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134 S 130 F Application
134 S 130 F Application
Zone/Scrutiny Code
7FF
To
GATE 2013
Chairman GATE Indian Institute of Technology Madras Chennai, 600036
From Saranya
42 JAI NAGAR KONDUR & POST CUDDALORE Tamil Nadu, 607006
134 S 130 F
98945 78537
(Mobile No.)
Cut Here
Note: Application ID - 134 S 130 F. You should preserve this number for further correspondence.
Zone/Scrutiny Code
7FF
134 S 130 F
4.5 cm x 3.5 cm
(Application ID)
Saranya
(Full Name of Applicant)
134 S 130 F
11 Jan 1992
(D.O.B)
Female
Rajaram
(Name of Parent)
GEN
Indian National
Communication Address
42 JAI NAGAR KONDUR & POST CUDDALORE Tamil Nadu, 607006 India
Puducherry, PY
(Exam City 1)
Chidambaram, TN
(Exam City 2) Scribe Assistance Required:
No
Qualification Details
B.E. Electronics/Comm./Telecomm Engg. Graduated: No, Year of Graduation: 2013 university college of engineering villupuram villupuram Tamil Nadu, 605103
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. 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 2013. Further, if any suppression or distortion of facts is found after appearing in the exam, any admission/degree acquired on the basis of GATE 2013 score is liable to be cancelled.
Date: ....../....../............
Principal Certificate
(For use as the eligibility certificate only for final year or backlog applicants)
This is to certify that Saranya is a student enrolled in university college of engineering villupuram, villupuram. She is a student of the final year of B.E.. She 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