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GATE-2013 (Electronics & Commn): CCEK- Sub center, Govt. Engg.

College Barton Hill REGISTRATION FORM


1. 2. 3. 4. 5. 6. Name Date of Birth Address : Mobile Number : Annual Income ( valid proof is to be submitted ) : Educational Institute/University Year of passing Percentage of marks

Course B Tech/ BE etc

7. * Course fee : Rs. 8000/Rs. 4000/- in 10% seats for students with low annual income having at least 75% marks in the qualifying exam (proof is to be submitted at the time of admission ) DD- No & Date Amount Bank

DD is to drawn in favor of CCEK-Manager, Govt Engg College, Barton Hill , payable at Trivandrum NB:- The fee can be remitted after securing admission, but not later than 15th May-2012 Filled in application form can be mailed to : dr_nvkumar@yahoo.com OR amdec07@gmail.com before 30th April, 2012

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