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    r 289 a 17 Applicationform

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    ansmay918

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    r 289 a 17 Applicationform

    Uploaded by

    ansmay918
    2 views1 page

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    2 views1 page

    r 289 a 17 Applicationform

    Uploaded by

    ansmay918

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    © All Rights Reserved
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    Application Form

    Zone/Scrutiny Code

    4GE R289A17

    R289A17 (Enrollment ID)

    MAYANK AGARWAL
    (Full Name of the Applicant)

    18 Mar 1999 Male GEN


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

    Indian +91-9142390955 GOVIND AGARWAL


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

    Communication Address GATE Exam Details


    Manbad jharia GATE Paper Code
    Dhanbad
    Jharkhand 828111
    +91-9508243053 (Mobile No.)
    mayankagarwal040897@gmail.com
    ME
    (Mechanical Engineering)

    Exam City 1 : Dhanbad (JH)


    Qualification Details Exam City 2 : Bokaro Steel City (JH)
    B. Tech Exam City 3 : Asansol-Durgapur (WB)
    Mechanical Engg.
    Graduated: Yes; Year of Graduation: 2024 Zonal GATE Office Contact
    BIT sindri GATE Office
    Indian Institute of Technology Guwahati
    SIT.,Dhanbad Guwahati 781039
    Jharkhand 828123
    gate@iitg.ac.in, 0361-2582751

    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 : 6fd6faaabd3b5ea31b46769913e36b1c

    PROVISIONAL APPLICATION SUBJECT TO PAYMENT

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