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r 238 q 87 Applicationform

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22 views

r 238 q 87 Applicationform

Uploaded by

jayapreethaselvam
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

7OB R238Q87

R238Q87 (Enrollment ID)

JAYAPREETHA S
(Full Name of the Applicant)

11 Jun 2005 Female OBC-NCL


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

Indian +91-9486577220 SELVAM R


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

Communication Address GATE Exam Details


94,THIRUMENI COLONY ,PALLIVASSAL STREET,PKT GATE Paper Code
Pattukottai.,Thanjavur
Tamil Nadu 614601
+91-9600268970 (Mobile No.)
[email protected]
EC
(Electronics and
Communication
Engineering)

Qualification Details
Exam City 1 : Chennai South (TN)
B. E.
Exam City 2 : Chennai West (TN)
Electronics & Communication.
Graduated: No; Year of Graduation: 2026 Exam City 3 : Thanjavur (TN)
ST. JOSEPHS COLLEGE OF ENGINEERING
Sholinganallur.,Chennai Zonal GATE Office Contact
Tamil Nadu 600119 GATE Office
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 113462892606 9/15/24, 2:31 PM 900.00 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 : S JAYAPREETHA
Digital Fingerprint : f2c60013720546658356032c4e456c1e

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