A 389 Q 56 Application
A 389 Q 56 Application
A 389 Q 56 Application
4CP
To
GATE 2014
A389Q56 Chairperson GATE Indian Institute of Technology Guwahati Guwahati 781039
A389Q56
Cut Here
Note: Enrolment ID - A389Q56. You should preserve this number for further correspondence.
Zone/Scrutiny
GATE 2014
4CP
A389Q56
(Enrolment ID)
A389Q56
A389Q56
3.5 cm x 4.5 cm
Faizul Hoda
(Full Name of the Applicant)
A389Q56
16 May 1990
(D.O.B)
Male
(Gender)
GEN
(Category)
No
(PD Status)
Indian National
9234629963
(Parent's Mobile Number)
Faiz Ahmad
(Name of the Parent)
Communication Address
RD NO-1,HOUSE NO-17,KGN COLONY ZAKIRNAGAR,MANGO,JAMSHEDPUR JAMSHEDPUR Jharkhand 832110
EC
Kalyani, WB
(Exam City 1)
Durgapur, WB
Qualification Details
B.Tech Electronics/Comm./Telecomm Engg. Graduated: No; Year of Graduation: 2014 HETC HOOGHLY West Bengal 712103
(Exam City 2)
Kolkata, WB
(Exam City 3)
Payment Details
Enclosure Checklist
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:
87d7fd976edeb6fdaeed30318353cb8f
Date: ....../....../.........
(For use as the eligibility certificate only for final year or backlog applicants)
He appeared in the final semester/year exam of the above degree, but has a backlog to be cleared from an earlier semester/year, and therefore cannot produce a course completion certificate.
Date:
Seal