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    GATE - 2023 - View Submitted Application Form

    Uploaded by

    Shubham Patil
    The document is a GATE 2023 application form submitted by Shubham Shankar Patil for the Computer Science and Information Technology exam to be held in Sangli, Kolhapur, or Satara, Maharashtra, India. It includes his personal details like name, date of birth, gender, category, contact information, parent/guardian details, qualifying degree details from Rajarambapu Institute of Technology, Sangli, and a signed declaration that the information provided is true.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    GATE - 2023 - View Submitted Application Form

    Uploaded by

    Shubham Patil
    23 views5 pages
    The document is a GATE 2023 application form submitted by Shubham Shankar Patil for the Computer Science and Information Technology exam to be held in Sangli, Kolhapur, or Satara, Maharashtra, India. It includes his personal details like name, date of birth, gender, category, contact information, parent/guardian details, qualifying degree details from Rajarambapu Institute of Technology, Sangli, and a signed declaration that the information provided is true.

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    GATE - 2023 __ View Submitted Application Form

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    The document is a GATE 2023 application form submitted by Shubham Shankar Patil for the Computer Science and Information Technology exam to be held in Sangli, Kolhapur, or Satara, Maharashtra, India. It includes his personal details like name, date of birth, gender, category, contact information, parent/guardian details, qualifying degree details from Rajarambapu Institute of Technology, Sangli, and a signed declaration that the information provided is true.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    23 views5 pages

    GATE - 2023 - View Submitted Application Form

    Uploaded by

    Shubham Patil
    The document is a GATE 2023 application form submitted by Shubham Shankar Patil for the Computer Science and Information Technology exam to be held in Sangli, Kolhapur, or Satara, Maharashtra, India. It includes his personal details like name, date of birth, gender, category, contact information, parent/guardian details, qualifying degree details from Rajarambapu Institute of Technology, Sangli, and a signed declaration that the information provided is true.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 5

    9/26/22, 9:38 AM GATE - 2023 :: View Submitted Application Form

    (.)

    GATE - 2023 Exam Details 

    GATE 2023 Paper 1

    Computer Science and Information Technology (CS)

    Examination Country

    India

    Examination City 1

    Sangli (MH)

    Examination City 2

    Kolhapur (MH)

    Examination City 3

    Satara (MH)

    Applicant's Personal
    Details 

    Enrollment ID

    C171N24

    Name of the Candidate

    SHUBHAM SHANKAR PATIL

    Email Address

    [email protected]

    Mobile Number

    +
    91-7620822655

    Date of Birth
    5
    June
    2000

    Gender
    Male
    https://app.gate.iitk.ac.in/viewApplicationForm 1/5
    9/26/22, 9:38 AM GATE - 2023 :: View Submitted Application Form

    Nationality

    Indian

    Category

    GEN-EWS

    Persons with Disability (PwD)

    No

    Dyslexic Candidate

    No

    Do you require scribe


    assistance to write the exam?

    No

    Will be able to climb staircase

    Yes

    Permanent Address Country

    India

    State/Union Territory of Permanent Residence

    Maharashtra

    ID Proof

    Aadhaar ID

    ID Proof Number

    314145628574

    Name of Parent/Guardian

    SHANKAR PATIL

    Parent/Guardian Mobile number

    +
    91-
    9673568110

    Country of Residence of Parent/Guardian

    India

    Communication Details 

    https://app.gate.iitk.ac.in/viewApplicationForm 2/5
    9/26/22, 9:38 AM GATE - 2023 :: View Submitted Application Form

    Address line 1

    A/P Dhavali,Tal-Walwa,Dist-Sangli

    Address line 2

    Near Mahadev mandir, Nagaon Road

    Address line 3

    Indumati Banglow

    City/Town

    SANGLI DIVISION

    PIN Code

    416302

    Correspondence Address Country

    India

    State/Union Territory

    Maharashtra

    Qualifying Degree Details 

    Institute Registration No/ Roll No

    1804066

    Qualifying Degree/ Degree Pursuing

    B. Tech

    Discipline of Qualifying Degree

    Information Technology

    Have you Graduated in the above Degree?

    Yes

    Year of Qualifying Degree

    2022

    College/University Name

    KASEGAON EDUCATION SOCIETYS RAJARAMBAPU INSTITUTE OF TECHNOLOGY

    https://app.gate.iitk.ac.in/viewApplicationForm 3/5
    9/26/22, 9:38 AM GATE - 2023 :: View Submitted Application Form

    Country of College / University

    India

    State/Union Territory

    Maharashtra

    City/Town

    SANGLI DIVISION

    PIN Code

    415409

    Upload Documents 

    Photograph

    Signature

    Photo ID

    View Certificate (dlCert?type=dlphotoID)

    Source of Information 

    Where did you first come to know about GATE 2023?

    GATE 2023 Poster

    Declaration 

    https://app.gate.iitk.ac.in/viewApplicationForm 4/5
    9/26/22, 9:38 AM GATE - 2023 :: View Submitted Application Form

    I confirm that I fulfil the eligibility criteria to appear for the


    Graduate Aptitude Test in Engineering (GATE
    2023) examination and I have filled up the entire GATE 2023 Application Form. 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 are 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 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.
    E-Signature

    Shubham Shankar Patil

    Go Back (./home) Make Payment (payment)

    https://app.gate.iitk.ac.in/viewApplicationForm 5/5

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