Scribd
Upload
2 views

R428W94ApplicationForm (1)

The document is an application form for the GATE 2025 examination submitted by Sachin, a male applicant born on July 19, 2001, from Jhajjar, Haryana. It includes personal details, educational qualifications, exam preferences, and payment information for the application fee. The applicant confirms eligibility and compliance with the examination's rules and acknowledges the implications of providing false information.

Uploaded by

shallupunjabi
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
2 views

R428W94ApplicationForm (1)

The document is an application form for the GATE 2025 examination submitted by Sachin, a male applicant born on July 19, 2001, from Jhajjar, Haryana. It includes personal details, educational qualifications, exam preferences, and payment information for the application fee. The applicant confirms eligibility and compliance with the examination's rules and acknowledges the implications of providing false information.

Uploaded by

shallupunjabi
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
You are on page 1/ 1

Application Form

Zone/Scrutiny Code

3EW R428W94

R428W94 (Enrollment ID)

SACHIN
(Full Name of the Applicant)

19 Jul 2001 Male GEN-EWS


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

Indian +91-7015898362 SONIA


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

Communication Address GATE Exam Details


Silani Gate Jhajjar GATE Paper Code
Jhajjar
Haryana 124103
+91-9306100920 (Mobile No.)
sachinkhurana010@gmail.com
CY
(Chemistry)

Qualification Details
Exam City 1 : Gurugram (HR)
M. Sc
Exam City 2 : New Delhi (DL)
Chemistry.
Graduated: Yes; Year of Graduation: 2024 Exam City 3 : Greater NOIDA (UP)
NETAJI SUBHAS UNIVERSITY OF TECHNOLOGY
Dwarka sector -3, Dwarka Delhi Zonal GATE Office Contact
Delhi 110078 GATE Office
Indian Institute of Technology Delhi
Hauz Khas, New Delhi 110016
Payment Details gate@admin.iitd.ac.in, 011-26591749
Payment Mode Transaction Ref. No Transaction Date Amount Payment For
Unified Payments 113478355654 9/25/24, 10:40 PM 1800.00 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 : Sachin
Digital Fingerprint : 714e91624273965f72693d0c7a64df02

You might also like

pFad - Phonifier reborn

Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.

Note: This service is not intended for secure transactions such as banking, social media, email, or purchasing. Use at your own risk. We assume no liability whatsoever for broken pages.


Alternative Proxies:

Alternative Proxy

pFad Proxy

pFad v3 Proxy

pFad v4 Proxy