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R417 J44 Application Form

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Amit verma
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0% found this document useful (0 votes)
14 views

R417 J44 Application Form

A

Uploaded by

Amit verma
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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Application Form

Zone/Scrutiny Code

5OB R417J44

R417J44 (Enrollment ID)

AMIT VERMA
(Full Name of the Applicant)

27 Nov 1998 Male OBC-NCL


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

Indian +91-9838389148 SHIVMURTI VERMA


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

Communication Address GATE Exam Details


Vill kodri post tinich district basti up GATE Paper Code
Vill kodri post tinich district basti
Tinich basti
Uttar Pradesh 272163
+91-8795370303 (Mobile No.)
CE
vamit4650@gmail.com (Civil Engineering)

Exam City 1 : Gorakhpur (UP)


Qualification Details Exam City 2 : Lucknow (UP)
B. Tech Exam City 3 : Prayagraj (UP)
Civil Engg.
Graduated: Yes; Year of Graduation: 2020 Zonal GATE Office Contact
BUNDELKHAND INSTITUTE OF ENGINEERING & GATE Office
TECHNOLOGY
Indian Institute of Technology Kanpur
Jhansi Kanpur 208016
Uttar Pradesh 284001
gate@iitk.ac.in, 0512-2596962

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.

Digital Fingerprint : 0bae8cb6f289d62a514eeca3ab7e46b4

PROVISIONAL APPLICATION SUBJECT TO PAYMENT

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