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    T191 E25 Application Form

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    feelings556
    This document is an application form for the GATE exam. It contains information about the applicant such as name, date of birth, gender, category, contact details, education details, exam details, payment details, and declaration.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    T191 E25 Application Form

    Uploaded by

    feelings556
    13 views1 page
    This document is an application form for the GATE exam. It contains information about the applicant such as name, date of birth, gender, category, contact details, education details, exam details, payment details, and declaration.

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    T191E25ApplicationForm

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    This document is an application form for the GATE exam. It contains information about the applicant such as name, date of birth, gender, category, contact details, education details, exam details, payment details, and declaration.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    13 views1 page

    T191 E25 Application Form

    Uploaded by

    feelings556
    This document is an application form for the GATE exam. It contains information about the applicant such as name, date of birth, gender, category, contact details, education details, exam details, payment details, and declaration.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    Application Form

    Zone/Scrutiny Code

    2OB T191E25

    T191E25 (Enrollment ID)

    SAGAR SATISH GUMMALWAR


    (Full Name of the Applicant)

    20 May 2002 Male OBC-NCL


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

    Indian +91-8459693976 KRISHNA DURGAYYA GUMMALWAR


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

    Communication Address GATE Exam Details


    Dr zakir hussain ward ballarpur GATE Paper Code
    near chota hanuman mandir ballarpur
    near noori masjid ballarpur
    ballarpur
    Maharashtra 442701
    MN
    +91-7620638814 (Mobile No.) (Mining Engineering)
    sagargummalwar13@gmail.com

    Qualification Details
    Exam City 1 : Chandrapur (MH)
    B. Tech
    Exam City 2 : Wardha (MH)
    Mining Engg. / Technology
    Graduated: No; Year of Graduation: 2024 Exam City 3 : Nagpur (MH)
    RAJIV GANDHI COLLEGE OF ENGINEERING, RESEARCH
    AND TECHNOLOGY CHANDRAPUR Zonal GATE Office Contact
    Chandrapur GATE Office
    Maharashtra 442403 Indian Institute of Technology Bombay
    Powai, Mumbai 400076
    Payment Details
    gateoffice@iitb.ac.in, 022-25767068

    Payment Mode Transaction Ref. No Transaction Date Amount Payment For


    Unified Payments 113013254244 9/17/23, 8:20 PM 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 : sagar satish gummalwar


    Digital Fingerprint : a0b79275b3b3bea1026745d0b0f52a5e

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