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R389Q16ApplicationForm 3

The document is an application form for the GATE 2025 examination submitted by Puru Maharshi, a male applicant born on March 19, 2003, from West Bengal, India. It includes personal details, contact information, educational qualifications, GATE exam paper codes, and payment information for the application fee. The applicant confirms eligibility and agrees to the terms and conditions outlined in the declaration section.

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purumaharshi0
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0% found this document useful (0 votes)
2 views

R389Q16ApplicationForm 3

The document is an application form for the GATE 2025 examination submitted by Puru Maharshi, a male applicant born on March 19, 2003, from West Bengal, India. It includes personal details, contact information, educational qualifications, GATE exam paper codes, and payment information for the application fee. The applicant confirms eligibility and agrees to the terms and conditions outlined in the declaration section.

Uploaded by

purumaharshi0
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

6GE R389Q16

R389Q16 (Enrollment ID)

PURU MAHARSHI
(Full Name of the Applicant)

19 Mar 2003 Male GEN


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

Indian +91-7877675654 CHANDRA PRAKASH MAHARSHI


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

Communication Address GATE Exam Details


Wolfenden Hall GATE Paper Code1 GATE Paper Code2
IIEST, Shibpur, Howrah botanical garden W.B.
Shibpur, Howrah
West Bengal 711103
+91-7877675654 (Mobile No.)
MT XE
maharshipuma19@gmail.com (Metallurgical Engineering) (Engineering Sciences)

Qualification Details
Exam City 1 : Kolkata (WB)
B. Tech
Exam City 2 : Howrah (WB)
Metallurgical Engg.
Graduated: No; Year of Graduation: 2025 Exam City 3 : Kharagpur-Midnapur (WB)
INDIAN INSTITUTE OF ENGINEERING SCIENCE AND
TECHNOLOGY, SHIBPUR Zonal GATE Office Contact
Shibpur, Howrah GATE Office
West Bengal 711103 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 113479441905 9/26/24, 5:10 PM 3600.00 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 : Puru Maharshi


Digital Fingerprint : 159889e58c3a7ba2074ba514cecd0727

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