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Applcation Form

This document contains enrollment details for GATE 2022 for Hari Krishnan. It includes his personal details like name, date of birth, gender, category, address and contact information. It also lists his educational qualifications and intended paper as Mechanical Engineering. It specifies his exam city preferences and payment details, with confirmation that he meets the eligibility criteria and understands the code of conduct.

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35 views

Applcation Form

This document contains enrollment details for GATE 2022 for Hari Krishnan. It includes his personal details like name, date of birth, gender, category, address and contact information. It also lists his educational qualifications and intended paper as Mechanical Engineering. It specifies his exam city preferences and payment details, with confirmation that he meets the eligibility criteria and understands the code of conduct.

Uploaded by

fodab57232
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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Zone/Scrutiny Code

7GE
K346S45 (Enrollment ID) K346S45

HARI KRISHNAN
(Full Name of the Applicant)

08 Nov 2000 Male GEN


(D.O.B) (Gender) (Category)
Indian +91-8547311182 PG KRISHNAN KUTTY
National (Parent/Guardian's Mobile Number) (Parent/Guardian's Name)

Communication Address GATE Exam Details


Padarathil House (#21 ,MRWA), GATE Paper Code
Mariathuruthu P.O,
Varissery , Kottayam
KOTTAYAM
Kerala 686017
ME
(Mechanical Engineering)
+91-8078590280 (Mobile No.)
[email protected]
Qualification Details Exam City 1: Kottayam (KL)
Exam City 2: Aluva-Ernakulam (KL)
B.Tech
Mechanical Engg. Exam City 3: Alappuzha (KL)
Graduated: No; Year of Graduation: 2023
RAJIV GANDHI INSTITUTE OF TECHNOLOGY,KOTTAYAM
Zonal GATE Office Contact
Kottyam
Chairperson, GATE
Kerala 686501
Indian Institute of Technology Madras
Payment Details Chennai 600036

Payment Mode Transaction Ref. No Transaction Date Amount Payment For


Online order_I0U19O7COc1d17 22/9/21 4:17 PM INR 1500.00 Registration

I confirm that I fulfil the eligibility criteria to appear for the Graduate Aptitude Test in Engineering (GATE 2022) examination and I, myself have filled up the
entire form in the portal. I have fully understood each and every point in the form and filled up the details accordingly. I agree to strictly comply with the code
of conduct for GATE 2022 examination as detailed in Appendix B of the Information Brochure. I confirm that the information provided by me in this form is
correct in all respect. I also confirm that I am NOT filling more than ONE form for myself.

If any of the information provided by me is found to be incorrect at any time later, my candidature for GATE 2022 will be cancelled. This cancellation of my
candidature can happen either before, during or after the examination, including the time after generation of my GATE 2022 score card, if any.

I also understand that GATE is NOT an admission ensuring examination, and qualifying in GATE examination does NOT guarantee admission / scholarship /
job. GATE 2022 committee is NOT liable for any legal obligations related to admission / job.

I shall be liable for legal action for providing any type of false information. GATE 2022 committee's decision will be final and legally binding on me.

e-Signature: Hari Krishnan


Digital Fingerprint: 2a35bc7c12b79251907099f71472264d

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