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Instructions and Application Form For GATE 2012

1) The document provides instructions for candidates applying to take the GATE 2012 exam, including how to fill out and submit the application form, documents to attach, and payment details. 2) It lists the application steps which include printing the application form, pasting a photo, signing, attaching documents, paying the fee at SBI bank, and sending the completed form by speed post. 3) It provides details about the application number, payment amount, and documents to attach including the application form, bank challan, certificates if applicable, and degree documents.

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Vallabh Singh
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56 views

Instructions and Application Form For GATE 2012

1) The document provides instructions for candidates applying to take the GATE 2012 exam, including how to fill out and submit the application form, documents to attach, and payment details. 2) It lists the application steps which include printing the application form, pasting a photo, signing, attaching documents, paying the fee at SBI bank, and sending the completed form by speed post. 3) It provides details about the application number, payment amount, and documents to attach including the application form, bank challan, certificates if applicable, and degree documents.

Uploaded by

Vallabh Singh
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Instructions and Application Form for GATE 2012

Instructions for the Candidate:


1. 2. Your Login ID is SHRI27071. Remember your password and do not disclose it to anyone. There are 5 pages in this pdf file. These pages should be printed on A4 size white sheets using a laser/ink jet printer. Page - 1: Instructions for the candidate to be retained by the candidate. Page - 2 : Application Form (GATE Copy). a. Paste your recent color photo (3.5cm x 3.5cm) in the designated place. Before pasting, please write your name and application number on the backside of the photo with black ball point pen. b. Sign at the designated place. Page - 3 : Application Form (Candidate copy) to be retained by the candidate. Page - 4 : Address page to be pasted on a 10 inch X 12 inch size laminated envelope. Page - 5 : Bank challan in triplicate. Take it to any SBI branch and pay the application fee plus the bank service charge. The Bank will retain its copy and will return the remaining two copies to you. Out of these two copies, retain the Candidate's copy with you and attach the GATE copy with the Application Form. Without folding, insert the completed Application Form (GATE copy) and attested copies of all the application documents (SC/ST/PD certificate, copy of degree certificate etc.) into a 10 inch X 12 inch laminated envelope and send by Speed Post (preferably) or by Registered Post using the address printed on page-4 so as to reach the respective Zonal GATE office on or before 24th October 2011. Application sent through courier will not be accepted.

3. 4.

5. 6. 7.

8.

Put List of Documents to be attached with the Application Form:


1. 2. 3. 4. 5. 6. Application Form (GATE Copy) Bank Challan (GATE Copy) Self Attested Copy of SC/ST/PD certificate (if applicable) Self Attested Copy of affidavit for change of name (if applicable) Self Attested Copy of the degree certificate if the year of qualifying degree is 2011 or earlier. If the year of qualifying degree is 2012 or later, a certificate signed by the principal of the college clearly indicating the year of qualifying degree (format available on GATE website). Candiates with backlog: copy of final semester/year marks sheet or course completion certificate or a letter from principal.

7.

____________End of Instructions____________

APPLICATION NO. 3018994

GATE COPY

GATE 2012 APPLICATION FORM


Zone: IIT Delhi
1. Name of the Candidate as in the 10th Class Certificate 2. Date of Birth (DD/MM/YYYY) 3. Gender

Payment Mode: Bank Challan (SBI)


SHRIVALLABH NARAYAN SINGH 27/07/1989 MALE 9. Choice of GATE Paper 10. E-mail Address

Fee: Rs. 1000


Electronics and Communication Engineering [email protected]

4. Nationality 5. Category 6. Person with Disability (PD)

INDIAN General No

11. Address for Correspondence AF-1/C-5 IMLAK COLONY -2 NADESAR VARANASI 12. PINCODE of Address for 221002 Correspondence 13. Year of Degree 14. Discipline 2011 Electronics & Comm./Electronics Engg./Communication Engg./Telecommunication Engg ASHOK KUMAR SINGH Uttar Pradesh

15. Name of Parent 7. Qualifying Degree B.E./B.Tech./ B.Sc. (Engg.)/B.Sc.(Tech.)/B.Arch. 16. State/Union Territory of Permanent Residence

8. Choice of Examination City1 Choice of Examination City2

307 - Delhi South 222 - Pune

17. Mobile / Landline No.

09922449711

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 contents of GATE 2012 website 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 2012. 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 2012 score is liable to be cancelled. Place : Date :

18. Signature

19. Photograph

Full Signature of the candidate using BLACK INK PEN only (do not sign in CAPITAL LETTERS)

3.5 cm x 3.5 cm

307EC3018994

Send this form along with the necessary documents to IIT Delhi.

