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1. This print out should contain the following pages.

(a) Page 1 : This page contains Instructions and Address Slip (cut and paste the Address Slip on A4 size envelope).(b) Page 2 : Application form that you have filled online.

2. Bank challan in Triplicate is available as a separate pdf file to be downloaded. This is available only if you have opted for OfflinePayment.

3. On the GATE 2014 Application Form, paste a 3.5cm x 4.5cm color photograph with plain background (this should be the samethat you have uploaded during application filling). The photograph should be taken in a studio.(a) Write your Enrolment ID. and Name on the reverse side of the photo.(b) Use good quality glue to ensure that the photograph does not separate from the application.(c) Do not pin, staple, sign or attest the photograph.

4. Read the declaration and put your full signature in the box next to it. Please note that signature should not be in capital letters.

5. If you are in the final year or you have a backlog after appearing for the final year examination, you must get your Principals orHODs Signature and Seal in the Certificate from Principal that is provided at the last portion of the application form. Submit the

whole form to the Principals office without cutting it.

6. If you have opted for challan payment, wait for 48 hours after your online submission to visit the banks branch. You can visit anybranch of the bank printed on your challan.

7. The bank teller will verify the details printed on the challan with the data available in their system and then accept the payment.The bank will retain one copy and give you the remaining two copies: one of which is the GATE Copy that you have to send alongwith the printed application form and the other is the Candidate Copy for your reference.

8. Keep a photo copy of the completed application form for your reference.

9. Mailing Documents to GATE office.(a) Cut the Address Slip and paste it onto an A4 size envelope (Do not fill address by hand or tamper the address slip).(b) Collect the supporting documents shown under Enclosure Checklist in the application form. Mark the enclosures in the

checklist boxes.(c) Do NOT FOLD the application form and Do NOT STAPLE or pin the documents to the form.

(d) Send the packet by Speed Post (preferably) or by Registered Post to the address mentioned in the address slip. Theapplication packet should REACH the respective zonal GATE office on or before Thursday, 10 October 2013.

Instructions to the Applicant (GATE 2014)

162,Gandhi nagar nearshiv mandir,BareillyBareillyUttar Pradesh 24312274151 15192 (Mobile Number)

Zone/Scrutiny

5NPBy Registered Post/Speed Post Only

Indian Institute of Technology Kanpur

GATE 2014

ToChairperson GATE

A259U17

Kanpur 208016

Cut Here

Note: Enrolment ID - A259U17. You should preserve this number for further correspondence.

From

Vivek Kumar Sharma

A259U17

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(Enrolment ID)A259U17

Zone/Scrutiny

Payment Details

Rs. 1500.00

5NP

(D.O.B)

Qualification Details

(Exam City 1)

Vivek Kumar Sharma(Full Name of the Applicant)

26 May 1993 Male

Indian National

GEN No

B.Tech

Balram Sharma

Madhya Pradesh 473236

JUET

Communication Address

Graduated: No; Year of Graduation: 2014

Chemical Engg.

hereby declare that all the particulars stated in this application form are true to the best of my knowledge andbelief. I have read the Information Brochure and I shall abide by the terms and conditions therein. Theesponsibility of following the GATE 2014 website and meeting various deadlines lies with me. In the event of

suppression or distortion of any fact in my application form, I understand that I will be denied the opportunityo appear in GATE 2014. Further, if any suppression or distortion of facts is found after appearing in the

exam, any admission/degree/benefit acquired on the basis of GATE 2014 score/marks is liable to becancelled.

Digitalingerprint:

OnlinePayment Ref. No.: MUTI3121696662

He appeared in the final semester/year exam of the above degree, but has a backlog to be clearedfrom an earlier semester/year, and therefore cannot produce a course completion certificate.

Signature of Principal/ HOD

162,Gandhi nagar nearshiv mandir,BareillyBareillyUttar Pradesh 243122

74151 15192 (Mobile No.)v.sharmajuet@gmail.com

3.5 cm x 4.5 cm

Date: Seal

(For use as the eligibility certificate only for final year or backlog applicants)

Zonal GATE Office ContactChairperson GATE

Kanpur 208016

e1be6a546d397efd066bced0f839dc10

Applicant's recent photograph

A259U17

GATE Exam Details

(Exam City 2)

Certificate from Principal

This is to certify that Vivek Kumar Sharma is a student enrolled in

Applicants signature inside the box in black ink

01/10/2013

Date: ....../....../.........

He is a student of the final year of B.Tech.

JUET, GUNA.

GUNA

GATE 2014

Do not Attest

Do not sign on photo

(Exam City 3)

(Gender) (Category) (PD Status)

GATE Paper Code

9536643530

CH

Do not staple photo

Bhopal, MP

Gwalior, MP

Lucknow, UP

Indian Institute of Technology Kanpur

(Parent's Mobile Number) (Name of the Parent)

A259U17

A259U17