26 Nov 1998 Female GEN: Communication Address GATE Exam Details

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Zone/Scrutiny Code GATE 2021

6GE B243W48
B243W48 (Enrollment ID)

MONALISA BEHERA
(Full Name of the Applicant)

26 Nov 1998 Female GEN


(D.O.B) (Gender) (Category)
Indian +91-9937115319 RANJAN KUMAR BEHERA
National (Parent/Guardian's Mobile Number) (Parent/Guardian's Name)

Communication Address GATE Exam Details


AT-COLLEGE CHOWK GATE Paper Code
PS-KENDRAPARA
DIST-KENDRAPARA
Kendrapara
Odisha 754211
EE
(Electrical Engineering)
+91-7381940447 (Mobile No.)

Qualification Details Exam City 1: Bhubaneswar (OR)


Exam City 2: Cuttack (OR)
B.Tech
Electrical Engg. Exam City 3: Rourkela (OR)
Graduated: No; Year of Graduation: 2021 Exam City 4: Sambalpur (OR)
RAAJDHANI ENGINEERING COLLEGE
Mancheswar Zonal GATE Office Contact
Odisha 751017 Chairperson, GATE
Indian Institute of Technology Kharagpur
Payment Details Kharagpur 721302

Payment Mode Transaction Ref. No Transaction Date Amount Payment For


Online CPAAHXGQY9 23/9/20 6:53 PM INR 750.00 Registration

I confirm that I fulfil the eligibility criteria to appear for the Graduate Aptitude Test in Engineering (GATE 2021)
examination and I, myself have filled up the entire form in the GOAPS portal. I have fully understood each and
every point in the form and filled up the details accordingly. I agree to strictly comply with the code of conduct
for GATE 2021 examination as detailed in Appendix B of the Information Brochure. I confirm that the
information provided by me in this form is correct in all respect. I also confirm that I am NOT filling more than
ONE form for myself.

If any of the information provided by me is found to be incorrect at any time later, my candidature for GATE
2021 will be cancelled. This cancellation of my candidature can happen either before, during or after the
examination, including the time after generation of my GATE 2021 score card, if any.

I also understand that GATE is NOT an admission ensuring examination, and qualifying in GATE examination
does NOT guarantee admission / scholarship / job. GATE 2021 committee is NOT liable for any legal
obligations related to admission / job.

I shall be liable for legal action for providing any type of false information. GATE 2021 committee's decision will
be final and legally binding on me.

e-Signature: MONALISA BEHERA


Digital Fingerprint: 7d26160cc9f25d4956510b45632427d4

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