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    R475 N26 Application Form

    Uploaded by

    Kartik Kant

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    R475 N26 Application Form

    Uploaded by

    Kartik Kant
    5 views1 page

    Original Title

    R475N26ApplicationForm (1)

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    Copyright:

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    5 views1 page

    R475 N26 Application Form

    Uploaded by

    Kartik Kant

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    You are on page 1of 1

    Application Form

    Zone/Scrutiny Code

    4GE R475N26

    R475N26 (Enrollment ID)

    KARTIK KANT RAMAN


    (Full Name of the Applicant)

    02 Dec 2000 Male GEN


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

    Indian +91-9835411664 KRISHNA KANT RAMAN


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

    Communication Address GATE Exam Details


    Maa Sati Raj Bhawan GATE Paper Code
    New Area Beldari Tola
    Gaya, Bihar
    Gaya
    Bihar 823001
    MN
    +91-9262770220 (Mobile No.) (Mining Engineering)
    kartikkant02@gmail.com

    Qualification Details
    Exam City 1 : Dhanbad (JH)
    M. Tech Dual Degree (After Diploma or 10 + 2)
    Exam City 2 : Asansol-Durgapur (WB)
    Mining Engg. / Technology
    Graduated: Yes; Year of Graduation: 2024 Exam City 3 : Patna (BR)
    NATIONAL INSTITUTE OF TECHNOLOGY, ROURKELA
    Rourkela - 8.,Sundargarh Zonal GATE Office Contact
    Odisha 769008 GATE Office
    Indian Institute of Technology Guwahati
    Guwahati 781039
    Payment Details gate@iitg.ac.in, 0361-2582751
    Payment Mode Transaction Ref. No Transaction Date Amount Payment For
    Unified Payments 113479745910 9/26/24, 7:46 PM 1800.0 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 : Kartik Kant Raman


    Digital Fingerprint : 15b208e73d252d8d8428c2dd8687c36c

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