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C 378 X 79 Applicationform

Sangita Mahapatra has applied to appear for the GATE 2023 exam. She is an Indian citizen born on March 7, 1997. She is currently pursuing an M.Tech in Biochemical Engineering and is set to graduate in 2022 from Harcourt Butler Technological Institute in Kanpur, India. She will be appearing for the GATE papers in Biotechnology and Life Sciences at the exam cities of Roorkee, Dehradun, and Noida.
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0% found this document useful (0 votes)
33 views

C 378 X 79 Applicationform

Sangita Mahapatra has applied to appear for the GATE 2023 exam. She is an Indian citizen born on March 7, 1997. She is currently pursuing an M.Tech in Biochemical Engineering and is set to graduate in 2022 from Harcourt Butler Technological Institute in Kanpur, India. She will be appearing for the GATE papers in Biotechnology and Life Sciences at the exam cities of Roorkee, Dehradun, and Noida.
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Zone/Scrutiny Code

8GE
C378X79
C378X79 (Enrollment ID)

SANGITA MAHAPATRA
(Full Name of the Applicant)

07 Mar 1997 Female GEN


(D.O.B) (Gender) (Category)
Indian +91-9039153707 SK MAHAPATRA
National (Parent/Guardian's Mobile Number) (Parent/Guardian's Name)

Communication Address GATE Exam Details


P-75,Air force station Chakeri, kanpur GATE Paper Code1 GATE Paper Code2
n4 area
Kanpur City
Uttar Pradesh 208008
+91-9131812086 (Mobile No.)
BT XL
(Biotechnology) (Life Sciences)
[email protected]

Qualification Details Exam City 1: Roorkee (UK)


Exam City 2: Dehradun (UK)
M. Tech (Post B. Sc.)
Biochemical Engg. Exam City 3: Noida (UP)
Graduated: No; Year of Graduation: 2022
HARCOURT BUTLER TECHNOLOGICAL INSTITUTE
Zonal GATE Office Contact
Kanpur City
Chairperson, GATE
Uttar Pradesh 208002
Indian Institute of Technology Roorkee
Roorkee 247667

I confirm that I fulfil the eligibility criteria to appear for the Graduate Aptitude Test in Engineering (GATE 2023) 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 2023 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 2023 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 2023 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 2023 committee is NOT liable for any legal obligations related to admission / job. I am aware that the data provided by me during the application
process as well as my GATE results may be shared for admission / recruitment purposes.

I shall be liable for legal action for providing any type of false information. GATE 2023 committee's decision will be final and legally binding on me.

Digital Fingerprint: 84eaf118ea646e7b62200b9dbbb3f6fc

PROVISIONAL APPLICATION SUBJECT TO PAYMENT

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