Gate To Psus

7/27/2019 Gate To Psus

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8.

Page - 4 : Address slip to be pasted on the A4 size envelope7.

Instructions for the Candidate:

1.2.

Page - 1: Instructions for the candidate to be retained by you carefully3.

4.

5.

a. Paste your recent color photo (3cm x 4cm) in designated place

b. Sign at designated places

6.

There are 5 Pages in this file. These pages should be printed on A4 sheets.

Page - 2 : Application Form (GATE Copy)

Page - 3 : Application Form (CANDIDATE Copy) to be retained by you for your reference

Page - 5 : Bank challan in triplicate. Take it to any SBI branch and pay the fee. The Bank will retain acopy with them and will return two copies to you. In those two copies, retain the Candidate's copy withyou and attach Institute's copy with Application Form

ONLINE Application for GATE 2011

1. Application Form (GATE Copy)

2 Bank Challan (Institute's Copy)

Your Login ID is AMBE2504. Remember your password and do not disclose it to anyone.

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 bySpeed Post (preferably) or by Registered Post to Chairman, GATE, IIT Kanpur

List of Documents to be sent to GATE IIT Kanpur:


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2 Bank Challan (Institute's Copy)

APPLICATION FORM FOR GATE 2011

Application No:

Zone:

5100250

IIT Kanpur

Name of the Candidate as in

the 10th Class Certificate

Date of Birth (DD/MM/YYYY)

Gender

Category

Person with Disability (PD)

Qualifying Degree

Nationality

Choice of Examination City1


Choice of GATE Paper

Year of Degree

Discipline

Name of Parent

State/Union Territory ofPermanent Residence

1.

2.

3.

5.

6.

7.

4.

8.

9.

14.

15.

16.

17.

MALE

General

No

B.E./B.Tech./ B.Sc.(Engg.)/B.Sc.(Tech.)/B.Arch.

INDIAN

506 - Gorakhpur

510 - Lucknow

EC - Electronics and CommunicationEngineering

2012

Electronics & Comm./ElectronicsEngg./Comm.Engg./Telecommunication Engg.

VIJAY BAHADUR SRIVASTAV

Uttar Pradesh

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 ofsuppression or distortion of any fact in my application form I understand that I will be denied the opportunity to appear in GATE 2011

Address F-329 RAMAN HOSTEL

M.M.M.ENGINEERING COLLEGE

GORAKHPUR

UTTAR PRADESH

11.

PINCODE of Addressfor Correspondence

Phone / MobileNumber

18.

19. 273010

09450047665

GATE IIT Kanpur COPY

E-mail Address [email protected]

Do You Require a Scribe? No

AMBEY SAHAY SRIVASTAV

25/04/1990

10.

Payment Mode:

Application Fee: Rs. 800/-

273010PINCODE

Bank Challan (State Bank of India)


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APPLICATION FORM FOR GATE 2011

Application No:

Zone:

5100250

IIT Kanpur

Name of the Candidate as in

the 10th Class Certificate

Date of Birth (DD/MM/YYYY)

Gender

Category

Person with Disability (PD)

Qualifying Degree

Nationality



Choice of GATE Paper

Year of Degree

Discipline

Name of Parent

State/Union Territory ofPermanent Residence

1.

2.

3.

5.

6.

7.

4.

8.

9.

14.

15.

16.

17.

MALE

General

No

B.E./B.Tech./ B.Sc.(Engg.)/B.Sc.(Tech.)/B.Arch.

INDIAN

506 - Gorakhpur

510 - Lucknow

EC - Electronics and CommunicationEngineering

2012

Electronics & Comm./ElectronicsEngg./Comm.Engg./Telecommunication Engg.

VIJAY BAHADUR SRIVASTAV

Uttar Pradesh

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 ofsuppression or distortion of any fact in my application form I understand that I will be denied the opportunity to appear in GATE 2011

Address F-329 RAMAN HOSTEL

M.M.M.ENGINEERING COLLEGE

GORAKHPUR

UTTAR PRADESH

11.

PINCODE of Addressfor Correspondence

Phone / MobileNumber

18.

19. 273010

09450047665

CANDIDATE COPY

E-mail Address [email protected]

Do You Require a Scribe? No


25/04/1990

10.

Payment Mode:

Application Fee: Rs. 800/-

273010PINCODE

Bank Challan (State Bank of India)


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[email protected]@gmail.com [email protected]

Head

Application Fees

Credit to

Bank's Charges

E-mail Address:

Amount in words : Rupees eight hundred and thirty only.

Present AddressF-329 RAMAN HOSTEL M.M.M.ENGINEERING

COLLEGE GORAKHPUR UTTAR PRADESH -

273010

25/04/1990

09450047665

Date of Birth

Mobile / Landline No:

CASH VOUCHER

BRANCH (CODE NO. )

BANK'S COPY

GATE 2011 Online Application Fee Payment

GATE 2011 FEE COLLECTION A/C NO. 31372883605

Name of the Candidate

Amount

Total

31372883605

Rs. 30.00 98353XXXXXX

Signature of the Candidate/Remitter

For Receiving Branch use only

APPLICATION NUMBER JOURNAL NUMBER

1. Please credit Rs.30/- to your Branch CommissionA/c No.98353XXXXXX

2. Please note to write the Journal Number in all the challans.3. Please feed the Application No. in REG/ID/Ref No. Column

and Name of the Candidate in the menu while posting.

SEAL / DATE AUTHORISED SIGNATORY

5100250

Rs. 800.00

Rs. 830.00

31372883605

98353XXXXXXBank's Charges



APPLICATION NUMBER

5100250

CASH VOUCHER

)

JOURNAL NUMBER







E-mail Address:

Rs. 830.00

Head

Name of the

F-329 RAMAN HOSTEL M.M.M.ENGINEERING


273010

Amount in words :

Present Address

Total


25/04/1990

Rupees eight hundred and thirty only.

Credit toAmount

Rs. 30.00

Date of Birth

Application Fees

09450047665


Rs.800.00 31372883605

98353XXXXXXBank's Charges



APPLICATION NUMBER

5100250

CASH VOUCHER

)

JOURNAL NUMBER







E-mail Address:

Rs. 830.00

Head

Name of the

F-329 RAMAN HOSTEL M.M.M.ENGINEERING


273010

Amount in words :

Present Address

Total


25/04/1990

Rupees eight hundred and thirty only.

Credit toAmount

Rs. 30.00

Date of Birth

Application Fees

09450047665


Rs. 800.00

BRANCH (CODE NO. BRANCH (CODE NO.

INSTITUTES COPY CANDIDATE'S COPY

Category : General

Phys ica lly Disabled : No

Category : General

Physica lly Disabled : No

Category : General

Physica ll y Disabled : No


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