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T 382 D 28 Applicationform

Soumik Chakraborty has submitted an application form for the GATE 2024 examination. He was born on July 10, 1991 in Kolkata, India. He has completed his B.Tech in Electrical and Electronics Engineering from Camellia Institute of Technology in Kolkata in 2014. He will be appearing for the GATE papers in Electronics and Communication Engineering and Data Science and Artificial Intelligence. He has selected Thiruvananthapuram, Attingal and Kollam as his exam cities and will contact the GATE office at IIT Madras for any queries. He has declared that he meets the eligibility criteria for GATE 2024 and has filled the form himself.

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Soumick Chakraborty
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18 views

T 382 D 28 Applicationform

Soumik Chakraborty has submitted an application form for the GATE 2024 examination. He was born on July 10, 1991 in Kolkata, India. He has completed his B.Tech in Electrical and Electronics Engineering from Camellia Institute of Technology in Kolkata in 2014. He will be appearing for the GATE papers in Electronics and Communication Engineering and Data Science and Artificial Intelligence. He has selected Thiruvananthapuram, Attingal and Kollam as his exam cities and will contact the GATE office at IIT Madras for any queries. He has declared that he meets the eligibility criteria for GATE 2024 and has filled the form himself.

Uploaded by

Soumick Chakraborty
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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Application Form

Zone/Scrutiny Code

7GE T382D28

T382D28 (Enrollment ID)

SOUMIK CHAKRABORTY
(Full Name of the Applicant)

10 Jul 1991 Male GEN


(D.O.B) (Gender) (Category)

Indian +91-6289139202 SANJIB CHAKRABORTY


National (Parent/Guardian's Mobile Number) (Parent/Guardian's Name)

Communication Address GATE Exam Details


388/1 netaji colony kolkata-700090 GATE Paper Code1 GATE Paper Code2
ps baranagore, po noapara
Kolkata
West Bengal 700090
+91-6289139202 (Mobile No.)
EC DA
[email protected] (Electronics and (Data Science and Artificial
Communication Intelligence)
Engineering)

Exam City 1 : Thiruvananthapuram (KL)


Qualification Details Exam City 2 : Attingal (KL)
B. Tech Exam City 3 : Kollam (KL)
Electrical & Electronics Engg.
Graduated: Yes; Year of Graduation: 2014 Zonal GATE Office Contact
Camellia Institute of Technology GATE Office
Kolkata Indian Institute of Technology Madras
West Bengal 700090
Chennai 600036
[email protected], 044-22578200

DECLARATION
I confirm that I fulfil the eligibility criteria to appear for the Graduate Aptitude Test in Engineering (GATE 2024) examination. I have read the Information
Brochure and filled up the GATE 2024 Application Form myself. I agree to strictly comply with the code of conduct for GATE 2024 examination as detailed in
the Information Brochure. I confirm that the information provided by me in this form is correct. I also confirm that I am NOT filling more than one Application
Form for myself.
If any of the information provided by me is found to be incorrect later, I understand that my candidature for GATE 2024 may be cancelled, before, during, or
after the examination, including the time after generation of my GATE 2024 Score Card. Further, I understand that I may be liable for legal action for
providing false information. GATE 2024 Examination Body’s decision will be final and legally binding on me.
I also understand that GATE is NOT an admission ensuring examination, and qualifying in GATE examination does NOT guarantee admission, scholarship,
or a job. GATE 2024 Examination Body shall NOT be liable for any legal obligations arising out of this matter.
I am aware that the data provided by me during the application process as well as my GATE results may be shared for admission or recruitment purposes.

e-Signature : null
Digital Fingerprint : 75fea7560c6dd2a5f1e988d80ae20ebd

PROVISIONAL APPLICATION SUBJECT TO PAYMENT

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