Scribd
Upload
14 views1 page

R508A36ApplicationForm (6)

The document is an application form for the GATE 2025 examination submitted by Prabhala Venkata Naga Sai Sirisha, a female applicant born on June 24, 2004, from Andhra Pradesh. It includes personal details, contact information, educational background, and payment information for the application fee. The applicant confirms eligibility and compliance with the examination's code of conduct, acknowledging the consequences of providing false information.

Uploaded by

228w1f0045
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
14 views1 page

R508A36ApplicationForm (6)

The document is an application form for the GATE 2025 examination submitted by Prabhala Venkata Naga Sai Sirisha, a female applicant born on June 24, 2004, from Andhra Pradesh. It includes personal details, contact information, educational background, and payment information for the application fee. The applicant confirms eligibility and compliance with the examination's code of conduct, acknowledging the consequences of providing false information.

Uploaded by

228w1f0045
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
You are on page 1/ 1

Application Form

Zone/Scrutiny Code

6GE R508A36

R508A36 (Enrollment ID)

PRABHALA VENKATA NAGA SAI SIRISHA


(Full Name of the Applicant)

24 Jun 2004 Female GEN


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

Indian +91-9441439178 PRABHALA V S S SASTRY


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

Communication Address GATE Exam Details


3-43/C TEACHERS COLONY TADIGADAPA GATE Paper Code
Poranki.,Krishna
Andhra Pradesh 521137
+91-9441786178 (Mobile No.)
p.v.n.s.sirisha2004@gmail.com
EC
(Electronics and
Communication
Engineering)

Qualification Details
Exam City 1 : Vijayawada (AP)
B. Tech
Exam City 2 : Eluru (AP)
Electronics & Communication.
Graduated: No; Year of Graduation: 2025 Exam City 3 : Tadepalligudem (AP)
SRK INSTITUTE OF TECHNOLOGY
Enikepadu.,Krishna Zonal GATE Office Contact
Andhra Pradesh 521108 GATE Office
Indian Institute of Technology Kharagpur
Kharagpur 721302
Payment Details gateonline@adm.iitkgp.ac.in, 03222-282091

Payment Mode Transaction Ref. No Transaction Date Amount Payment For


Unified Payments 113483644807 9/29/24, 6:07 PM 900.0 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 : PRABHALA V N S SIRISHA


Digital Fingerprint : 96c2eb491b3c3a37c86cfe614c8445f6

You might also like