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R475 N26 Application Form

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Kartik Kant
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0% found this document useful (0 votes)
12 views

R475 N26 Application Form

Uploaded by

Kartik Kant
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

4GE R475N26

R475N26 (Enrollment ID)

KARTIK KANT RAMAN


(Full Name of the Applicant)

02 Dec 2000 Male GEN


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

Indian +91-9835411664 KRISHNA KANT RAMAN


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

Communication Address GATE Exam Details


Maa Sati Raj Bhawan GATE Paper Code
New Area Beldari Tola
Gaya, Bihar
Gaya
Bihar 823001
MN
+91-9262770220 (Mobile No.) (Mining Engineering)
[email protected]

Qualification Details
Exam City 1 : Dhanbad (JH)
M. Tech Dual Degree (After Diploma or 10 + 2)
Exam City 2 : Asansol-Durgapur (WB)
Mining Engg. / Technology
Graduated: Yes; Year of Graduation: 2024 Exam City 3 : Patna (BR)
NATIONAL INSTITUTE OF TECHNOLOGY, ROURKELA
Rourkela - 8.,Sundargarh Zonal GATE Office Contact
Odisha 769008 GATE Office
Indian Institute of Technology Guwahati
Guwahati 781039
Payment Details [email protected], 0361-2582751
Payment Mode Transaction Ref. No Transaction Date Amount Payment For
Unified Payments 113479745910 9/26/24, 7:46 PM 1800.0 Application Fee

DECLARATION
I confirm that I fulfil the eligibility criteria to appear for the Graduate Aptitude Test in Engineering (GATE 2025) examination. I have read the Information
Brochure and filled up the GATE 2025 Application Form myself. I agree to strictly comply with the code of conduct for GATE 2025 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 2025 may be cancelled, before, during, or
after the examination, including the time after generation of my GATE 2025 Score Card. Further, I understand that I may be liable for legal action for
providing false information. GATE 2025 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 2025 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 : Kartik Kant Raman


Digital Fingerprint : 15b208e73d252d8d8428c2dd8687c36c

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