108 J729 KApplication
108 J729 KApplication
3FF
To
GATE 2013
Chairman GATE Indian Institute of Technology Delhi Hauz Khas, New Delhi, 110016
108 J 729 K
82338 94071
(Mobile No.)
Cut Here
Note: Application ID - 108 J 729 K. You should preserve this number for further correspondence.
Zone/Scrutiny Code
3FF
108 J 729 K
4.5 cm x 3.5 cm
(Application ID)
Sapna Yadav
(Full Name of Applicant)
108 J 729 K
07 Dec 1987
(D.O.B)
Female
(Name of Parent)
OBC-NC
Indian National
Communication Address
20 2 MUKTA PRASAD COLONY BIKANER Rajasthan, 334004 India
Bikaner, RJ
(Exam City 1)
Agra, UP
(Exam City 2) Scribe Assistance Required:
No
Qualification Details
B.Tech Computer Science Engg./Technology Graduated: Yes, Year of Graduation: 2008 GOVT.ENGINEERING COLLEGE BIKANER BIKANER Rajasthan, 334005
Enclosure Checklist
Eligibility Certificate 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. 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: ....../....../............