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    R 198 Q 65 Applicationform

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    ChemicalABtech
    This document contains registration information for Himanshu Agrawal to take the GATE 2017 exam. It provides his personal details like name, date of birth, gender, address and contact information. It also lists the exam details including the paper code for Chemical Engineering, and exam cities. It concludes with details of his educational qualifications and payment information.

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    R 198 Q 65 Applicationform

    Uploaded by

    ChemicalABtech
    31 views1 page
    This document contains registration information for Himanshu Agrawal to take the GATE 2017 exam. It provides his personal details like name, date of birth, gender, address and contact information. It also lists the exam details including the paper code for Chemical Engineering, and exam cities. It concludes with details of his educational qualifications and payment information.

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    Chemical engineering Gate

    Original Title

    r 198 q 65 Applicationform

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    This document contains registration information for Himanshu Agrawal to take the GATE 2017 exam. It provides his personal details like name, date of birth, gender, address and contact information. It also lists the exam details including the paper code for Chemical Engineering, and exam cities. It concludes with details of his educational qualifications and payment information.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    31 views1 page

    R 198 Q 65 Applicationform

    Uploaded by

    ChemicalABtech
    This document contains registration information for Himanshu Agrawal to take the GATE 2017 exam. It provides his personal details like name, date of birth, gender, address and contact information. It also lists the exam details including the paper code for Chemical Engineering, and exam cities. It concludes with details of his educational qualifications and payment information.

    Copyright:

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

    Zone/Scrutiny GATE 2017

    2GE R198Q65
    R198Q65 (Enrollment ID)

    Himanshu Agrawal
    (Full Name of the Applicant)

    26 May 1993 Male GEN No


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

    Indian National +919092712641 Sunil Agrawal


    (Parent's Mobile Number) (Name of the Parent)

    Communication Address GATE Exam Details


    Himanshu Agrawal C/O MWO S.G Agrawal GATE Paper Code
    Signal section Airforce Station
    Jamnagar
    Jamnagar
    Gujarat 361003
    CH
    (Chemical Engineering)
    +918122729579 (Mobile No.)
    Ahmedabad, GJ
    [email protected] (Exam City 1)

    Qualification Details Rajkot, GJ


    (Exam City 2)
    B.Tech
    Chemical Engg. Surat, GJ
    (Exam City 3)
    Graduated: Yes; Year of Graduation: 2015
    SATHYABAMA UNIVERSITY Zonal GATE Office Contact
    CHENNAI Chairperson GATE
    Tamil Nadu 600119 Indian Institute of Technology Bombay
    Powai, Mumbai 400076
    Payment Details
    Online Rs. 1500.00
    Payment Ref. No.: IGAAARJYV4
    06/10/2016

    I hereby declare that all the particulars stated in this application form are true to the best of my knowledge and
    belief. I have read the Information Brochure and I shall abide by the terms and conditions therein. The
    responsibility of following the GATE 2017 website and meeting various deadlines lies with me. In the event of
    suppression or distortion of any fact in my application form, I understand that I will be denied the opportunity
    to appear in GATE 2017. Further, if any suppression or distortion of facts is found after appearing in the
    exam, any admission/degree/benefit acquired on the basis of GATE 2017 score/marks is liable to be
    cancelled.

    Digital
    Fingerprint: 477b89fbb53ae0b76a63d2fd80965275

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