1. This print out should contain the following pages. (a) Page 1 : This page contains Instructions and Address Slip (cut and paste the Address Slip on A4 size envelope). (b) Page 2 : Application form that you have filled online.

2. Bank challan in Triplicate is available as a separate pdf file to be downloaded. This is available only if you have opted for Offline Payment.

3. On the GATE 2014 Application Form, paste a 3.5cm x 4.5cm color photograph with plain background (this should be the same that you have uploaded during application filling). The photograph should be taken in a studio. (a) Write your Enrolment ID. and Name on the reverse side of the photo. (b) Use good quality glue to ensure that the photograph does not separate from the application. (c) Do not pin, staple, sign or attest the photograph.

4. Read the declaration and put your full signature in the box next to it. Please note that signature should not be in capital letters.

5. If you are in the final year or you have a backlog after appearing for the final year examination, you must get your Principal’s or HOD’s Signature and Seal in the Certificate from Principal that is provided at the last portion of the application form. Submit the whole form to the Principal’s office without cutting it.

6. If you have opted for challan payment, wait for 48 hours after your online submission to visit the bank’s branch. You can visit any branch of the bank printed on your challan.

7. The bank teller will verify the details printed on the challan with the data available in their system and then accept the payment. The bank will retain one copy and give you the remaining two copies: one of which is the GATE Copy that you have to send along with the printed application form and the other is the Candidate Copy for your reference.

8. Keep a photo copy of the completed application form for your reference.

9. Mailing Documents to GATE office. (a) Cut the Address Slip and paste it onto an A4 size envelope (Do not fill address by hand or tamper the address slip). (b) Collect the supporting documents shown under Enclosure Checklist in the application form. Mark the enclosures in the checklist boxes. (c) Do NOT FOLD the application form and Do NOT STAPLE or pin the documents to the form. (d) Send the packet by Speed Post (preferably) or by Registered Post to the address mentioned in the address slip. The application packet should REACH the respective zonal GATE office on or before Thursday, 10 October 2013.

Instructions to the Applicant (GATE 2014)

44,kather meeran streetpattamadaiTirunelveliTamil Nadu 62745395973 80802 (Mobile Number)

Zone/Scrutiny

7CPBy Registered Post/Speed Post Only

Indian Institute of Technology Madras

GATE 2014

To

Chairperson GATE

A466D75

Chennai 600036

Cut Here

Note: Enrolment ID - A466D75. You should preserve this number for further correspondence.

From

S.H.M.Hassan Mohideen

A466D

75

(Enrolment ID)A466D75

Zone/Scrutiny

Payment DetailsRs. 1500.00

7CP

(D.O.B)

Qualification Details

(Exam City 1)

S.H.M.Hassan Mohideen(Full Name of the Applicant)

18 Sep 1992 Male

Indian National

OBC No

B.E.

A.Meeyakhan

Tamil Nadu 628503

National Engineering College

Communication Address

Graduated: No; Year of Graduation: 2014Mechanical Engg.

I hereby declare that all the particulars stated in this application form are true to the best of my knowledge andbelief. I have read the Information Brochure and I shall abide by the terms and conditions therein. Theresponsibility of following the GATE 2014 website and meeting various deadlines lies with me. In the event ofsuppression or distortion of any fact in my application form, I understand that I will be denied the opportunityto appear in GATE 2014. Further, if any suppression or distortion of facts is found after appearing in theexam, any admission/degree/benefit acquired on the basis of GATE 2014 score/marks is liable to becancelled.

DigitalFingerprint:

ChallanState Bank of India

He appeared in the final semester/year exam of the above degree, but has a backlog to be clearedfrom an earlier semester/year, and therefore cannot produce a course completion certificate.

Signature of Principal/ HOD

44,kather meeran streetpattamadaiTirunelveliTamil Nadu 62745395973 80802 (Mobile No.)

mechshathak@gmail.com

3.5 cm x 4.5 cm

Date: Seal

(For use as the eligibility certificate only for final year or backlog applicants)

Zonal GATE Office ContactChairperson GATE

Chennai 600036

9da4e414e15c762be0e5bc7e8a873ceb

Applicant's recent photograph

A466D75

GATE Exam Details

(Exam City 2)

Enclosure Checklist

Certificate from Principal

This is to certify that S.H.M.Hassan Mohideen is a student enrolled in

Applicant’s signature inside the box in black inkDate: ....../....../.........

Stamped Bank Challan: GATE copy

He is a student of the final year of B.E.

National Engineering College, Kovilpatti.

Kovilpatti

GATE 2014

Do not AttestDo not sign on photo

(Exam City 3)

(Gender) (Category) (PD Status)

GATE Paper Code

7708487614

ME

Do not staple photo

Tirunelveli, TN

Tuticorin, TN

Thiruvananthapuram, KL

Indian Institute of Technology Madras

(Parent's Mobile Number) (Name of the Parent)

A466D

75

A466D75