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R316T29ApplicationForm (1)

This document is an application form for the GATE 2025 examination submitted by Shree Kripa Shankari S, a female applicant from the GEN-EWS category. It includes personal details, communication address, GATE exam details, qualification information, and a declaration confirming the accuracy of the provided information. The application is provisional and subject to payment, with a digital signature and fingerprint included.

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SHREE KRIPA SHANKARI S
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2 views

R316T29ApplicationForm (1)

This document is an application form for the GATE 2025 examination submitted by Shree Kripa Shankari S, a female applicant from the GEN-EWS category. It includes personal details, communication address, GATE exam details, qualification information, and a declaration confirming the accuracy of the provided information. The application is provisional and subject to payment, with a digital signature and fingerprint included.

Uploaded by

SHREE KRIPA SHANKARI S
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

1EW R316T29

R316T29 (Enrollment ID)

SHREE KRIPA SHANKARI S


(Full Name of the Applicant)

01 Apr 2003 Female GEN-EWS


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

Indian +91-9496906033 RAJARAMA S


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

Communication Address GATE Exam Details


Chitthira House GATE Paper Code
Shivakrishna road, Kudlu
Kasaragod
Mayipady.,Kasaragod
Kerala 671124
EC
+91-8921109079 (Mobile No.) (Electronics and
Communication
[email protected]
Engineering)

Exam City 1 : Kozhikode (KL)


Qualification Details Exam City 2 : Kasaragod (KL)
B. Tech Exam City 3 : Kannur (KL)
Electronics & Communication.
Graduated: No; Year of Graduation: 2025 Zonal GATE Office Contact
NATIONAL INSTITUTE OF TECHNOLOGY, CALICUT GATE Office
Kozhikode Indian Institute of Science
Kerala 673601
Bengaluru 560012
[email protected], 080-22932644

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 : SHREE KRIPA SHANKARI S


Digital Fingerprint : dbf25d0544f16d49baa27a94a741518f

PROVISIONAL APPLICATION SUBJECT TO PAYMENT

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