birth : 8888 16 7092177 01/10/1990
Last date for acceptance of challan in bank : 24 October 2011.
CASH CAN BE TENDERED AT ANY SBI BRANCH GATE 2012 Application Fee Payment Challan Use CBS Screen No. : FEE Type : Registration ID / Ref No. : Date of Birth : 8888 16 7092177 01/10/1990
Challan can be deposited minimum one day after the generation of challan. Name of the Candidate : MANOJ KUMAR Address for Correspondence :
Challan can be deposited minimum one day after the generation of challan. Name of the Candidate : MANOJ KUMAR
Challan can be deposited minimum one day after the generation of challan. Name of the Candidate : MANOJ KUMAR
S H I V K U M A R . M . N A I R , 1 2 1 6 / C , Address for Correspondence : PALACEWARD,INDRANEELAM BALBHAVAN C/O R O A D , N E A R S U R Y A RESIDENCY,ALLEPPY(KERALA). - 688011
S H I V K U M A R . M . N A I R , 1 2 1 6 / C , Address for Correspondence : PALACEWARD,INDRANEELAM BALBHAVAN C/O R O A D , N E A R S U R Y A RESIDENCY,ALLEPPY(KERALA). - 688011
C/O
SHIVKUMAR.M.NAIR,1216/C, S U R Y A
PALACEWARD,INDRANEELAM BALBHAVAN R O A D , N E A R RESIDENCY,ALLEPPY(KERALA). - 688011
Mobile / Landline No: E Mail ID :
08714546181 kr.manoj03@gmail.com
Mobile / Landline No: E Mail ID :
08714546181 kr.manoj03@gmail.com
Mobile / Landline No: E Mail ID :
08714546181 kr.manoj03@gmail.com
Category : Amount : Amount in words :
OBC(Non-Creamy Layer) Rs.1025/- * Rupees One thousand and Twenty Five Only. (*Application Fees Including Bank Charges)
Category : Amount : Amount in words :
OBC(Non-Creamy Layer) Rs.1025/- * Rupees One thousand and Twenty Five Only. (*Application Fees Including Bank Charges)
Category : Amount : Amount in words :
OBC(Non-Creamy Layer) Rs.1025/- * Rupees One thousand and Twenty Five Only. (*Application Fees Including Bank Charges)
JOURNAL NUMBER
JOURNAL NUMBER
JOURNAL NUMBER
Signature of the Candidate/Remitter For Receiving Branch use only 1. Please note to write the Journal Number in all the challans. 2. Please feed the Application No. in REG/ID/Ref No. Column.
Signature of the Candidate/Remitter For Receiving Branch use only 1. Please note to write the Journal Number in all the challans. 2. Please feed the Application No. in REG/ID/Ref No. Column.
Signature of the Candidate/Remitter For Receiving Branch use only 1. Please note to write the Journal Number in all the challans. 2. Please feed the Application No. in REG/ID/Ref No. Column.
