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    GATE Application

    Uploaded by

    RobinRichard
    1. The document provides instructions for applying to GATE 2011, including filling out application forms and submitting required documents. 2. It lists the 4 pages to be printed, including application forms to be filled and submitted to IIT Madras, along with documents like caste certificates if applicable. 3. It provides details of the documents to be sent, including the application form, attested copies of caste/disability certificates if applicable, and affidavit for name change if needed.

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    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd

    GATE Application

    Uploaded by

    RobinRichard
    36 views4 pages
    1. The document provides instructions for applying to GATE 2011, including filling out application forms and submitting required documents. 2. It lists the 4 pages to be printed, including application forms to be filled and submitted to IIT Madras, along with documents like caste certificates if applicable. 3. It provides details of the documents to be sent, including the application form, attested copies of caste/disability certificates if applicable, and affidavit for name change if needed.

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    1. The document provides instructions for applying to GATE 2011, including filling out application forms and submitting required documents. 2. It lists the 4 pages to be printed, including application forms to be filled and submitted to IIT Madras, along with documents like caste certificates if applicable. 3. It provides details of the documents to be sent, including the application form, attested copies of caste/disability certificates if applicable, and affidavit for name change if needed.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    36 views4 pages

    GATE Application

    Uploaded by

    RobinRichard
    1. The document provides instructions for applying to GATE 2011, including filling out application forms and submitting required documents. 2. It lists the 4 pages to be printed, including application forms to be filled and submitted to IIT Madras, along with documents like caste certificates if applicable. 3. It provides details of the documents to be sent, including the application form, attested copies of caste/disability certificates if applicable, and affidavit for name change if needed.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 4

    ONLINE Application for GATE 2011 Instructions for the Candidate:

    1. 2. 3. 4. Your Login ID is ROBI03121. Remember your password and do not disclose it to anyone. There are 4 Pages in this file. These pages should be printed on A4 sheets. Page - 1: Instructions for the candidate to be retained by you carefully Page - 2 : Application Form (GATE Copy) a. Paste your recent color photo (3cm x 4cm) in designated place b. Sign at designated places 5. 6. 7. Page - 3 : Application Form (CANDIDATE Copy) to be retained by you for your reference Page - 4 : Address slip to be pasted on the A4 size envelope Insert completed Application Form (GATE Copy) and attested copies of all applicable documents (SC/ST/PD Certificate, Affidavit for change of name) into A4 size envelope, without folding and send by Speed Post (preferably) or by Registered Post to Chairman, GATE, IIT Madras

    List of Documents to be sent to GATE IIT Madras:


    1. 2. 3. Application Form (GATE Copy) Attested Copy of SC/ST/PD Certificate (if applicable) Attested Copy of affidavit for change of name (if applicable)

    Page - 1

    GATE IIT Madras COPY APPLICATION FORM FOR GATE 2011


    Application No: Zone: IIT Madras 7132162 Payment Mode: Application Fee: ROBIN RICHARD RAJAN R BillDesk Gateway Rs. 800/11. Address Payment Reference No: MCIT0102173585 140/3, NIRANJAN APARTMENTS VELLALA STREET AYANAVARAM 2. Date of Birth (DD/MM/YYYY) 3. Gender 4. Nationality 5. Category 6. Person with Disability (PD) Do You Require a Scribe? 7. Qualifying Degree 03/12/1989 MALE INDIAN OBC(Non-Creamy Layer) No No B.E./B.Tech./ B.Sc. (Engg.)/B.Sc.(Tech.)/B.Arch. 16. Name of Parent 17. State/Union Territory of Permanent Residence 18. Phone / Mobile Number 19. PINCODE of Address for Correspondence RATHNARAJ ROBERTS Tamil Nadu 14. Year of Degree 15. Discipline CHENNAI PINCODE 2011 Aeronautical Engg. 600023

    1. Name of the Candidate as in the 10th Class Certificate

    8. Choice of Examination City1 Choice of Examination City2 9. Choice of GATE Paper 10. E-mail Address

    736 - Chennai 737 - Coimbatore AE - Aerospace Engineering [email protected]

    09940460243 600023

    I hereby declare that all the particulars stated in this application form are true to the best of my knowledge and belief. 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 2011. Further, if any such suppression or distortion of facts is found after appearing in the exam, any admission/degree acquired on the basis of GATE 2011 score is liable to be cancelled.

    Place: Date:
    Full Signature of the Candidate (do not sign in capital letters)

    12. Photograph

    7132162

    13.

    Full Signature of the Candidate using black ball point pen only (do not sign in capital letters)

    Paste a front facial high contrast recent color photograph 3cm x 4cm without any signature or attestation

    Send this form along with the necessary documents to IIT Madras

    Page - 2

    CANDIDATE COPY APPLICATION FORM FOR GATE 2011


    Application No: Zone: IIT Madras 7132162 Payment Mode: Application Fee: ROBIN RICHARD RAJAN R BillDesk Gateway Rs. 800/11. Address Payment Reference No: MCIT0102173585 140/3, NIRANJAN APARTMENTS VELLALA STREET AYANAVARAM 2. Date of Birth (DD/MM/YYYY) 3. Gender 4. Nationality 5. Category 6. Person with Disability (PD) Do You Require a Scribe? 7. Qualifying Degree 03/12/1989 MALE INDIAN OBC(Non-Creamy Layer) No No B.E./B.Tech./ B.Sc. (Engg.)/B.Sc.(Tech.)/B.Arch. 16. Name of Parent 17. State/Union Territory of Permanent Residence 18. Phone / Mobile Number 19. PINCODE of Address for Correspondence RATHNARAJ ROBERTS Tamil Nadu 14. Year of Degree 15. Discipline CHENNAI PINCODE 2011 Aeronautical Engg. 600023

    1. Name of the Candidate as in the 10th Class Certificate

    8. Choice of Examination City1 Choice of Examination City2 9. Choice of GATE Paper 10. E-mail Address

    736 - Chennai 737 - Coimbatore AE - Aerospace Engineering [email protected]

    09940460243 600023

    I hereby declare that all the particulars stated in this application form are true to the best of my knowledge and belief. 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 2011. Further, if any such suppression or distortion of facts is found after appearing in the exam, any admission/degree acquired on the basis of GATE 2011 score is liable to be cancelled.

    Place: Date:
    Full Signature of the Candidate (do not sign in capital letters)

    12. Photograph

    7132162

    13.

    Full Signature of the Candidate using black ball point pen only (do not sign in capital letters)

    Paste a front facial high contrast recent color photograph 3cm x 4cm without any signature or attestation

    Retain this page for your reference

    Page - 3

    BY SPEED POST / REGISTERED POST

    GATE 2011
    GATE PAPER CODE EXAM CITY OF FIRST CHOICE

    AE 736

    To Chairman, GATE Indian Institute of Technology Madras Chennai

    From ROBIN RICHARD RAJAN R 140/3, NIRANJAN APARTMENTS VELLALA STREET AYANAVARAM CHENNAI PINCODE

    PINCODE 6

    APPLICATION NO

    7 1 3 2 1
    6 0 0 0 2 3

    6 2

    Page - 4

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