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    R342Y18ApplicationForm (1)

    Uploaded by

    Pratyush Sharma

    Copyright:

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

    R342Y18ApplicationForm (1)

    Uploaded by

    Pratyush Sharma
    0 views1 page

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    © © All Rights Reserved

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    0 views1 page

    R342Y18ApplicationForm (1)

    Uploaded by

    Pratyush Sharma

    Copyright:

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

    Zone/Scrutiny Code

    3GE R342Y18

    R342Y18 (Enrollment ID)

    PRATYUSH SHARMA
    (Full Name of the Applicant)

    03 Jan 2004 Male GEN


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

    Indian +91-9596921915 VISHAV BANDHU


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

    Communication Address GATE Exam Details


    WARD NO 4 GATE Paper Code
    NEAR GOVT DISTRICT HOSPITAL SAMBA
    SAMBA
    SAMBA
    Jammu and Kashmir 184121
    CS
    +91-8899253056 (Mobile No.) (Computer Science and
    Information Technology)
    poojasharma040276@gmail.com

    Qualification Details
    Exam City 1 : Jammu-Samba (JK)
    B. Tech
    Exam City 2 : New Delhi (DL)
    Computer Science & Engg.
    Graduated: No; Year of Graduation: 2026 Exam City 3 : Faridabad (HR)
    CHANDIGARH UNIVERSITY
    Bassian Brahman.,S.a.s nagar Zonal GATE Office Contact
    Punjab 140413 GATE Office
    Indian Institute of Technology Delhi
    Hauz Khas, New Delhi 110016
    Payment Details gate@admin.iitd.ac.in, 011-26591749

    Payment Mode Transaction Ref. No Transaction Date Amount Payment For


    Credit Card 113474204727 9/23/24, 1:54 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 : PRATYUSH SHARMA


    Digital Fingerprint : f550b6bf4042ee8b65df389f21a78a88

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