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R255 V26 Application Form

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Satyajit Pradhan
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7 views

R255 V26 Application Form

Uploaded by

Satyajit Pradhan
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

6OB R255V26

R255V26 (Enrollment ID)

SATYAJIT PRADHAN
(Full Name of the Applicant)

12 Jan 2004 Male OBC-NCL


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

Indian +91-9178714693 BASANTA KUMAR PRADHAN


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

Communication Address GATE Exam Details


Jagannath vihar lane 5 plot 136, GATE Paper Code
Bhubaneswar
Odisha 751003
+91-9040599352 (Mobile No.)
satyajitpradhan245@gmail.com
AG
(Agricultural Engineering)

Qualification Details
Exam City 1 : Bhubaneswar (OR)
B. Tech
Exam City 2 : Balasore (OR)
Agricultural Engg.
Graduated: No; Year of Graduation: 2026 Exam City 3 : Cuttack (OR)
GANDHI INSTITUTE FOR TECHNOLOGY
Gangapada, Khordha Zonal GATE Office Contact
Odisha 752054 GATE Office
Indian Institute of Technology Kharagpur
Kharagpur 721302
Payment Details gateonline@adm.iitkgp.ac.in, 03222-282091

Payment Mode Transaction Ref. No Transaction Date Amount Payment For


Unified Payments 113478016099 9/25/24, 6:51 PM 1800.0 Application Fee

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.

e-Signature : Satyajit Pradhan


Digital Fingerprint : 840a1e7fded801d907598eec263093ca

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