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    Instructions and Application Form For GATE 2012

    Uploaded by

    vishalkingsing
    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. Candidates must print the application form, fill it out accurately, attach required documents, and send it along with payment to the respective GATE office by the deadline of October 28th, 2011 using speed post or registered post. 3. The application consists of personal details, exam preferences, payment and signature sections. Required documents include application form copies, payment receipt, identity documents and academic certificates.

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

    Instructions and Application Form For GATE 2012

    Uploaded by

    vishalkingsing
    42 views5 pages
    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. Candidates must print the application form, fill it out accurately, attach required documents, and send it along with payment to the respective GATE office by the deadline of October 28th, 2011 using speed post or registered post. 3. The application consists of personal details, exam preferences, payment and signature sections. Required documents include application form copies, payment receipt, identity documents and academic certificates.

    Original Title

    GATE2012_5099604

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    © Attribution Non-Commercial (BY-NC)

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    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. Candidates must print the application form, fill it out accurately, attach required documents, and send it along with payment to the respective GATE office by the deadline of October 28th, 2011 using speed post or registered post. 3. The application consists of personal details, exam preferences, payment and signature sections. Required documents include application form copies, payment receipt, identity documents and academic certificates.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    42 views5 pages

    Instructions and Application Form For GATE 2012

    Uploaded by

    vishalkingsing
    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. Candidates must print the application form, fill it out accurately, attach required documents, and send it along with payment to the respective GATE office by the deadline of October 28th, 2011 using speed post or registered post. 3. The application consists of personal details, exam preferences, payment and signature sections. Required documents include application form copies, payment receipt, identity documents and academic certificates.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    You are on page 1of 5

    Instructions and Application Form for GATE 2012

    Instructions for the Candidate:


    1. 2. Your Login ID is WASE0102. 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 28th 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. 5099604

    GATE COPY

    GATE 2012 APPLICATION FORM


    Zone: IIT Kanpur
    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)


    WASEEM MANZOOR BHAT 01/02/1988 MALE 9. Choice of GATE Paper 10. E-mail Address

    Fee: Rs. 1000


    Life Sciences bhatwaseem10@gmail.com

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

    INDIAN General No

    11. Address for Correspondence S.O.S IN BOTANY JIWAJI UNIVERSITY GWALIOR MADHYA PRADESH 12. PINCODE of Address for 474011 Correspondence 13. Year of Degree 14. Discipline 15. Name of Parent 2012 Life Sciences (Botany) MANZOOR AHMAD BHAT Jammu & Kashmir

    7. Qualifying Degree

    M.Sc./M.C.A./M.A.

    16. State/Union Territory of Permanent Residence

    8. Choice of Examination City1 Choice of Examination City2

    507 - Gwalior 501 - Agra

    17. Mobile / Landline No.

    08085231072

    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

    507XL5099604

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

    APPLICATION NO. 5099604

    CANDIDATE COPY

    GATE 2012 APPLICATION FORM


    Zone: IIT Kanpur
    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)


    WASEEM MANZOOR BHAT 01/02/1988 MALE 9. Choice of GATE Paper 10. E-mail Address

    Fee: Rs. 1000


    Life Sciences bhatwaseem10@gmail.com

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

    INDIAN General No

    11. Address for Correspondence S.O.S IN BOTANY JIWAJI UNIVERSITY GWALIOR MADHYA PRADESH 12. PINCODE of Address for 474011 Correspondence 13. Year of Degree 14. Discipline 15. Name of Parent 2012 Life Sciences (Botany) MANZOOR AHMAD BHAT Jammu & Kashmir

    7. Qualifying Degree

    M.Sc./M.C.A./M.A.

    16. State/Union Territory of Permanent Residence

    8. Choice of Examination City1 Choice of Examination City2

    507 - Gwalior 501 - Agra

    17. Mobile / Landline No.

    08085231072

    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

    507XL5099604

    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 Kanpur Kanpur - 208016

    507XL5099604
    Do not tamper with the bar code. For GATE official use.

    From
    WASEEM MANZOOR BHAT (APPLNO : 5099604) S.O.S IN BOTANY JIWAJI UNIVERSITY GWALIOR MADHYA PRADESH 474011

    CASH VOUCHER

    BANK COPY CASH VOUCHER

    GATE COPY CASH VOUCHER

    CANDIDATE COPY

    Last date for acceptance of challan in bank : 28 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 5099604 01/02/1988

    Last date for acceptance of challan in bank : 28 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 5099604 01/02/1988

    Last date for acceptance of challan in bank : 28 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 5099604 01/02/1988

    Challan can be deposited minimum one day after the generation of challan.
    Name of the Candidate : WASEEM MANZOOR BHAT Address for Correspondence :

    Challan can be deposited minimum one day after the generation of challan.
    Name of the Candidate : WASEEM MANZOOR BHAT

    Challan can be deposited minimum one day after the generation of challan.
    Name of the Candidate : WASEEM MANZOOR BHAT

    S.O.S IN BOTANY JIWAJI UNIVERSITY Address for Correspondence : GWALIOR MADHYA PRADESH - 474011

    S.O.S IN BOTANY JIWAJI UNIVERSITY Address for Correspondence : GWALIOR MADHYA PRADESH - 474011

    S.O.S IN BOTANY JIWAJI UNIVERSITY GWALIOR MADHYA PRADESH - 474011

    Mobile / Landline No: E Mail ID :

    08085231072 bhatwaseem10@gmail.com

    Mobile / Landline No: E Mail ID :

    08085231072 bhatwaseem10@gmail.com

    Mobile / Landline No: E Mail ID :

    08085231072 bhatwaseem10@gmail.com

    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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