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    Instructions and Application Form For GATE 2012

    Uploaded by

    Ramya Natarajan
    The document contains instructions and an application form for GATE 2012. It provides details on how to fill out and submit the application form, including printing instructions, required documents, and deadlines. The applicant's name is Ramya N, she is applying for the Electronics and Communication Engineering paper to be held in Chennai, and her application number is 7173299. She must submit the completed application and required documents by October 28, 2011 to the IIT Madras GATE office.

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    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd

    Instructions and Application Form For GATE 2012

    Uploaded by

    Ramya Natarajan
    38 views4 pages
    The document contains instructions and an application form for GATE 2012. It provides details on how to fill out and submit the application form, including printing instructions, required documents, and deadlines. The applicant's name is Ramya N, she is applying for the Electronics and Communication Engineering paper to be held in Chennai, and her application number is 7173299. She must submit the completed application and required documents by October 28, 2011 to the IIT Madras GATE office.

    Original Description:

    gate

    Original Title

    GATE2012_7173299

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    © Attribution Non-Commercial (BY-NC)

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    The document contains instructions and an application form for GATE 2012. It provides details on how to fill out and submit the application form, including printing instructions, required documents, and deadlines. The applicant's name is Ramya N, she is applying for the Electronics and Communication Engineering paper to be held in Chennai, and her application number is 7173299. She must submit the completed application and required documents by October 28, 2011 to the IIT Madras GATE office.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    38 views4 pages

    Instructions and Application Form For GATE 2012

    Uploaded by

    Ramya Natarajan
    The document contains instructions and an application form for GATE 2012. It provides details on how to fill out and submit the application form, including printing instructions, required documents, and deadlines. The applicant's name is Ramya N, she is applying for the Electronics and Communication Engineering paper to be held in Chennai, and her application number is 7173299. She must submit the completed application and required documents by October 28, 2011 to the IIT Madras GATE office.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    Instructions and Application Form for GATE 2012

    Instructions for the Candidate:


    1. 2. Your Login ID is RAMY0811. Remember your password and do not disclose it to anyone. There are 4 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. 5. 6. 7. 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. 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 28th October 2011. Application sent through courier will not be accepted.

    3. 4.

    List of Documents to be attached with the Application Form:


    1. 2. 3. 4. 5. Application Form (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.

    Put

    7.

    ____________End of Instructions____________

    APPLICATION NO. 7173299

    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: Payment Gateway


    Payment Reference No: MSBI1006572239 RAMYA N 08/11/1988 FEMALE 9. Choice of GATE Paper 10. E-mail Address

    Fee: Rs. 1000


    Electronics and Communication Engineering ramyanatarajan811@gmail.com

    4. Nationality 5. Category 6. Person with Disability (PD)

    INDIAN OBC(Non-Creamy Layer) No

    11. Address for Correspondence 113/1, MADHARSHA THOTTAM, NORTH STREET, HIGH SCHOOL ROAD PARAMATHI VELUR NAMAKKAL 12. PINCODE of Address for 638182 Correspondence 13. Year of Degree 14. Discipline 2010 Electronics & Comm./Electronics Engg./Communication Engg./Telecommunication Engg NATARAJAN P Tamil Nadu

    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

    703 - Chennai South 702 - Chennai North

    17. Mobile / Landline No.

    08754493760

    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

    703EC7173299

    Send this form along with the necessary documents to IIT Madras.

    APPLICATION NO. 7173299

    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: Payment Gateway


    Payment Reference No: MSBI1006572239 RAMYA N 08/11/1988 FEMALE 9. Choice of GATE Paper 10. E-mail Address

    Fee: Rs. 1000


    Electronics and Communication Engineering ramyanatarajan811@gmail.com

    4. Nationality 5. Category 6. Person with Disability (PD)

    INDIAN OBC(Non-Creamy Layer) No

    11. Address for Correspondence 113/1, MADHARSHA THOTTAM, NORTH STREET, HIGH SCHOOL ROAD PARAMATHI VELUR NAMAKKAL 12. PINCODE of Address for 638182 Correspondence 13. Year of Degree 14. Discipline 2010 Electronics & Comm./Electronics Engg./Communication Engg./Telecommunication Engg NATARAJAN P Tamil Nadu

    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

    703 - Chennai South 702 - Chennai North

    17. Mobile / Landline No.

    08754493760

    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

    703EC7173299

    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

    703EC7173299
    Do not tamper with the bar code. For GATE official use.

    From
    RAMYA N (APPLNO : 7173299) 113/1, MADHARSHA THOTTAM, NORTH STREET, HIGH SCHOOL ROAD PARAMATHI VELUR NAMAKKAL 638182

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