Zone/Scrutiny

By Registered Post/Speed Post Only

5ND
To

GATE 2014
A274S23 Chairperson GATE Indian Institute of Technology Kanpur Kanpur 208016

From Rahul Kumar

C/O Mr L.R.PRASAD FAC RES A3 INSTITUTE OF TECH AND MGMT AL-1 SEC-7 GIDA GORAKHPUR Uttar Pradesh 273209 99045 76987 (Mobile Number) Cut Here

A274S23

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 - A274S23. You should preserve this number for further correspondence.

Zone/Scrutiny

GATE 2014

Applicant's recent photograph

5ND
A274S23
(Enrolment ID)

A274S23

A274S23

3.5 cm x 4.5 cm

Rahul Kumar
(Full Name of the Applicant)

A274S23

06 Feb 1988
(D.O.B)

Male
(Gender)

GEN
(Category)

No
(PD Status)

Do not Attest Do not sign on photo Do not staple photo

Indian National

9336998020
(Parent's Mobile Number)

Lalit Ranjan Prasad

(Name of the Parent)

Communication Address
C/O Mr L.R.PRASAD FAC RES A3 INSTITUTE OF TECH AND MGMT AL-1 SEC-7 GIDA GORAKHPUR Uttar Pradesh 273209

GATE Exam Details

GATE Paper Code

EC
Gorakhpur, UP
(Exam City 1)

99045 76987 (Mobile No.) RAHULBOND8888@GMAIL.COM

Lucknow, UP
(Exam City 2)

Qualification Details
B.Tech Electronics/Comm./Telecomm Engg. Graduated: Yes; Year of Graduation: 2010 INSTITUTE OF TECH AND MGMT GORAKHPUR Uttar Pradesh 273209

Delhi-NCR, DL
(Exam City 3)

Zonal GATE Office Contact

Chairperson GATE Indian Institute of Technology Kanpur Kanpur 208016

Payment Details

Enclosure Checklist
Eligibility Certificate copy

Online
15/09/2013

Rs. 1500.00

Payment Ref. No.: MUTI3106490870

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:

45286b0159602770a7042a6493771a54

Date: ....../....../.........

Applicants signature inside the box in black ink

This space is intentionally left blank