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T232 K51 Application Form

The document is an application form for the GATE exam. It contains information such as the applicant's name, date of birth, gender, category, contact details, qualification details, preferred exam cities, and declaration.

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akshaychatla99
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0% found this document useful (0 votes)
14 views

T232 K51 Application Form

The document is an application form for the GATE exam. It contains information such as the applicant's name, date of birth, gender, category, contact details, qualification details, preferred exam cities, and declaration.

Uploaded by

akshaychatla99
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Application Form

Zone/Scrutiny Code

6SC T232K51

T232K51 (Enrollment ID)

SINDHU CHATLA
(Full Name of the Applicant)

01 Nov 2003 Female SC


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

Indian +91-9441834540 SAMUEL CHATLA


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

Communication Address GATE Exam Details


D/o of samuel 6-406 srilanka clony vuyyuru GATE Paper Code
krishna Andhra Pradesh
Vuyyuru
Andhra Pradesh 521165
+91-7075768029 (Mobile No.)
CS
[email protected] (Computer Science and
Information Technology)

Exam City 1 : Vijayawada (AP)


Qualification Details Exam City 2 : Eluru (AP)
B. Tech Exam City 3 : Tadepalligudem (AP)
Information Engineering.
Graduated: No; Year of Graduation: 2024 Zonal GATE Office Contact
GUDLAVALLERU ENGINEERING COLLEGE GATE Office
Indian Institute of Technology Kharagpur
gudlavalleru Kharagpur 721302
Andhra Pradesh 521165
[email protected], 03222-282091

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 : a3e5db4c27fc5f530747e957cb99ece2

PROVISIONAL APPLICATION SUBJECT TO PAYMENT

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