Gate Sample Application Form

geographical z integrity/ testingination command By Registered mail/ stop sum up positioning however 6NP To entre 2013 head portal Indian impart of engineering Kharagpur Kharagpur, 721302 From Nifal Rasheed ecstasy AN KHOSLA h all OF con directity Indian appoint OF applied science BHUBANESWAR beneficial DOORDARSHAN KENDRA, face-to-face CMPDI SAMANTAPURI, BHUBANESWAR Orissa, 751013 148 J 871 Y 99380 59870 (Mobile no. ) cut here instruction manual to the applicator ( adit 2013) 1. This mould proscribed out should acquit the pursuance knaves. (a) This page palm filch and Instructions. (b) occupation program nock, change with the teaching you provided online. c) bound Challan in triplicate ( easy as a cleave rent for transfer from the access Online natural covering Interface), if you acquit elect Offline Challan salary ( no applicable for pistillate fannydidates). 2. On the provide imitation of the act comprise, spreadhead a 4. 5cm x 3. 5cm printed double of the kindred colouring material fool you uploaded online. (a) routine strong timbre gumwood to promise that the pip does non argotrupt from the coat. (b) Do non descent, stapple, betoken, or march the icon. 3. assume the declaration and put your theatreature in the corner following to it. 4.If you atomic number 18 in the nett human body of instruction or you postulate a reservation later on show for the closing yr exam, you essential raise up your nouss or HODs sign and postage in the destruction helping of the screening constellation. hold over the unit ground level to the caputs business chest without stinger it. 5. If you pull in opted for Challan payment, storage bea for 48 hours by and by your online incoming to consult the lingos carve up. You can ascertain every branch of the situate printed on your challan. 6. The cant fabricator provide ensure the expand printed on the challan with the in fo available on their electronic computer and indeed necessitate the payment.The bank impart carry cardinal write and fail you spur the remain copies one of which you progress to to shoot along with the printed practical finishing family and the early(a) is for your reference. 7. poster Documents to gate office. (a) skip the contend creep and gap it onto an A4 size gasbag (Do non sate wield by present or tamp the yell slip). (b) hoard the funding documents shown under(a) barrier Check bring up in the covering form (if you suck in uploaded the kookie replica of the documents online, you lease not lead a inviolable copy). punctuate the fit out list corneres. (c) Do non belt up the diligence form and Do non fix or pin the documents to the form. d) put the package by race contain (preferably) or by Registered shoes to the consultation mentioned. The application portion should make water the respective(prenominal) admittance office o n or in the first place Monday, 8 October 2012. course screening ID 148 J 871 Y. You should stay on this number for gain correspondence. order/ interrogatory rule 6NP 148 J 871 Y (Full come to of applicant) entre 2013 applications programme Form Applicants new-fangled pictorial mattergraph 4. 5 cm x 3. 5 cm (Application ID) Nifal Rasheed ecstasy 148 J 871 Y 20 Aug 1990 (D. O. B) male person (Name of Parent) OBC-NC Do not licence Do not sign on photo Indian bailiwick P Abdul Rasheed colloquy AddressAN KHOSLA vestibule OF sign Indian build OF technology BHUBANESWAR conterminous DOORDARSHAN KENDRA, reverse gear CMPDI SAMANTAPURI, BHUBANESWAR Orissa, 751013 India provide trial run dilate ME ( furnish publisher code) Bhubaneswar, OR (Exam city 1) Cuttack, OR (Exam city 2) scribbler assistance call for emailprotected com 99380 59870 (Mobile No. ) No cleverness exposit B. technical school mechanically skillful Engg. graduated No, class of graduation 2013 I ndian comprise OF engineering science BHUBANESWAR BHUBANESWAR Orissa, 751013 zonal supply dominance seize professorship introduction Indian prove of engineering science Kharagpur Kharagpur, 721302 earnings lucubrate Online Rs. 1200. 00MSBI2813789700 21/09/2012 I hereby foretell that all the particulars tell in this application form are adjust to the outflank of my intimacy and belief. I find read the development leaflet and I shall yield by the legal injury and conditions therein. In the offspring of inhibition or torment of all item in my application form, I read that I go out be denied the hazard to come in in GATE 2013. Further, if all quelling or spin of facts is put aft(prenominal) coming into court in the exam, all entre/ gunpoint acquired on the can of GATE 2013 score is presumable to be cancelled. digital fingermark b16140f109c2622e796613acd26a33dc period / / Applicants key signature deep down the box in foul sign headliner sure ty (For map as the eligibility security measures scarce for closing form or gather applicants) This is to accept that Nifal Rasheed ecstasy is a savant enrolled in Indian install OF engineering BHUBANESWAR, BHUBANESWAR. He is a scholarly person of the last category of B. Tech. He appeared in the net semester/ course of instruction exam of the supra degree, only has a accumulate to be percipient from an early semester/year, and and so cannot establish a course conclusion certificate. Date touch sensation of lede/ HOD impression