APPLICATION NO. 3018994

CANDIDATE COPY

GATE 2012 APPLICATION FORM


Zone: IIT Delhi
1. Name of the Candidate as in the 10th Class Certificate 2. Date of Birth (DD/MM/YYYY) 3. Gender

Payment Mode: Bank Challan (SBI)


SHRIVALLABH NARAYAN SINGH 27/07/1989 MALE 9. Choice of GATE Paper 10. E-mail Address

Fee: Rs. 1000


Electronics and Communication Engineering [email protected]

4. Nationality 5. Category 6. Person with Disability (PD)

INDIAN General No

11. Address for Correspondence AF-1/C-5 IMLAK COLONY -2 NADESAR VARANASI 12. PINCODE of Address for 221002 Correspondence 13. Year of Degree 14. Discipline 2011 Electronics & Comm./Electronics Engg./Communication Engg./Telecommunication Engg ASHOK KUMAR SINGH Uttar Pradesh

15. Name of Parent 7. Qualifying Degree B.E./B.Tech./ B.Sc. (Engg.)/B.Sc.(Tech.)/B.Arch. 16. State/Union Territory of Permanent Residence

8. Choice of Examination City1 Choice of Examination City2

307 - Delhi South 222 - Pune

17. Mobile / Landline No.

09922449711

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 contents of GATE 2012 website 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 2012. 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 2012 score is liable to be cancelled. Place : Date :

18. Signature

19. Photograph

Full Signature of the candidate using BLACK INK PEN only (do not sign in CAPITAL LETTERS)

3.5 cm x 3.5 cm

307EC3018994

Retain this copy with you for future reference.

BY SPEED / REGISTERED POST (Please do not Courier) GATE 2012 Application Form

To Chairman, GATE Indian Institute of Technology Delhi Hauz Khas, New Delhi - 110016

307EC3018994
Do not tamper with the bar code. For GATE official use.

From
SHRIVALLABH NARAYAN SINGH (APPLNO : 3018994) AF-1/C-5 IMLAK COLONY -2 NADESAR VARANASI 221002

CASH VOUCHER

BANK COPY CASH VOUCHER

GATE COPY CASH VOUCHER

CANDIDATE COPY

Last date for acceptance of challan in bank : 24 October 2011.


CASH CAN BE TENDERED AT ANY SBI BRANCH GATE 2012 Application Fee Payment Challan
Use CBS Screen No. : FEE Type : Registration ID / Ref No. : Date of Birth : 8888 16 3018994 27/07/1989

Last date for acceptance of challan in bank : 24 October 2011.


CASH CAN BE TENDERED AT ANY SBI BRANCH GATE 2012 Application Fee Payment Challan
Use CBS Screen No. : FEE Type : Registration ID / Ref No. : Date of Birth : 8888 16 3018994 27/07/1989

Last date for acceptance of challan in bank : 24 October 2011.


CASH CAN BE TENDERED AT ANY SBI BRANCH GATE 2012 Application Fee Payment Challan
Use CBS Screen No. : FEE Type : Registration ID / Ref No. : Date of Birth : 8888 16 3018994 27/07/1989

Challan can be deposited minimum one day after the generation of challan.
Name of the Candidate : SHRIVALLABH NARAYAN SINGH Address for Correspondence :

Challan can be deposited minimum one day after the generation of challan.
Name of the Candidate : SHRIVALLABH NARAYAN SINGH Address for Correspondence :

Challan can be deposited minimum one day after the generation of challan.
Name of the Candidate : SHRIVALLABH NARAYAN SINGH

AF-1/C-5 IMLAK COLONY -2 NADESAR VARANASI - 221002

AF-1/C-5 IMLAK COLONY -2 NADESAR Address for Correspondence : VARANASI - 221002

AF-1/C-5 IMLAK COLONY -2 NADESAR VARANASI - 221002

Mobile / Landline No: E Mail ID :

09922449711 [email protected]

Mobile / Landline No: E Mail ID :

09922449711 [email protected]

Mobile / Landline No: E Mail ID :

09922449711 [email protected]

Category : Amount : Amount in words :

General Rs.1025/- * Rupees One thousand and Twenty Five Only. (*Application Fees Including Bank Charges)

Category : Amount : Amount in words :

General Rs.1025/- * Rupees One thousand and Twenty Five Only. (*Application Fees Including Bank Charges)

Category : Amount : Amount in words :

General Rs.1025/- * Rupees One thousand and Twenty Five Only. (*Application Fees Including Bank Charges)

JOURNAL NUMBER

JOURNAL NUMBER

JOURNAL NUMBER

Signature of the Candidate/Remitter For Receiving Branch use only 1. Please note to write the Journal Number in all the challans. 2. Please feed the Application No. in REG/ID/Ref No. Column.

Signature of the Candidate/Remitter For Receiving Branch use only 1. Please note to write the Journal Number in all the challans. 2. Please feed the Application No. in REG/ID/Ref No. Column.

Signature of the Candidate/Remitter For Receiving Branch use only 1. Please note to write the Journal Number in all the challans. 2. Please feed the Application No. in REG/ID/Ref No. Column.

SEAL / DATE

AUTHORISED SIGNATORY

SEAL / DATE

AUTHORISED SIGNATORY

SEAL / DATE

AUTHORISED SIGNATORY

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