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b 122 s 78 Applicationform
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(Enrolment ID)B122S78
Zone/Scrutiny
Payment DetailsRs. 1500.00
3GE
(D.O.B)
Qualification Details (Exam City 1)
Amitesh Kumar(Full Name of the Applicant)
07 May 1995 Male
Indian National
GEN No
B.Tech
Ravindra Singh
Haryana 121006
YMCA UST
Communication Address
Graduated: No; Year of Graduation: 2016Electrical Engg./Electrical and Electronics Engg.
I hereby declare that all the particulars stated in this application form are true to the best of my knowledge andbelief. I have read the Information Brochure and I shall abide by the terms and conditions therein. Theresponsibility of following the GATE 2016 website and meeting various deadlines lies with me. In the event ofsuppression or distortion of any fact in my application form, I understand that I will be denied the opportunityto appear in GATE 2016. Further, if any suppression or distortion of facts is found after appearing in theexam, any admission/degree/benefit acquired on the basis of GATE 2016 score/marks is liable to becancelled.
DigitalFingerprint:
OnlinePayment Ref. No.: CP29099462
C/O- A.K Singh, Shivalaya LaneEast LohanipurKadamkuanPatnaBihar 80000388022 39351 (Mobile No.)[email protected]
Zonal GATE Office ContactChairperson GATE
Hauz Khas, New Delhi 110016
6ba064a42443f871d82f990bcad0deea
GATE Exam Details
(Exam City 2)
19/09/2015
FARIDABAD
GATE 2016
(Exam City 3)
(Gender) (Category) (PD Status)
GATE Paper Code
9973143709
EENew Delhi , DL
Gurgaon , HR
Faridabad , HR
Indian Institute of Technology Delhi
(Parent's Mobile Number) (Name of the Parent)
B122S78
(Electrical Engineering)