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C121 R60 Application Form

This document contains registration details for the GATE 2023 examination for Muzaffar Ali Khan. It includes his personal details like name, date of birth, gender, category, address and contact information. It also lists the exam details including the paper codes, exam cities, payment details and a declaration signed by Muzaffar Ali Khan confirming his eligibility.

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IMTEYAZ mallick
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64 views1 page

C121 R60 Application Form

This document contains registration details for the GATE 2023 examination for Muzaffar Ali Khan. It includes his personal details like name, date of birth, gender, category, address and contact information. It also lists the exam details including the paper codes, exam cities, payment details and a declaration signed by Muzaffar Ali Khan confirming his eligibility.

Uploaded by

IMTEYAZ mallick
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 Code

7OB
C121R60
C121R60 (Enrollment ID)

MUZAFFAR ALI KHAN


(Full Name of the Applicant)

17 May 1999 Male OBC-NCL


(D.O.B) (Gender) (Category)
Indian +91-9520184542 MUNAWWAR ALI KHAN
National (Parent/Guardian's Mobile Number) (Parent/Guardian's Name)

Communication Address GATE Exam Details


No. 5A,Velankurichi Road GATE Paper Code1 GATE Paper Code2
Opposite Police Station,Saravanampatty
Coimbatore
Tamil Nadu 641035
+91-7599039874 (Mobile No.)
EC IN
(Electronics and (Instrumentation
[email protected] Communication Engineering)
Engineering)
Qualification Details Exam City 1: Coimbatore (TN)
Exam City 2: Salem (TN)
B. Tech
Electronics Engg. Exam City 3: Dindigul (TN)
Graduated: Yes; Year of Graduation: 2021
ZAKIR HUSAIN COLLEGE OF ENGINEERING &
TECHNOLOGY Zonal GATE Office Contact
Aligarh
Chairperson, GATE
Uttar Pradesh 202002
Indian Institute of Technology Madras
Payment Details Chennai 600036

Payment Mode Transaction Ref. No Transaction Date Amount Payment For


Online order_KHrBKDUsEf8Yex 9/14/22, 10:36 PM INR 1700.00 Registration
Online order_KI53pn8NssC9fK 9/15/22, 12:11 PM INR 1700.00 Add Paper Fee

I confirm that I fulfil the eligibility criteria to appear for the Graduate Aptitude Test in Engineering (GATE 2023) examination and I, myself have filled up the
entire form in the portal. I have fully understood each and every point in the form and filled up the details accordingly. I agree to strictly comply with the code
of conduct for GATE 2023 examination as detailed in Appendix B of the Information Brochure. I confirm that the information provided by me in this form is
correct in all respect. I also confirm that I am NOT filling more than ONE form for myself.

If any of the information provided by me is found to be incorrect at any time later, my candidature for GATE 2023 will be cancelled. This cancellation of my
candidature can happen either before, during or after the examination, including the time after generation of my GATE 2023 score card, if any.

I also understand that GATE is NOT an admission ensuring examination, and qualifying in GATE examination does NOT guarantee admission / scholarship /
job. GATE 2023 committee is NOT liable for any legal obligations related to admission / job. I am aware that the data provided by me during the application
process as well as my GATE results may be shared for admission / recruitment purposes.

I shall be liable for legal action for providing any type of false information. GATE 2023 committee's decision will be final and legally binding on me.

e-Signature: Muzaffar Ali Khan


Digital Fingerprint: 2d5c7a05958a2d2e2049c29336bcdb9f

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