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R464A55ApplicationForm

The document is an application form for the GATE 2025 examination submitted by Baladau Dhanoriya, who is an OBC-NCL male applicant born on April 29, 1999. He has completed a B.Tech in Computer Science and Engineering and is eligible to take the exam, confirming the accuracy of his information and understanding the implications of providing false information. The application includes personal details, communication address, exam preferences, and a declaration of compliance with the examination's rules.

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0% found this document useful (0 votes)
5 views

R464A55ApplicationForm

The document is an application form for the GATE 2025 examination submitted by Baladau Dhanoriya, who is an OBC-NCL male applicant born on April 29, 1999. He has completed a B.Tech in Computer Science and Engineering and is eligible to take the exam, confirming the accuracy of his information and understanding the implications of providing false information. The application includes personal details, communication address, exam preferences, and a declaration of compliance with the examination's rules.

Uploaded by

abhi218000
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

5OB R464A55

R464A55 (Enrollment ID)

BALDAU DHANORIYA
(Full Name of the Applicant)

29 Apr 1999 Male OBC-NCL


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

Indian +91-7389836254 KUBER DHANORIYA


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

Communication Address GATE Exam Details


Bharat Apartment, gautam nagar, Rachna nagar GATE Paper Code
Bawadia Kalan.,Bhopal
Madhya Pradesh 462026
+91-9109208954 (Mobile No.)
[email protected]
DA
(Data Science and Artificial
Intelligence)

Exam City 1 : Bhopal (MP)


Qualification Details Exam City 2 : Sagar (MP)
B. Tech Exam City 3 : Agra (UP)
Computer Science & Engg.
Graduated: Yes; Year of Graduation: 2024 Zonal GATE Office Contact
Patel College Of Science And Technology GATE Office
Bhopal Indian Institute of Technology Kanpur
Madhya Pradesh 462041
Kanpur 208016
[email protected], 0512-2596962
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.

Digital Fingerprint : 3899f1f4c1c41f487bf12f5aa74412a8

PROVISIONAL APPLICATION SUBJECT TO PAYMENT

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