C 168 F 86 Applicationform

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Zone/Scrutiny GATE 2019

6GE C168F86
C168F86 (Enrollment ID)

ASHKAND KUMAR
(Full Name of the Applicant)

02 Sep 1994 Male GEN


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

Indian +91-9572016205 KAMAL KUNWAR


National (Mobile Number of Parent/Guardian) (Name of Parent/Guardian)

Communication Address GATE Exam Details


VILL-RAMPUR GATE Paper Code
WARD NO-03
BEGUSARAI
Bihar 848201
+91-8342965392 (Mobile No.)
EE
(Electrical Engineering)
ashkandkumar1307089@gmail.com
Bhubaneswar, OR
(Exam City 1)

Qualification Details Cuttack, OR


(Exam City 2)
B.Tech
Electrical & Electronics Engg. Balasore, OR
(Exam City 3)
Graduated: Yes; Year of Graduation: 2017
KALINGA INSTITUE OF INDUSTRIAL Zonal GATE Office Contact
BHUBANESWAR Chairperson, GATE
Odisha 751024 Indian Institute of Technology Kharagpur
Kharagpur 721302
Payment Details
Online Rs. 1500.00
Payment Ref. No.: NHMP6652108352 06/09/2018

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 2019 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 2019. 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 2019 score/marks is liable to be
cancelled.

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