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C275F34ApplicationForm (1)

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17 views

C275F34ApplicationForm (1)

Uploaded by

mrwcgdycvmkkwth
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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Zone/Scrutiny Code

2EW
C275F34
C275F34 (Enrollment ID)

SAKSHI DATTATRAY LABDE


(Full Name of the Applicant)

30 Sep 2001 Female GEN-EWS


(D.O.B) (Gender) (Category)
Indian +91-7767978785 DATTATRAY MAHADU LABDE
National (Parent/Guardian's Mobile Number) (Parent/Guardian's Name)

Communication Address GATE Exam Details


At. Post Poyanje GATE Paper Code
Tal- Panvel
panvel
Maharashtra 410221
+91-7264880498 (Mobile No.)
XL
(Life Sciences)
[email protected]

Qualification Details Exam City 1: Panvel-Raigad (MH)


Exam City 2: Navi Mumbai-Thane (MH)
B. Pharma.
Pharmaceutical Sciences / Pharmacy Exam City 3: Mumbai (MH)
Graduated: No; Year of Graduation: 2023
KONKAN GYANPEETH RAHUL DHARKAR COLLEGE OF
PHARMACY AND RESEARCH INSTITUTE,KARJAT Zonal GATE Office Contact
Karjat
Chairperson, GATE
Maharashtra 410201 Indian Institute of Technology Bombay
Payment Details Powai, Mumbai 400076

Payment Mode Transaction Ref. No Transaction Date Amount Payment For


Online order_KMEknlRzt2WimV 9/26/22, 12:16 AM INR 850.00 Registration

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.

e-Signature: Sakshi Dattatray Labde


Digital Fingerprint: fa3c509d0424984224ca7a42abc36c15

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