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T 345 R 85 Applicationform

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nikhil barapatre
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0% found this document useful (0 votes)
16 views1 page

T 345 R 85 Applicationform

Uploaded by

nikhil barapatre
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

2OB T345R85

T345R85 (Enrollment ID)

NIKHIL CHANDRAPRAKASH BARAPATRE


(Full Name of the Applicant)

22 Sep 2001 Male OBC-NCL


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

Indian +91-7058484382 KIRAN BARAPATRE


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

Communication Address GATE Exam Details


D-5 Yashoda city GATE Paper Code
bela bhandara
Bhandara.,Bhandara
Maharashtra 441904
+91-9359222364 (Mobile No.)
CS
[email protected] (Computer Science and
Information Technology)

Qualification Details
Exam City 1 : Nagpur (MH)
B. Tech
Exam City 2 : Wardha (MH)
Computer Science & Engg.
Graduated: No; Year of Graduation: 2024 Exam City 3 : Pune (MH)
G.H. RAISONI COLLEGE OF ENGINEERING
IndlArea Nagpur.,Nagpur Zonal GATE Office Contact
Maharashtra 440016 GATE Office
Indian Institute of Technology Bombay
Powai, Mumbai 400076
Payment Details [email protected], 022-25767068

Payment Mode Transaction Ref. No Transaction Date Amount Payment For


Credit Card 113024492968 9/27/23, 8:52 PM 1800.00 Application Fee

DECLARATION
I confirm that I fulfil the eligibility criteria to appear for the Graduate Aptitude Test in Engineering (GATE 2024) examination. I have read the Information
Brochure and filled up the GATE 2024 Application Form myself. I agree to strictly comply with the code of conduct for GATE 2024 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 2024 may be cancelled, before, during, or
after the examination, including the time after generation of my GATE 2024 Score Card. Further, I understand that I may be liable for legal action for
providing false information. GATE 2024 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 2024 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 : Nikhil Chandraprakash Barapatre


Digital Fingerprint : 48abf67ec9eefde517a8119d046f5e03

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