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R250R17ApplicationForm

The document is an application form for the GATE 2025 examination submitted by Mahesh V, an OBC-NCL male applicant born on February 7, 2004. He is currently pursuing a B.Tech in Electrical & Electronics Engineering at B.S. Abdur Rahman Institute of Science and Technology, with an expected graduation year of 2025. The application includes personal details, exam city preferences, payment information, and a declaration confirming the accuracy of the provided information.

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viswanthan1973k
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25 views

R250R17ApplicationForm

The document is an application form for the GATE 2025 examination submitted by Mahesh V, an OBC-NCL male applicant born on February 7, 2004. He is currently pursuing a B.Tech in Electrical & Electronics Engineering at B.S. Abdur Rahman Institute of Science and Technology, with an expected graduation year of 2025. The application includes personal details, exam city preferences, payment information, and a declaration confirming the accuracy of the provided information.

Uploaded by

viswanthan1973k
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

7OB R250R17

R250R17 (Enrollment ID)

MAHESH V
(Full Name of the Applicant)

07 Feb 2004 Male OBC-NCL


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

Indian +91-9791674198 VISWANATHAN K


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

Communication Address GATE Exam Details


119/49 LAST STREET ARANGAL DURUGAM POST GATE Paper Code
AMBUR
Tirupattur
Kadhavalam.,Tirupathur
Tamil Nadu 635811
EE
+91-9363041479 (Mobile No.) (Electrical Engineering)
mahesh2004vj@gmail.com

Qualification Details
Exam City 1 : Chennai South (TN)
B. Tech
Exam City 2 : Krishnagiri (TN)
Electrical & Electronics Engg.
Graduated: No; Year of Graduation: 2025 Exam City 3 : Chennai West (TN)
B.S. ABDUR RAHMAN INSTITUTE OF SCIENCE AND
TECHNOLOGY Zonal GATE Office Contact
Chengalpattu GATE Office
Tamil Nadu 600048 Indian Institute of Technology Madras
Chennai 600036
Payment Details gate@iitm.ac.in, 044-22578200

Payment Mode Transaction Ref. No Transaction Date Amount Payment For


Net Banking 113464368410 9/16/24, 6:01 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 : Mahesh V
Digital Fingerprint : 5bdc2dcec498c62bad4a915c999a7e80

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