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C213 F19 Application Form

The document provides details of an application for the Graduate Aptitude Test in Engineering (GATE) 2023 exam, including personal details of the applicant such as name, date of birth, gender, category, address, contact details, educational qualifications, exam city preferences, and a confirmation of eligibility.

Uploaded by

HABIB ABDULLAH
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20 views

C213 F19 Application Form

The document provides details of an application for the Graduate Aptitude Test in Engineering (GATE) 2023 exam, including personal details of the applicant such as name, date of birth, gender, category, address, contact details, educational qualifications, exam city preferences, and a confirmation of eligibility.

Uploaded by

HABIB ABDULLAH
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
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Zone/Scrutiny Code

4EW
C213F19
C213F19 (Enrollment ID)

HABIB ABDULLAH
(Full Name of the Applicant)

24 Aug 1997 Male GEN-EWS


(D.O.B) (Gender) (Category)
Indian +91-7002051229 HAZRAT ALI
National (Parent/Guardian's Mobile Number) (Parent/Guardian's Name)

Communication Address GATE Exam Details


BUNMAJA GAON GATE Paper Code
BAKSA
BARPETA ROAD
Assam 781315
+91-8822774495 (Mobile No.)
EE
(Electrical Engineering)
habib.716024@gmail.com

Qualification Details Exam City 1: Guwahati (AS)


Exam City 2: Jorhat (AS)
B. E.
Electrical Engg. Exam City 3: Tezpur (AS)
Graduated: Yes; Year of Graduation: 2019
JORHAT ENGINEERING COLLEGE
JORHAT Zonal GATE Office Contact
Assam 785007 Chairperson, GATE
Indian Institute of Technology Guwahati
Guwahati 781039

I confirm that I fulfil the eligibility criteria to appear for the Graduate Aptitude Test in Engineering (GATE 2023) examination and I, myself have filled up the
entire form in the 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 2023 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 2023 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 2023 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 2023 committee is NOT liable for any legal obligations related to admission / job. I am aware that the data provided by me during the application
process as well as my GATE results may be shared for admission / recruitment purposes.

I shall be liable for legal action for providing any type of false information. GATE 2023 committee's decision will be final and legally binding on me.

Digital Fingerprint: a6a5d07fd9812c7b95818527865bc405

PROVISIONAL APPLICATION SUBJECT TO PAYMENT

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