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15 Jun 1996 Male GEN No: Communication Address GATE Exam Details

This document contains application details for GATE 2017 for Shaik Mohammad Jafar Sadiq Muqtar, including personal details like date of birth, gender, category; communication address; qualification details from NIT Calicut graduating in 2017; preferred GATE paper and exam cities; and payment details. The applicant declares that all information provided is true and acknowledges the terms and conditions of appearing for GATE 2017.

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0% found this document useful (0 votes)
43 views1 page

15 Jun 1996 Male GEN No: Communication Address GATE Exam Details

This document contains application details for GATE 2017 for Shaik Mohammad Jafar Sadiq Muqtar, including personal details like date of birth, gender, category; communication address; qualification details from NIT Calicut graduating in 2017; preferred GATE paper and exam cities; and payment details. The applicant declares that all information provided is true and acknowledges the terms and conditions of appearing for GATE 2017.

Uploaded by

Jafar Sadiq
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Zone/Scrutiny GATE 2017

1GE R413Q48
R413Q48 (Enrollment ID)

Shaik Mohammad Jafar Sadiq Muqtar


(Full Name of the Applicant)

15 Jun 1996 Male GEN No


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

Indian National +917799121463 K Nisar Ahamad


(Parent's Mobile Number) (Name of the Parent)

Communication Address GATE Exam Details


room no.306,F hostel GATE Paper Code
NIT calicut
kozhikode
Kerala 673601
+918589806718 (Mobile No.)
EE
(Electrical Engineering)
[email protected] Kozhikode, KL
(Exam City 1)

Qualification Details Malappuram, KL


(Exam City 2)
B.Tech
Electrical Engg./Electrical and Electronics Engg. Kannur, KL
(Exam City 3)
Graduated: No; Year of Graduation: 2017
NIT calicut Zonal GATE Office Contact
kozhikode Chairperson GATE
Kerala 673601 Indian Institute of Science Bangalore
Bengaluru 560012
Payment Details
Online Rs. 1500.00
Payment Ref. No.: IG0CUQTSE3
01/10/2016

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 2017 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 2017. 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 2017 score/marks is liable to be
cancelled.

Digital
Fingerprint: 72c6aead3356a4094525ce42e8418c55

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