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G 363 K 14 Applicationform

This document contains an application form for GATE 2015 submitted by Praveen Kumar. It includes his personal details like name, date of birth, gender, category, contact details, address, qualification details including his B.Tech degree from JNTU Kakinada in 2011. It also lists the GATE paper code as EC, preferred exam cities as Bangalore, Tumkur and Hyderabad, and contact details of the zonal GATE office. Payment details of Rs. 1500 through online mode on 23/09/2014 is mentioned along with a declaration signed with a digital fingerprint.

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Praveen Kumar Arjala
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40 views1 page

G 363 K 14 Applicationform

This document contains an application form for GATE 2015 submitted by Praveen Kumar. It includes his personal details like name, date of birth, gender, category, contact details, address, qualification details including his B.Tech degree from JNTU Kakinada in 2011. It also lists the GATE paper code as EC, preferred exam cities as Bangalore, Tumkur and Hyderabad, and contact details of the zonal GATE office. Payment details of Rs. 1500 through online mode on 23/09/2014 is mentioned along with a declaration signed with a digital fingerprint.

Uploaded by

Praveen Kumar Arjala
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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Zone/Scrutiny

GATE 2015

1OB
G363K14

G363K14

(Enrolment ID)

A Toshiba Praveen Kumar


(Full Name of the Applicant)

31 Oct 1989

Male

OBC

No

(D.O.B)

(Gender)

(Category)

(PD Status)

Indian National

9959935800

A V Ramana

(Parent's Mobile Number)

(Name of the Parent)

Communication Address
QTR NO.A-12,
AAI RESIDENTIAL COLONY, #16,
CAMBRIDGE LAYOUT, ULSOOR
BANGALORE
Karnataka 560008

99455 14411 (Mobile No.)


[email protected]

Qualification Details
B.Tech
Electronics/Comm./Telecomm Engg.
Graduated: Yes; Year of Graduation: 2011
JNTU KAKINADA
KAKINADA
Andhra Pradesh 533003

GATE Exam Details


GATE Paper Code

EC
Bangalore, KA
(Exam City 1)

Tumkur , KA
(Exam City 2)

Hyderabad, TS
(Exam City 3)

Zonal GATE Office Contact


Chairperson GATE
Indian Institute of Science Bangalore
Bengaluru 560012

Payment Details

Rs. 1500.00

Online

Payment Ref. No.: 1100100825


23/09/2014
I hereby declare that all the particulars stated in this application form are true to the best of my knowledge and
belief. I have read the Information Brochure and I shall abide by the terms and conditions therein. The
responsibility of following the GATE 2015 website and meeting various deadlines lies with me. In the event of
suppression or distortion of any fact in my application form, I understand that I will be denied the opportunity
to appear in GATE 2015. Further, if any suppression or distortion of facts is found after appearing in the
exam, any admission/degree/benefit acquired on the basis of GATE 2015 score/marks is liable to be
cancelled.

Digital
Fingerprint:

fd733d03aedf9f057f9c7a349eff77a1

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