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    R303 N79 Application Form

    Uploaded by

    rakeshkumarradhe63

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    © All Rights Reserved
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    R303 N79 Application Form

    Uploaded by

    rakeshkumarradhe63
    0 views1 page

    Original Title

    R303N79ApplicationForm (2)

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    0 views1 page

    R303 N79 Application Form

    Uploaded by

    rakeshkumarradhe63

    Copyright:

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

    Application Form

    Zone/Scrutiny Code

    4EW R303N79

    R303N79 (Enrollment ID)

    RAKESH KUMAR SAHOO


    (Full Name of the Applicant)

    11 Aug 1999 Male GEN-EWS


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

    Indian +91-7326910444 BHARATI SAHOO


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

    Communication Address GATE Exam Details


    Haladiabahal GATE Paper Code1 GATE Paper Code2
    Beruanpal.,Dhenkanal
    Odisha 759121
    +91-7751855208 (Mobile No.)
    [email protected]
    GG GE
    (GG - Geology) (Geomatics Engineering)

    Qualification Details
    Exam City 1 : Shillong (ML)
    M. Sc
    Exam City 2 : Guwahati (AS)
    Geology / Geophysics.
    Graduated: Yes; Year of Graduation: 2021 Exam City 3 : Dibrugarh (AS)
    CENTRAL UNIVERSITY OF KARNATAKA
    Zonal GATE Office Contact
    Bhimalli.,Kalaburagi GATE Office
    Karnataka 585311 Indian Institute of Technology Guwahati
    Guwahati 781039
    Payment Details [email protected], 0361-2582751

    Payment Mode Transaction Ref. No Transaction Date Amount Payment For


    Unified Payments 113471342276 9/21/24, 11:02 AM 3600.00 Application Fee

    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.

    e-Signature : RAKESH KUMAR SAHOO


    Digital Fingerprint : 7355881e254fdcd09610287066f39351

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