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R 410 P 61 Applicationform

The document is an application form for the GATE 2025 examination submitted by Sheelendra Kumar, who is an OBC-NCL male candidate born on March 3, 1999, with a B.Tech in Mechanical Engineering. It includes personal details, communication address, GATE exam details, and a declaration confirming eligibility and compliance with examination rules. The application is provisional and subject to payment, with a digital fingerprint for verification.

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Sheelendra kumar
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10 views1 page

R 410 P 61 Applicationform

The document is an application form for the GATE 2025 examination submitted by Sheelendra Kumar, who is an OBC-NCL male candidate born on March 3, 1999, with a B.Tech in Mechanical Engineering. It includes personal details, communication address, GATE exam details, and a declaration confirming eligibility and compliance with examination rules. The application is provisional and subject to payment, with a digital fingerprint for verification.

Uploaded by

Sheelendra kumar
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 R410P61

R410P61 (Enrollment ID)

SHEELENDRA KUMAR
(Full Name of the Applicant)

03 Mar 1999 Male OBC-NCL


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

Indian +91-7599709181 PREMPAL SINGH


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

Communication Address GATE Exam Details


Vill himmatpur GATE Paper Code1 GATE Paper Code2
Post baghraya
District hathras
Kailora.,Hathras
Uttar Pradesh 204102
ME XE
+91-9557829588 (Mobile No.) (Mechanical Engineering) (Engineering Sciences)
gi7307@myamu.ac.in

Exam City 1 : Aligarh (UP)


Qualification Details Exam City 2 : Agra (UP)
B. Tech Exam City 3 : Kanpur (UP)
Mechanical Engg.
Graduated: Yes; Year of Graduation: 2022 Zonal GATE Office Contact
ZAKIR HUSSAIN COLLEGE OF ENGINEERING AND GATE Office
TECHNOLOGY
Indian Institute of Technology Kanpur
Ahmedpur.,Aligarh Kanpur 208016
Uttar Pradesh 202002
gate@iitk.ac.in, 0512-2596962

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.

Digital Fingerprint : 8ca15e0aab9b89c89e705a9228659113

PROVISIONAL APPLICATION SUBJECT TO PAYMENT

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