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1CP
To
GATE 2014
A515Y26 Chairperson GATE Indian Institute of Science Bangalore Bengaluru 560012
A515Y26
Note: Enrolment ID - A515Y26. You should preserve this number for further correspondence.
Zone/Scrutiny
GATE 2014
1CP
A515Y26
(Enrolment ID)
A515Y26
A515Y26
3.5 cm x 4.5 cm
Anil Mani
(Full Name of the Applicant)
A515Y26
21 May 1993
(D.O.B)
Male
(Gender)
OBC
(Category)
No
(PD Status)
Indian National
8547375335
(Parent's Mobile Number)
K K Mani
(Name of the Parent)
Communication Address
KUZHIKKULATHIL(House) MONAPPILLY(kara) PUTHENCRUZE(P.O) ERNAKULAM Kerala 682308
EE
Kothamangalam, KL
(Exam City 1)
Muvattupuzha, KL
(Exam City 2)
Qualification Details
B.Tech Electrical Engg./Electrical and Electronics Engg. Graduated: No; Year of Graduation: 2014 MBITS Nellimattom KOTHAMANGALAM Kerala 686693
Ernakulam, KL
(Exam City 3)
Payment Details
Enclosure Checklist
Stamped Bank Challan: GATE copy
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 Information Brochure and I shall abide by the terms and conditions therein. The responsibility 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 opportunity to 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 be cancelled.
Digital Fingerprint:
f7c5596b49e7cb4ca499c174fed49a64
Date: ....../....../.........
(For use as the eligibility certificate only for final year or backlog applicants)
He appeared in the final semester/year exam of the above degree, but has a backlog to be cleared from an earlier semester/year, and therefore cannot produce a course completion certificate.
Date:
Seal