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R 405 C 67 Applicationform

The document is an application form for the GATE 2025 examination submitted by Divyanshi Yadav, a female applicant from the OBC-NCL category, with an enrollment ID of R405C67. It includes personal details, communication address, qualification information, and payment details for the application fee. The applicant confirms eligibility and compliance with GATE examination rules, acknowledging the legal implications of providing false information.

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yadavdivyanshi616
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23 views1 page

R 405 C 67 Applicationform

The document is an application form for the GATE 2025 examination submitted by Divyanshi Yadav, a female applicant from the OBC-NCL category, with an enrollment ID of R405C67. It includes personal details, communication address, qualification information, and payment details for the application fee. The applicant confirms eligibility and compliance with GATE examination rules, acknowledging the legal implications of providing false information.

Uploaded by

yadavdivyanshi616
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

5OB R405C67

R405C67 (Enrollment ID)

DIVYANSHI YADAV
(Full Name of the Applicant)

13 Sep 2005 Female OBC-NCL


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

Indian +91-8099021307 VINOD KUMAR


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

Communication Address GATE Exam Details


avas vikas colony barabanki GATE Paper Code
Rasauli.,Barabanki
Uttar Pradesh 225001
+91-6306888917 (Mobile No.)
yadavdivyanshi616@gmail.com
CS
(Computer Science and
Information Technology)

Qualification Details
Exam City 1 : Lucknow (UP)
B. Tech
Exam City 2 : Kanpur (UP)
Computer Science & Engg.
Graduated: No; Year of Graduation: 2026 Exam City 3 : Varanasi (UP)
Goel Institute of technology and management
Lucknow Zonal GATE Office Contact
Uttar Pradesh 226028 GATE Office
Indian Institute of Technology Kanpur
Kanpur 208016
Payment Details gate@iitk.ac.in, 0512-2596962

Payment Mode Transaction Ref. No Transaction Date Amount Payment For


Unified Payments 113479765238 9/26/24, 7:56 PM 900.0 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 : Divyanshi yadav


Digital Fingerprint : 890456e921869b34cdfb4000335373d1

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