Professional Documents
Culture Documents
3ND
To
GATE 2013
Chairman GATE Indian Institute of Technology Delhi Hauz Khas, New Delhi, 110016
231 J 308 K
95829 51751
(Mobile No.)
Cut Here
Note: Application ID - 231 J 308 K. You should preserve this number for further correspondence.
Zone/Scrutiny Code
3ND
231 J 308 K
(Full Name of Applicant)
4.5 cm x 3.5 cm
(Application ID)
02 Aug 1989
(D.O.B)
Male
(Name of Parent)
GEN
Indian National
Communication Address
B-771 N.T.P.C ,VIDYUT NAGAR GAUTAM BUDH NAGAR GHAZIABAD Uttar Pradesh, 201008 India
Delhi South, DL
(Exam City 1)
Ghaziabad, UP
(Exam City 2) Scribe Assistance Required:
No
Qualification Details
B.Tech Electronics/Comm./Telecomm Engg. Graduated: Yes, Year of Graduation: 2012 G. B. PANT GOVT. ENGINEERING COLLEGE NEW DELHI Delhi, 110020
Enclosure Checklist
Eligibility Certificate copy
Payment Details
Online
Rs. 1200.00
MSBJ2819546609 30/09/2012
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. 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 2013. Further, if any suppression or distortion of facts is found after appearing in the exam, any admission/degree acquired on the basis of GATE 2013 score is liable to be cancelled.
Date: ....../....../............