Application
Application
Application
7AL
To
GATE 2013
Chairman GATE Indian Institute of Technology Madras Chennai, 600036
232 S 167 X
94940 24503
(Mobile No.)
Cut Here
Note: Application ID - 232 S 167 X. You should preserve this number for further correspondence.
Zone/Scrutiny Code
7AL
232 S 167 X
(Full Name of Applicant)
4.5 cm x 3.5 cm
(Application ID)
13 Oct 1990
(D.O.B)
Female
(Name of Parent)
GEN
Indian National
Communication Address
9-4-64 Chilakavari Street Railpet Guntur Andhra Pradesh, 522001 India
Guntur, AP
(Exam City 1)
Tenali, AP
(Exam City 2) Scribe Assistance Required:
No
Qualification Details
B.Tech Computer Science Engg./Technology Graduated: Yes, Year of Graduation: 2012 Nalanda Institute of Engineering and Technology Guntur Andhra Pradesh, 522438
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Eligibility Certificate
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: ....../....../............