Professional Documents
Culture Documents
7CD
To
GATE 2014
A219G59 Chairperson GATE Indian Institute of Technology Madras Chennai 600036
A219G59
Note: Enrolment ID - A219G59. You should preserve this number for further correspondence.
Zone/Scrutiny
GATE 2014
7CD
A219G59
(Enrolment ID)
A219G59
A219G59
3.5 cm x 4.5 cm
Shashank Kumar
(Full Name of the Applicant)
A219G59
15 Mar 1990
(D.O.B)
Male
(Gender)
SC
(Category)
No
(PD Status)
Indian National
9939400771
(Parent's Mobile Number)
Tilakdhari Choudhary
(Name of the Parent)
Communication Address
NEW HOUSING BOARD COLONY HOUSE NO 6LH54 BHAGALPUR BHAGALPUR Bihar 812003
EE
Tiruchirapalli, TN
(Exam City 1)
Coimbatore, TN
(Exam City 2)
Qualification Details
B.E. Electrical Engg./Electrical and Electronics Engg. Graduated: Yes; Year of Graduation: 2012 ANNAMALAI UNIVERSITY CHIDAMBARAM Tamil Nadu 608002
Chennai, TN
(Exam City 3)
Payment Details
Enclosure Checklist
Eligibility Certificate copy SC/ST Category Certificate copy Stamped Bank Challan: GATE copy
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:
4664a92aa0d1375d4eafb5144f3bd02d
Date: ....../....../.........