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R122 G32 Application Form

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HARSH KAPOOR
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0% found this document useful (0 votes)
29 views1 page

R122 G32 Application Form

Uploaded by

HARSH KAPOOR
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

3GE R122G32

R122G32 (Enrollment ID)

HARSH KAPOOR
(Full Name of the Applicant)

16 Nov 2003 Male GEN


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

Indian +91-9039430279 REKHA KAPOOR


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

Communication Address GATE Exam Details


127,AMRIT NAGAR DEWAS MP 455001 GATE Paper Code
Dewas
Madhya Pradesh 455001
+91-9109460279 (Mobile No.)
[email protected]
DA
(Data Science and Artificial
Intelligence)

Qualification Details
Exam City 1 : Indore (MP)
B. Tech
Exam City 2 : Ujjain (MP)
Others.
Graduated: No; Year of Graduation: 2025 Exam City 3 : New Delhi (DL)
Acropolis institue of technoogy and research
Zonal GATE Office Contact
Dakachiya.,Indore GATE Office
Madhya Pradesh 453771 Indian Institute of Technology Delhi
Hauz Khas, New Delhi 110016
Payment Details [email protected], 011-26591749

Payment Mode Transaction Ref. No Transaction Date Amount Payment For


Unified Payments 113479604397 9/26/24, 6:35 PM 1800.00 Application Fee

DECLARATION
I confirm that I fulfil the eligibility criteria to appear for the Graduate Aptitude Test in Engineering (GATE 2025) examination. I have read the Information
Brochure and filled up the GATE 2025 Application Form myself. I agree to strictly comply with the code of conduct for GATE 2025 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 2025 may be cancelled, before, during, or
after the examination, including the time after generation of my GATE 2025 Score Card. Further, I understand that I may be liable for legal action for
providing false information. GATE 2025 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 2025 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 : HARSH KAPOOR


Digital Fingerprint : 0499f8dd7d7ef6dd9e00e9636547e116

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