Scribd
Upload
8 views

Final Gate Application Form

Uploaded by

sahaniashish582003
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
8 views

Final Gate Application Form

Uploaded by

sahaniashish582003
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
You are on page 1/ 1

Application Form

Zone/Scrutiny Code

5OB R161X51

R161X51 (Enrollment ID)

ASHISH SAHANI
(Full Name of the Applicant)

05 Aug 2003 Male OBC-NCL


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

Indian +91-9734037150 RAM PRATAP SAHANI


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

Communication Address GATE Exam Details


H NO 21, SHIV OM GREEN PARK, NEVRI GATE Paper Code
SANJEEV NAGAR, PO - ML NAGAR
TEHSIL- HUZUR
Bhopal
Madhya Pradesh 462038
CE
+91-8297238590 (Mobile No.) (Civil Engineering)
[email protected]

Qualification Details
Exam City 1 : Bhopal (MP)
B. Tech
Exam City 2 : Jabalpur (MP)
Civil Engg.
Graduated: No; Year of Graduation: 2025 Exam City 3 : Sagar (MP)
UNIVERSITY INSTITUTE OF TECHNOLOGY, RGPV BHOPAL
Zonal GATE Office Contact
Bhopal GATE Office
Madhya Pradesh 462033 Indian Institute of Technology Kanpur
Kanpur 208016
Payment Details [email protected], 0512-2596962

Payment Mode Transaction Ref. No Transaction Date Amount Payment For


Unified Payments 113448052583 9/5/24, 12:05 PM 1800.00 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 : Ashish Sahani


Digital Fingerprint : c3350cee65815f551f99458cee795067

You might also like