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R274Q95ApplicationForm

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Ayush Shukla
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5 views

R274Q95ApplicationForm

Uploaded by

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

Zone/Scrutiny Code

8GE R274Q95

R274Q95 (Enrollment ID)

AYUSH SHUKLA
(Full Name of the Applicant)

09 Nov 2003 Male GEN


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

Indian +91-9838351453 KRISHNA MOHAN SHUKLA


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

Communication Address GATE Exam Details


Swanmanorth, A-1 ,111 , wave city GATE Paper Code
Hasanpur Bhowapur.,Ghaziabad
Uttar Pradesh 201010
+91-7524942818 (Mobile No.)
[email protected]
CS
(Computer Science and
Information Technology)

Qualification Details
Exam City 1 : Ghaziabad (UP)
B. Tech
Exam City 2 : NOIDA (UP)
Computer Science & Engg.
Graduated: No; Year of Graduation: 2025 Exam City 3 : Meerut (UP)
IMS Engineering College
Zonal GATE Office Contact
Galand.,Hapur GATE Office
Uttar Pradesh 201015 Indian Institute of Technology Roorkee
Roorkee 247667
Payment Details [email protected], 01332-284531

Payment Mode Transaction Ref. No Transaction Date Amount Payment For


Debit Card 113467867064 9/18/24, 11:57 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 : Ayush Shukla


Digital Fingerprint : cc235495416dd569b6f264a9091248fc

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