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T270Z87ApplicationForm-1

The document is an application form for the GATE 2024 examination submitted by Garima Bisht, who is a female candidate from Dehradun, Uttarakhand, with a background in M.Sc. Physics. It includes personal details, communication address, exam city preferences, and a declaration confirming eligibility and compliance with the examination's rules. The application is provisional and subject to payment, with a warning about the consequences of providing false information.

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bishtgarima239
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0 views

T270Z87ApplicationForm-1

The document is an application form for the GATE 2024 examination submitted by Garima Bisht, who is a female candidate from Dehradun, Uttarakhand, with a background in M.Sc. Physics. It includes personal details, communication address, exam city preferences, and a declaration confirming eligibility and compliance with the examination's rules. The application is provisional and subject to payment, with a warning about the consequences of providing false information.

Uploaded by

bishtgarima239
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

8GE T270Z87

T270Z87 (Enrollment ID)

GARIMA BISHT
(Full Name of the Applicant)

25 Aug 2000 Female GEN


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

Indian +91-9536918879 MR KHUSHAL SINGH BISHT


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

Communication Address GATE Exam Details


Karanpur ,Dehradun GATE Paper Code
NIVH.,Dehradun
Uttarakhand 248001
+91-9634166883 (Mobile No.)
[email protected]
PH
(Physics)

Exam City 1 : Dehradun (UK)


Qualification Details Exam City 2 : Roorkee (UK)
M. Sc Exam City 3 : Haldwani (UK)
Physics.
Graduated: Yes; Year of Graduation: 2023 Zonal GATE Office Contact
D.B.S college Dehradun GATE Office
Indian Institute of Technology Roorkee
NIVH.,Dehradun Roorkee 247667
Uttarakhand 248001
[email protected], 01332-284531

DECLARATION
I confirm that I fulfil the eligibility criteria to appear for the Graduate Aptitude Test in Engineering (GATE 2024) examination. I have read the Information
Brochure and filled up the GATE 2024 Application Form myself. I agree to strictly comply with the code of conduct for GATE 2024 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 2024 may be cancelled, before, during, or
after the examination, including the time after generation of my GATE 2024 Score Card. Further, I understand that I may be liable for legal action for
providing false information. GATE 2024 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 2024 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 : null
Digital Fingerprint : 41ecd541ed9cfc027fed8a45838e3238

PROVISIONAL APPLICATION SUBJECT TO PAYMENT

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