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T175 F72 Application Form

Application

Uploaded by

Aditya Roshan
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14 views

T175 F72 Application Form

Application

Uploaded by

Aditya Roshan
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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Application Form

Zone/Scrutiny Code

1GE T175F72

T175F72 (Enrollment ID)

ADITYA ROSHAN
(Full Name of the Applicant)

24 May 1994 Male GEN


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

Indian +91-9473431548 RAVINDRA KUMAR VERMA


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

Communication Address GATE Exam Details


119K SHIVA PATH NEW PURENDRAPUR GATE Paper Code
NEAR DUPULWA
PATNA
Patna
Bihar 800001
CE
+91-8409833906 (Mobile No.) (Civil Engineering)
[email protected]

Qualification Details
Exam City 1 : Hyderabad (TS)
B. Tech
Exam City 2 : Ananthapuramu (AP)
Civil Engg.
Graduated: Yes; Year of Graduation: 2018 Exam City 3 : Angamaly (KL)
S.R.M INSTITUTE OF SCIENCE AND TECHNOLOGY
Zonal GATE Office Contact
Nandambakkam Kudiyiruppu.,Kanchipuram GATE Office
Tamil Nadu 600089 Indian Institute of Science
Bengaluru 560012
Payment Details
[email protected], 080-22932644

Payment Mode Transaction Ref. No Transaction Date Amount Payment For


Unified Payments 113004885388 9/10/23, 1:53 PM 1800.00 Application Fee

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 : ADITYA ROSHAN


Digital Fingerprint : e71f4478cfe9a1371edbd265d6f1b950

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