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Appendix A: Certificate from Head of the Department/ Institute

Certificate from Head of the Department/Institute

(Eligibility Document for GATE 2020 Application)

This is to certify that Mr. / Ms. ……………………………….………….…………... Paste Recent


S/o or D/o ……………………………………….…. is a student enrolled
Photo of the
Candidate
in the department of ……………………………………………… at the Institute/
(Passport Size)
College……………………..…..…............................ for the program as per the

details given below:


Do not attest
Do not sign on
Sign inside the adjacent box photo

1. Roll No/ Registration No./ Student ID : …………………..…..…..…..

2. The student is in the final year of …………………....... (B.E. / B.Tech/ B.S./ B.Sc Research/
M.Sc/ Integrated M.Sc/B.Arch/ M.C.A). OR

3. The student is in the pre-final year of ……… ………..(ME/ M.Tech/ Dual Degree/ Integrated
M.E./ M.Tech) .

4. Duration of the program which the student is studying :…………. Years

5. The student is pursuing the undergraduate program on lateral entry: 1. Yes 2. No

Signature of the Candidate with date:

Signature of the Head of the Department / Institute with seal

Date:

Note: Without signature of the Head of the Department/Institute & seal, the certificate is not valid.

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