GATE – 2011
REGISTRATION FORM
(Write in block letters)
Name of the Student: Mr. / Ms. / Mrs. _______________________________________
Name of Parent / Guardian: Mr. / Mrs. ___________________________________________
Please affix
your recent
Date of Birth (dd/mm/yyyy): Gender (✓): Male Female passport-size
coloured
Landline Number: __________________________________________________ Photograph
Mobile Number: __________________________________________________
Note:
Email Address: __________________________________________________
Email & Username
Desired Username: __________________________________________________ is required for
online Discussion
Address for Communication: __________________________________________________ Forum.
City / District: __________________________________________________
State / Territory: __________________________________________________
Pin Code: ______________ Mode of Payment (✓): By Bank Transfer By Demand Draft
Course: GATE 2011 Test Series – Aerospace Engineering
Fees: Rs. 8,800/- (Eight Thousand and Eight Hundred only)
Educational Background:
Current Year
Degree Branch Status College Name and Place
and %
Passed (✓)
Appeared (✓)
Appearing (✓)
(NOTE: INCOMPLETE FORM WILL BE REJECTED)
(TERMS AND CONDITIONS)
The terms and conditions set forth hereinafter are applicable to all visitors/subscribers to the site and all
registered/enrolled users of the services.
1. No study or test material from the course may be copied, shared, exchanged, sold or given for free
to individuals or organizations without prior consent of www.aerospacegate.com
2. www.aerospacegate.com reserves the right to modify, add, delete and/or change the contents
and classification and presentation of the information / content at any time as it may in its absolute
discretion find to be expedient and without giving any notice. It is the user's responsibility to refer
to the terms and/or any change or addition to the same while accessing the site.
3. The Site offers no warranty that the contents of the site are free from viruses or any other infection,
which has contaminating or destructive properties.
4. The information provided on the site about GATE examination may change, like validity of result,
question paper pattern..etc. So for up to date information please see the gate site regularly.
5. The Site provides at many places links to other websites hosted on servers maintained by third
parties over which the Site has no control. The Site accepts no responsibility as to the validity of
contents and shall in no way be liable for any damage/loss arising to users seeking access or
using the said website.
6. The course material have made by referring various books with some modification, so that no
copyright from others can be claimed to us.
7. There might be a possibility of printing mistake in the course material www.aerospacegate.com
does not take the responsibility for the accuracy or correctness of data provided in the course
material. While utmost care is taken to provide correct and up to date information.
8. www.aerospacegate.com does not warrant the accuracy, completeness and timely availability of
the information provided on the site and accepts no responsibility or liability for any error or
omission in any information provided on the site.
9. Fees paid is non-refundable in any circumstances.
10. www.aerospacegate.com shall not take any responsibility of the Cheques, Money Orders, DDs
etc. lost in transit (while they are being sent to us). Please do not send cash by post. We will not
take the responsibility of that either. Please take a copy of DDs / Cheques sent to us by post for
future reference.
Declaration by Student
Here by I declared that, all the information written in the registration form is correct and upto date
and I accept all the terms and condition stated above.
Place:
Date:
Signature of Student
(Within the box)
For Office Use Only: (Do not write anything in the box shown below)
(NOTE: INCOMPLETE FORM WILL BE REJECTED)
ADDRESS SLIP
Note
1. This address slip is compulsory for the registration of the Aerospace GATE Test Series.
2. There are total five address slips. Please fill all the address slips with Black Ball Pen and in BLOCK
LETTERS only. (Be careful about your address and pin code)
3. If you want to change the address during the test series, please take one more copy of this page and send
us both the addresses. ( i.e five address slips for each address) and inform us about the same.
4. You can not change the address more than one time in the entire duration of test series.
To,
Name : __________________________________________________________
Address : __________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
Pin : __________________________________________________________
State : __________________________________________________________
Mobile Number : __________________________________________________________
To,
Name : __________________________________________________________
Address : __________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
Pin : __________________________________________________________
State : __________________________________________________________
Mobile Number : __________________________________________________________
To,
Name : __________________________________________________________
Address : __________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
Pin : __________________________________________________________
State : __________________________________________________________
Mobile Number : __________________________________________________________
To,
Name : __________________________________________________________
Address : __________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
Pin : __________________________________________________________
State : __________________________________________________________
Mobile Number : __________________________________________________________
To,
Name : __________________________________________________________
Address : __________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
Pin : __________________________________________________________
State : __________________________________________________________
Mobile Number : __________________________________________________________