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156 J 747 W Application
156 J 747 W Application
156 J 747 W Application
Zone/Scrutiny Code
1AL
GATE 2013
To
Chairman GATE
Indian Institute of Science, Bangalore
Bengaluru, 560012
From
Koduri Nireesha
G2
SRI SAI ENCLAVE
Sivaji Nagar 1st line MM Donkka
ONGOLE
Andhra Pradesh, 523002
89777 28262
156 J 747 W
(Mobile No.)
Cut Here
Note: Application ID - 156 J 747 W. You should preserve this number for further correspondence.
GATE 2013
Application Form
Zone/Scrutiny Code
1AL
156 J 747 W
4.5 cm x 3.5 cm
(Application ID)
Koduri Nireesha
(Full Name of Applicant)
156 J 747 W
05 Jul 1991
Female
Do not Attest
Do not sign on photo
GEN
(D.O.B)
Indian National
Communication Address
G2
SRI SAI ENCLAVE
Sivaji Nagar 1st line MM Donkka
ONGOLE
Andhra Pradesh, 523002
India
EE
Hyderabad, AP
(Exam City 1)
Secunderabad, AP
(Exam City 2)
nireesha.koduri@gmail.com
89777 28262 (Mobile No.)
No
Qualification Details
Chairman GATE
Indian Institute of Science, Bangalore
Bengaluru, 560012
B.Tech
Electrical Engg./Electrical and Electronics Engg./Power
Graduated: Yes, Year of Graduation: 2012
PACE INSTITUTE OF TECHNOLOGY AND SCIENCES
ONGOLE
Andhra Pradesh, 523272
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Eligibility Certificate
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: ....../....../............