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    R479M47ApplicationForm (1)

    Uploaded by

    SHR extreme

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    © All Rights Reserved
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    R479M47ApplicationForm (1)

    Uploaded by

    SHR extreme
    5 views1 page

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    © © All Rights Reserved

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    5 views1 page

    R479M47ApplicationForm (1)

    Uploaded by

    SHR extreme

    Copyright:

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

    Zone/Scrutiny Code

    8OB R479M47

    R479M47 (Enrollment ID)

    SHREYANSH
    (Full Name of the Applicant)

    17 Nov 2003 Male OBC-NCL


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

    Indian +91-9717348189 AVADHESH KUMAR


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

    Communication Address GATE Exam Details


    Qr no. 9, type-3, tehsil compound. GATE Paper Code1 GATE Paper Code2
    gandhinagar, ghaziabad
    Ingrahm Institute.,Ghaziabad
    Uttar Pradesh 201002
    +91-8595240616 (Mobile No.)
    CS DA
    shrextreme083@gmail.com (Computer Science and (Data Science and Artificial
    Information Technology) Intelligence)

    Qualification Details
    Exam City 1 : Ghaziabad (UP)
    B. Tech
    Exam City 2 : NOIDA (UP)
    Computer Science & Engg.
    Graduated: Yes; Year of Graduation: 2024 Exam City 3 : Moradabad (UP)
    GALGOTIAS UNIVERSITY
    Zonal GATE Office Contact
    Parsol.,Gautam buddha nagar GATE Office
    Uttar Pradesh 203201 Indian Institute of Technology Roorkee
    Roorkee 247667
    Payment Details helpdesk.gate@iitr.ac.in, 01332-284531

    Payment Mode Transaction Ref. No Transaction Date Amount Payment For


    Unified Payments 113479864605 9/26/24, 8:49 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 : Shreyansh
    Digital Fingerprint : a9a38d020bf59a804c221f3edf1f553b

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