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R250R17ApplicationForm

The document is an application form for the GATE 2025 examination submitted by Mahesh V, an OBC-NCL male applicant born on February 7, 2004. He is currently pursuing a B.Tech in Electrical & Electronics Engineering at B.S. Abdur Rahman Institute of Science and Technology, with an expected graduation year of 2025. The application includes personal details, exam city preferences, payment information, and a declaration confirming the accuracy of the provided information.

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viswanthan1973k
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23 views

R250R17ApplicationForm

The document is an application form for the GATE 2025 examination submitted by Mahesh V, an OBC-NCL male applicant born on February 7, 2004. He is currently pursuing a B.Tech in Electrical & Electronics Engineering at B.S. Abdur Rahman Institute of Science and Technology, with an expected graduation year of 2025. The application includes personal details, exam city preferences, payment information, and a declaration confirming the accuracy of the provided information.

Uploaded by

viswanthan1973k
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 R250R17

R250R17 (Enrollment ID)

MAHESH V
(Full Name of the Applicant)

07 Feb 2004 Male OBC-NCL


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

Indian +91-9791674198 VISWANATHAN K


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

Communication Address GATE Exam Details


119/49 LAST STREET ARANGAL DURUGAM POST GATE Paper Code
AMBUR
Tirupattur
Kadhavalam.,Tirupathur
Tamil Nadu 635811
EE
+91-9363041479 (Mobile No.) (Electrical Engineering)
[email protected]

Qualification Details
Exam City 1 : Chennai South (TN)
B. Tech
Exam City 2 : Krishnagiri (TN)
Electrical & Electronics Engg.
Graduated: No; Year of Graduation: 2025 Exam City 3 : Chennai West (TN)
B.S. ABDUR RAHMAN INSTITUTE OF SCIENCE AND
TECHNOLOGY Zonal GATE Office Contact
Chengalpattu GATE Office
Tamil Nadu 600048 Indian Institute of Technology Madras
Chennai 600036
Payment Details [email protected], 044-22578200

Payment Mode Transaction Ref. No Transaction Date Amount Payment For


Net Banking 113464368410 9/16/24, 6:01 PM 1800.0 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 : Mahesh V
Digital Fingerprint : 5bdc2dcec498c62bad4a915c999a7e80

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