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    C 298 N 82 Applicationform

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    praveen pandey
    Shivam Dubey, an Indian male from the GEN-EWS category, applied to take the GATE 2023 exam. He was born on April 17, 2002 and is currently pursuing a B.Tech in Chemical Engineering with expected graduation in 2023 from Dr. Ambedkar Institute of Technology for Handicapped in Kanpur, Uttar Pradesh. He listed his communication address as Village Pure Badal Sanda Suriyavan in Varanasi West, Uttar Pradesh and selected the GATE paper code of CH. His preferred exam cities were Kanpur, Lucknow and Varanasi.

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    C 298 N 82 Applicationform

    Uploaded by

    praveen pandey
    21 views1 page
    Shivam Dubey, an Indian male from the GEN-EWS category, applied to take the GATE 2023 exam. He was born on April 17, 2002 and is currently pursuing a B.Tech in Chemical Engineering with expected graduation in 2023 from Dr. Ambedkar Institute of Technology for Handicapped in Kanpur, Uttar Pradesh. He listed his communication address as Village Pure Badal Sanda Suriyavan in Varanasi West, Uttar Pradesh and selected the GATE paper code of CH. His preferred exam cities were Kanpur, Lucknow and Varanasi.

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    c 298 n 82 Applicationform

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    Shivam Dubey, an Indian male from the GEN-EWS category, applied to take the GATE 2023 exam. He was born on April 17, 2002 and is currently pursuing a B.Tech in Chemical Engineering with expected graduation in 2023 from Dr. Ambedkar Institute of Technology for Handicapped in Kanpur, Uttar Pradesh. He listed his communication address as Village Pure Badal Sanda Suriyavan in Varanasi West, Uttar Pradesh and selected the GATE paper code of CH. His preferred exam cities were Kanpur, Lucknow and Varanasi.

    Copyright:

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

    C 298 N 82 Applicationform

    Uploaded by

    praveen pandey
    Shivam Dubey, an Indian male from the GEN-EWS category, applied to take the GATE 2023 exam. He was born on April 17, 2002 and is currently pursuing a B.Tech in Chemical Engineering with expected graduation in 2023 from Dr. Ambedkar Institute of Technology for Handicapped in Kanpur, Uttar Pradesh. He listed his communication address as Village Pure Badal Sanda Suriyavan in Varanasi West, Uttar Pradesh and selected the GATE paper code of CH. His preferred exam cities were Kanpur, Lucknow and Varanasi.

    Copyright:

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

    Zone/Scrutiny Code

    5EW
    C298N82
    C298N82 (Enrollment ID)

    SHIVAM DUBEY
    (Full Name of the Applicant)

    17 Apr 2002 Male GEN-EWS


    (D.O.B) (Gender) (Category)
    Indian +91-9794516796 VINOD KUMAR DUBEY
    National (Parent/Guardian's Mobile Number) (Parent/Guardian's Name)

    Communication Address GATE Exam Details


    VILL- PURE BADAL SANDA SURIYAVAN GATE Paper Code
    Varanasi West
    Uttar Pradesh 221404
    +91-8795815145 (Mobile No.)
    [email protected]
    CH
    (Chemical Engineering)

    Qualification Details Exam City 1: Kanpur (UP)


    Exam City 2: Lucknow (UP)
    B. Tech
    Chemical Engg. Exam City 3: Varanasi (UP)
    Graduated: No; Year of Graduation: 2023
    Dr.Ambedkar institute of technology for handicapped
    Zonal GATE Office Contact
    Kanpur City
    Chairperson, GATE
    Uttar Pradesh 208024
    Indian Institute of Technology Kanpur
    Kanpur 208016

    I confirm that I fulfil the eligibility criteria to appear for the Graduate Aptitude Test in Engineering (GATE 2023) examination and I, myself have filled up the
    entire form in the portal. I have fully understood each and every point in the form and filled up the details accordingly. I agree to strictly comply with the code
    of conduct for GATE 2023 examination as detailed in Appendix B of the Information Brochure. I confirm that the information provided by me in this form is
    correct in all respect. I also confirm that I am NOT filling more than ONE form for myself.

    If any of the information provided by me is found to be incorrect at any time later, my candidature for GATE 2023 will be cancelled. This cancellation of my
    candidature can happen either before, during or after the examination, including the time after generation of my GATE 2023 score card, if any.

    I also understand that GATE is NOT an admission ensuring examination, and qualifying in GATE examination does NOT guarantee admission / scholarship /
    job. GATE 2023 committee is NOT liable for any legal obligations related to admission / job. I am aware that the data provided by me during the application
    process as well as my GATE results may be shared for admission / recruitment purposes.

    I shall be liable for legal action for providing any type of false information. GATE 2023 committee's decision will be final and legally binding on me.

    Digital Fingerprint: ac0744faecd4cfbad6e7937da5d26640

    PROVISIONAL APPLICATION SUBJECT TO PAYMENT

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