Gate Essay

547 WordsMar 23, 20113 Pages
LAST DATE FOR RECEIVING COMPLETED FORM: 29 APRIL2011 Registration No. (to be filled by office) New Delhi M.TECH ADMISSIONS 2011/12 Paste (do not pin) your photograph in this space and attest it yourself 1. 2. 3. 4. 5. Do not send any attested copies of certificates with this form. Original and attested copies of degree certificates/marksheets would be asked for later. Incomplete application forms are likely to be rejected. Candidates who are in the final year of their qualifying programme would be considered for admission only if their provisional degrees are available before 27 July 2011. This form must be accompanied with a demand draft of Rs 750/-. Use capital letters wherever possible. TYPE OR WRITE LEGIBLY IN ENGLISH 1. Name in full (as in 10+2 certificate): 2. (a) Address of the candidate for communication (b) Name and Address of Parent/Present Guardian (i.e. Permanenent Address) City ___________________________________ State _____________Pin 3. 4. City _______________________________ State ____________Pin Telephone Number (with STD Code): ________________________________________ Mobile: 5. E-mail: _____________________________ 6. Date of Birth: (as in School Leaving Certificate) D D M M Y Y Y Y GN/SC/ST/PH† 7. 10. 8. Nationality (I-Indian, F-Foreign) 9. Sex (M/F) Status of qualifying examination result: (write A: Appeared and result awaited, P: Passed) 11. Details of Academic Record of the Bachelor’s programme: a) Programme done/undergoing (eg. B.Tech, B.Sc) etc. ________________________ b) College c) University d) Exam Passed/ Appeared I year Subjects/courses taken (Please provide details) Month/ Year % Marks/Grade /Class obtained II year III year IV year e) Final aggregate marks/Grade point obtained# 12. Details of Academic Record of any Master’s programme; if relevant: a) Programme

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