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R257 M36 Application Form

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Joyal Jomon
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10 views

R257 M36 Application Form

Uploaded by

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

Zone/Scrutiny Code

7EW R257M36

R257M36 (Enrollment ID)

JOYAL JOMON
(Full Name of the Applicant)

21 May 2002 Male GEN-EWS


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

Indian +91-8547512430 JOMON JOY


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

Communication Address GATE Exam Details


Valayathu GATE Paper Code1 GATE Paper Code2
Bethel P.O, Melechinnar
kattappana ,Idukki
Kerala 685514
+91-6238762437 (Mobile No.)
EE EC
[email protected] (Electrical Engineering) (Electronics and
Communication
Engineering)

Qualification Details
Exam City 1 : Aluva-Ernakulam (KL)
B. Tech
Exam City 2 : Kottayam (KL)
Electrical & Electronics Engg.
Graduated: No; Year of Graduation: 2025 Exam City 3 : Kothamangalam (KL)
Albertian Institute of Science and Technology
Zonal GATE Office Contact
Ernakulam GATE Office
Kerala 682022 Indian Institute of Technology Madras
Chennai 600036
Payment Details [email protected], 044-22578200

Payment Mode Transaction Ref. No Transaction Date Amount Payment For


Unified Payments 113466271764 9/18/24, 9:08 AM 3600.0 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 : JOYAL JOMON


Digital Fingerprint : ebb47c80086e7eb885d0a450bdeb5b0b

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