Application Form
Zone/Scrutiny Code
6SC R114E36
R114E36 (Enrollment ID)
PRITIPRABHA BEHERA
(Full Name of the Applicant)
14 Oct 2004 Female SC
(D.O.B) (Gender) (Category)
Indian +91-8763401083 PRAKASH CHANDRA BEHERA
National (Parent/Guardian's Mobile Number) (Parent/Guardian's Name)
Communication Address GATE Exam Details
Qr. no. - B/1542, Nalconagar, Angul GATE Paper Code
ANGUL
Odisha 759145
+91-8763787310 (Mobile No.)
pritiprabha2004@gmail.com
ME
(Mechanical Engineering)
Qualification Details
Exam City 1 : Bhubaneswar (OR)
B. Tech
Exam City 2 : Cuttack (OR)
Mechanical Engg.
Graduated: No; Year of Graduation: 2026 Exam City 3 : Dhenkanal (OR)
ODISHA UNIVERSITY OF TECHNOLOGY AND RESEARCH
Bhubaneswar Zonal GATE Office Contact
Odisha 751003 GATE Office
Indian Institute of Technology Kharagpur
Kharagpur 721302
Payment Details gateonline@adm.iitkgp.ac.in, 03222-282091
Payment Mode Transaction Ref. No Transaction Date Amount Payment For
Unified Payments 113452502514 9/8/24, 5:58 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 : Pritiprabha Behera
Digital Fingerprint : 71beb63a82e3f2c90add1294a8291e82
