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R183R60ApplicationForm

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dattaannavarapu9
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3 views

R183R60ApplicationForm

It's about application

Uploaded by

dattaannavarapu9
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

6GE R183R60

R183R60 (Enrollment ID)

ANNAVARAPU LAKSHMI NARASIMHA SRI DATTA


(Full Name of the Applicant)

01 Apr 2004 Male GEN


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

Indian +91-9951286410 ANNAVARAPU BHASKARA RAJESH


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

Communication Address GATE Exam Details


Beside ICAI Bhawan , Rajamahendravaram GATE Paper Code1 GATE Paper Code2
Near Kambala Cheruvu , Bijili Ice Factory
Rajamahendravaram ,East godavari
Andhra Pradesh 533106
+91-8074595312 (Mobile No.)
EC IN
[email protected] (Electronics and (Instrumentation
Communication Engineering)
Engineering)

Qualification Details
Exam City 1 : Rajamahendravaram (Rajahmundry)
B. E. (AP)
Exam City 2 : Kakinada-Surampalem (AP)
Electronics & Communication.
Graduated: No; Year of Graduation: 2025 Exam City 3 : Visakhapatnam (AP)
CHAITANYA BHARATHI INSTITUTE OF TECHNOLOGY
Hyderabad Zonal GATE Office Contact
Telangana 500075 GATE Office
Indian Institute of Technology Kharagpur
Kharagpur 721302
Payment Details [email protected], 03222-282091

Payment Mode Transaction Ref. No Transaction Date Amount Payment For


Unified Payments 113452277814 9/8/24, 2:29 PM 3600.00 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 : ANNAVARAPU LAKSHMI NARASIMHA SRI DATTA


Digital Fingerprint : d5a2253e34557b8f0b8cedb4a0418eb5

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