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Gate Application Form

Shivam Pandurang Kachole is applying to take the GATE 2023 exam. He is an Indian male from the GEN-EWS category, born on March 11, 2002. He is currently studying for a B.Tech in Computer Science and Engineering, expected to graduate in 2024 from SHREEYASH PRATISHTHANS, SHREEYASH COLLEGE OF ENGINEERING & TECHNOLOGY in Aurangabad, Maharashtra. He will be taking the Computer Science paper in the GATE exam in Nashik, Nanded, or Pune. He has paid the registration fees of INR 1700 by online payment.

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0% found this document useful (0 votes)
215 views

Gate Application Form

Shivam Pandurang Kachole is applying to take the GATE 2023 exam. He is an Indian male from the GEN-EWS category, born on March 11, 2002. He is currently studying for a B.Tech in Computer Science and Engineering, expected to graduate in 2024 from SHREEYASH PRATISHTHANS, SHREEYASH COLLEGE OF ENGINEERING & TECHNOLOGY in Aurangabad, Maharashtra. He will be taking the Computer Science paper in the GATE exam in Nashik, Nanded, or Pune. He has paid the registration fees of INR 1700 by online payment.

Uploaded by

shivam kachole
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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Zone/Scrutiny Code

2EW
C125F84
C125F84 (Enrollment ID)

SHIVAM PANDURANG KACHOLE


(Full Name of the Applicant)

11 Mar 2002 Male GEN-EWS


(D.O.B) (Gender) (Category)
Indian +91-7820860622 PANDURANG KACHOLE
National (Parent/Guardian's Mobile Number) (Parent/Guardian's Name)

Communication Address GATE Exam Details


Srl no 179 5a plot no 12, Aurangabad GATE Paper Code
Aurangabad
Maharashtra 431001
+91-9552451188 (Mobile No.)
[email protected]
CS
(Computer Science and
Information Technology)

Qualification Details Exam City 1: Nashik (MH)


Exam City 2: Nanded (MH)
B. Tech
Computer Science & Engg. Exam City 3: Pune (MH)
Graduated: No; Year of Graduation: 2024
SHREEYASH PRATISHTHANS, SHREEYASH COLLEGE OF
ENGINEERING & TECHNOLOGY Zonal GATE Office Contact
Aurangabad
Chairperson, GATE
Maharashtra 431001
Indian Institute of Technology Bombay
Payment Details Powai, Mumbai 400076

Payment Mode Transaction Ref. No Transaction Date Amount Payment For


Online order_KPLrUaiag96CyI 10/3/22, 9:10 PM INR 1700.00 Registration

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: Shivam Pandurang Kachole


Digital Fingerprint: 8e4061ceab22b2f98a42651ab4b5079e

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