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R 336 N 13 Applicationform

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mehershivamverma
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0% found this document useful (0 votes)
22 views

R 336 N 13 Applicationform

Uploaded by

mehershivamverma
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

5SC R336N13

R336N13 (Enrollment ID)

MEHER SHIVAM
(Full Name of the Applicant)

06 Jan 2003 Male SC


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

Indian +91-6395411602 PAWAN KUMAR


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

Communication Address GATE Exam Details


14/160 duda colony lahariyapurwa GATE Paper Code
Orai
Uttar Pradesh 285001
+91-6395411602 (Mobile No.)
mehershivamverma2003@gmail.com
PE
(Petroleum Engineering)

Exam City 1 : Kanpur (UP)


Qualification Details Exam City 2 : Lucknow (UP)
B. A. Exam City 3 : Jhansi (UP)
Others.
Graduated: No; Year of Graduation: 2024 Zonal GATE Office Contact
PT. GHANARAM HARIRAM MAHAVIDYALAYA GATE Office
Orai Indian Institute of Technology Kanpur
Uttar Pradesh 285001
Kanpur 208016
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 : 0a7555ed552e82369bb5f7b8ea0e86b8

PROVISIONAL APPLICATION SUBJECT TO PAYMENT

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