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R417 M59 Application Form

The document is an application form for the GATE 2025 examination submitted by Venkata Naga Sai Sri Poojitha Nimmagadda, a female applicant born on November 15, 2005. It includes personal details, communication address, examination details, and payment information for the application fee. The applicant confirms eligibility and agrees to the terms and conditions outlined for the GATE examination.

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27 views1 page

R417 M59 Application Form

The document is an application form for the GATE 2025 examination submitted by Venkata Naga Sai Sri Poojitha Nimmagadda, a female applicant born on November 15, 2005. It includes personal details, communication address, examination details, and payment information for the application fee. The applicant confirms eligibility and agrees to the terms and conditions outlined for the GATE examination.

Uploaded by

ngspadmaja
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

1GE R417M59

R417M59 (Enrollment ID)

VENKATA NAGA SAI SRI POOJITHA NIMMAGADDA


(Full Name of the Applicant)

15 Nov 2005 Female GEN


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

Indian +91-9441680832 N SESHA SAI


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

Communication Address GATE Exam Details


AMRITA SCHOOL OF ENGINEERING GATE Paper Code
Carmelram.,Bengaluru urban
Karnataka 560035
+91-9059651932 (Mobile No.)
[email protected]
ME
(Mechanical Engineering)

Qualification Details
Exam City 1 : Bengaluru South (KA)
B. Tech
Exam City 2 : Hyderabad (TS)
Mechanical Engg.
Graduated: No; Year of Graduation: 2026 Exam City 3 : Mysuru (KA)
AMRITA SCHOOL OF ENGINEERING
Zonal GATE Office Contact
Carmelram.,Bengaluru urban GATE Office
Karnataka 560035 Indian Institute of Science
Bengaluru 560012
Payment Details [email protected], 080-22932644

Payment Mode Transaction Ref. No Transaction Date Amount Payment For


Credit Card 113478469701 9/26/24, 4:34 AM 900.00 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 : VENKATA NAGA SAI SRI POOJITHA NIMMAGADDA


Digital Fingerprint : 9936945e8a107f7d8e7d13446614ae57

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