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R150C67ApplicationForm

The document is an application form for the GATE 2025 examination submitted by Shreyas A Bhatt, including personal details, educational qualifications, and payment information. The applicant confirms eligibility and compliance with the examination's code of conduct, while acknowledging that false information may lead to disqualification. The form also states that qualifying in GATE does not guarantee admission or job placement.

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Shreyas Bhatt
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© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
6 views

R150C67ApplicationForm

The document is an application form for the GATE 2025 examination submitted by Shreyas A Bhatt, including personal details, educational qualifications, and payment information. The applicant confirms eligibility and compliance with the examination's code of conduct, while acknowledging that false information may lead to disqualification. The form also states that qualifying in GATE does not guarantee admission or job placement.

Uploaded by

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

Zone/Scrutiny Code

2GE R150C67

R150C67 (Enrollment ID)

SHREYAS A BHATT
(Full Name of the Applicant)

11 Oct 1989 Male GEN


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

Indian +91-9172772289 ATUL BHATT


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

Communication Address GATE Exam Details


plot no.9, Navjeevan Colony GATE Paper Code
Wardha Road
Near Chandramani Bhavan
Narendra Nagar.,Nagpur
Maharashtra 440015
DA
+91-9096730891 (Mobile No.) (Data Science and Artificial
Intelligence)
[email protected]

Qualification Details
Exam City 1 : Nagpur (MH)
B. Tech
Exam City 2 : Mumbai (MH)
Data Science.
Graduated: Yes; Year of Graduation: 2016 Exam City 3 : Pune (MH)
INDIAN INSTITUTE OF SCIENCE
Science Institute.,Bengaluru urban Zonal GATE Office Contact
Karnataka 560012 GATE Office
Indian Institute of Technology Bombay
Powai, Mumbai 400076
Payment Details [email protected], 022-25767068
Payment Mode Transaction Ref. No Transaction Date Amount Payment For
Unified Payments 113479742914 9/26/24, 7:44 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 : Shreyas Atul Bhatt


Digital Fingerprint : a2b99729299ebf9405e408dab1f3df11

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