T 357 e 15 Applicationform

Download as pdf or txt
Download as pdf or txt
You are on page 1of 1

Application Form

Zone/Scrutiny Code

7OB T357E15

T357E15 (Enrollment ID)

GOLLAPALLI CHARAN TEJA


(Full Name of the Applicant)

27 May 2003 Male OBC-NCL


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

Indian +91-9951735503 GOLLAPALLI MALYADRI


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

Communication Address GATE Exam Details


1-211c, Rallapadu gramam GATE Paper Code
Linasamudram Mandalam, Prakasam
Andhra Pradesh 523114
+91-7337457765 (Mobile No.)
charangct995@gmail.com
CS
(Computer Science and
Information Technology)

Qualification Details
Exam City 1 : Ongole (AP)
B. Tech
Exam City 2 : Nellore (AP)
Computer Science & Engg.
Graduated: No; Year of Graduation: 2024 Exam City 3 : Chirala (AP)
PACE INSTITUTE OF TECHNOLOGY & SCIENCES
Zonal GATE Office Contact
Ongole GATE Office
Andhra Pradesh 523272 Indian Institute of Technology Madras
Chennai 600036
Payment Details
gate@iitm.ac.in, 044-22578200

Payment Mode Transaction Ref. No Transaction Date Amount Payment For


Unified Payments 113024945918 9/28/23, 11:17 AM 1800.00 Application Fee

DECLARATION
I confirm that I fulfil the eligibility criteria to appear for the Graduate Aptitude Test in Engineering (GATE 2024) examination. I have read the Information
Brochure and filled up the GATE 2024 Application Form myself. I agree to strictly comply with the code of conduct for GATE 2024 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 2024 may be cancelled, before, during, or
after the examination, including the time after generation of my GATE 2024 Score Card. Further, I understand that I may be liable for legal action for
providing false information. GATE 2024 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 2024 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 : Gollapalli Charan Teja


Digital Fingerprint : dece148e8b551ab6e604091156a03912

You might also like

pFad - Phonifier reborn

Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.

Note: This service is not intended for secure transactions such as banking, social media, email, or purchasing. Use at your own risk. We assume no liability whatsoever for broken pages.


Alternative Proxies:

Alternative Proxy

pFad Proxy

pFad v3 Proxy

pFad v4 Proxy