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R430C51ApplicationForm

The document is an application form for the GATE 2025 examination filled out by Banoth Chandulal, who is an ST category male applicant born on August 18, 2002. It includes personal details, communication address, qualification information, GATE exam details, and payment information for the application fee. The applicant confirms eligibility and compliance with the examination's code of conduct, acknowledging that false information could lead to disqualification and legal action.

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vickky0233
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4 views

R430C51ApplicationForm

The document is an application form for the GATE 2025 examination filled out by Banoth Chandulal, who is an ST category male applicant born on August 18, 2002. It includes personal details, communication address, qualification information, GATE exam details, and payment information for the application fee. The applicant confirms eligibility and compliance with the examination's code of conduct, acknowledging that false information could lead to disqualification and legal action.

Uploaded by

vickky0233
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

1ST R430C51

R430C51 (Enrollment ID)

BANOTH CHANDULAL
(Full Name of the Applicant)

18 Aug 2002 Male ST


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

Indian +91-9502468140 BANOTH SOMLA


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

Communication Address GATE Exam Details


Pakeera Thanda GATE Paper Code
Chilkode.,Mahabubabad
Telangana 506381
+91-9542734908 (Mobile No.)
[email protected]
EE
(Electrical Engineering)

Qualification Details
Exam City 1 : Hyderabad (TS)
B. Tech
Exam City 2 : Nalgonda (TS)
Electrical & Electronics Engg.
Graduated: No; Year of Graduation: 2025 Exam City 3 : Medak (TS)
SREENIDHI INSTITUTE OF SCIENCE AND TECHNOLOGY
Zonal GATE Office Contact
Yadgarpalli.,Medchal malkajgiri GATE Office
Telangana 501301 Indian Institute of Science
Bengaluru 560012
Payment Details [email protected], 080-22932644

Payment Mode Transaction Ref. No Transaction Date Amount Payment For


Debit Card 113478343170 9/25/24, 10:28 PM 900.0 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 : Banoth Chandulal


Digital Fingerprint : a6edfb01f62b658403b66c7f1965d3af

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