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Культура Документы
7MX
To
GATE 2013
Chairman GATE Indian Institute of Technology Madras Chennai, 600036
From K.Hariharan
53,T.V.K.SALAI SHESHAI NAGAR K.K.NAGAR THIRUCHIRAPALLI Tamil Nadu, 620021
205 H 528 R
99520 05120
(Mobile No.)
Cut Here
Note: Application ID - 205 H 528 R. You should preserve this number for further correspondence.
Zone/Scrutiny Code
7MX
205 H 528 R
4.5 cm x 3.5 cm
(Application ID)
K.Hariharan
(Full Name of Applicant)
205 H 528 R
08 Nov 1990
(D.O.B)
Male
S.Kulothungan
(Name of Parent)
OBC-NC
Indian National
Communication Address
53,T.V.K.SALAI SHESHAI NAGAR K.K.NAGAR THIRUCHIRAPALLI Tamil Nadu, 620021 India
Chennai, TN
(Exam City 1)
Coimbatore, TN
(Exam City 2) Scribe Assistance Required:
No
Qualification Details
B.E. Aeronautical Engg. Graduated: Yes, Year of Graduation: 2012 SRINIVASAN ENGINEERING COLLEGE PERAMBALUR Tamil Nadu, 621212
Enclosure Checklist
Stamped Bank Challan: GATE copy
Payment Details
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: ....../....../............