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R422B16ApplicationForm (3)

The document is an application form for the GATE 2025 examination submitted by Bushana Kumar P, an OBC-NCL male candidate born on December 6, 2002. It includes personal details, communication address, educational qualifications, payment information, and a declaration confirming the accuracy of the provided information. The applicant acknowledges that GATE does not guarantee admission or job placement and understands the consequences of providing false information.

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BUSHANA
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4 views

R422B16ApplicationForm (3)

The document is an application form for the GATE 2025 examination submitted by Bushana Kumar P, an OBC-NCL male candidate born on December 6, 2002. It includes personal details, communication address, educational qualifications, payment information, and a declaration confirming the accuracy of the provided information. The applicant acknowledges that GATE does not guarantee admission or job placement and understands the consequences of providing false information.

Uploaded by

BUSHANA
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

1OB R422B16

R422B16 (Enrollment ID)

BUSHANA KUMAR P
(Full Name of the Applicant)

06 Dec 2002 Male OBC-NCL


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

Indian +91-8660931752 KS VEENA


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

Communication Address GATE Exam Details


# 416,4th main,6th block,2nd Phase GATE Paper Code
near girinagar police station ,bsk 3rd stage
bangalore south ,bangalore
Bangalore
Karnataka 560085
EC
+91-6363549104 (Mobile No.) (Electronics and
Communication
[email protected]
Engineering)

Qualification Details
Exam City 1 : Bengaluru South (KA)
B. Tech
Exam City 2 : Bengaluru North (KA)
Electronics & Communication.
Graduated: No; Year of Graduation: 2024 Exam City 3 : Mandya (KA)
PES UNIVERSITY
Bangalore Zonal GATE Office Contact
Karnataka 560085 GATE Office
Indian Institute of Science
Bengaluru 560012
Payment Details [email protected], 080-22932644

Payment Mode Transaction Ref. No Transaction Date Amount Payment For


Unified Payments 113491411923 10/4/24, 9:32 PM 2300.0 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 : Bushana Kumar P


Digital Fingerprint : 5e6d5186901bc6bd5cf2ee94b38a7228

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