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    R294 E35 Application Form

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    pdfuwhsbe2

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    R294 E35 Application Form

    Uploaded by

    pdfuwhsbe2
    2 views1 page

    Original Title

    R294E35ApplicationForm (1)

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    2 views1 page

    R294 E35 Application Form

    Uploaded by

    pdfuwhsbe2

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    Application Form

    Zone/Scrutiny Code

    7OB R294E35

    R294E35 (Enrollment ID)

    KOWSIKA A
    (Full Name of the Applicant)

    12 Dec 2003 Female OBC-NCL


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

    Indian +91-9443417101 ATHTHIAPPAN K


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

    Communication Address GATE Exam Details


    30/A3,DhanalakshmiNagar GATE Paper Code
    Athur Road
    Turaiyur.,Tiruchirappalli
    Tamil Nadu 621010
    +91-9345429002 (Mobile No.)
    CS
    kowsikaa363@gmail.com (Computer Science and
    Information Technology)

    Qualification Details
    Exam City 1 : Tiruchirapalli (TN)
    B. Tech
    Exam City 2 : Thanjavur (TN)
    Information Technology.
    Graduated: No; Year of Graduation: 2025 Exam City 3 : Namakkal (TN)
    SHANMUGHA ARTS SCIENCE TECHNOLOGY & RESEARCH
    ACADEMY Zonal GATE Office Contact
    Vallam Pudur.,Thanjavur GATE Office
    Tamil Nadu 613401 Indian Institute of Technology Madras
    Chennai 600036
    Payment Details gate@iitm.ac.in, 044-22578200

    Payment Mode Transaction Ref. No Transaction Date Amount Payment For


    Unified Payments 113470628022 9/20/24, 6:36 PM 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 : Kowsika
    Digital Fingerprint : b5d3a4f1c649e0765d0f4bdd1d130971

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