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    C352 N86 Application Form

    Uploaded by

    Pawan Chaurasiya
    Shivam Raj has applied to appear for the GATE 2023 exam. He is an Indian national, male, and from the GEN-EWS category. He was born on November 14, 2001. He is currently pursuing his B.Tech in Electronics Engineering from NIELIT Aurangabad and is expected to graduate in 2024. He has applied to appear for the GATE paper in Electronics and Communication Engineering. His preferred exam cities are Bilaspur, Raipur, and Bhilai in Chhattisgarh.

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    C352 N86 Application Form

    Uploaded by

    Pawan Chaurasiya
    23 views1 page
    Shivam Raj has applied to appear for the GATE 2023 exam. He is an Indian national, male, and from the GEN-EWS category. He was born on November 14, 2001. He is currently pursuing his B.Tech in Electronics Engineering from NIELIT Aurangabad and is expected to graduate in 2024. He has applied to appear for the GATE paper in Electronics and Communication Engineering. His preferred exam cities are Bilaspur, Raipur, and Bhilai in Chhattisgarh.

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    C352N86ApplicationForm

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    Shivam Raj has applied to appear for the GATE 2023 exam. He is an Indian national, male, and from the GEN-EWS category. He was born on November 14, 2001. He is currently pursuing his B.Tech in Electronics Engineering from NIELIT Aurangabad and is expected to graduate in 2024. He has applied to appear for the GATE paper in Electronics and Communication Engineering. His preferred exam cities are Bilaspur, Raipur, and Bhilai in Chhattisgarh.

    Copyright:

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

    C352 N86 Application Form

    Uploaded by

    Pawan Chaurasiya
    Shivam Raj has applied to appear for the GATE 2023 exam. He is an Indian national, male, and from the GEN-EWS category. He was born on November 14, 2001. He is currently pursuing his B.Tech in Electronics Engineering from NIELIT Aurangabad and is expected to graduate in 2024. He has applied to appear for the GATE paper in Electronics and Communication Engineering. His preferred exam cities are Bilaspur, Raipur, and Bhilai in Chhattisgarh.

    Copyright:

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

    Zone/Scrutiny Code

    6EW
    C352N86
    C352N86 (Enrollment ID)

    SHIVAM RAJ
    (Full Name of the Applicant)

    14 Nov 2001 Male GEN-EWS


    (D.O.B) (Gender) (Category)
    Indian +91-6261072199 MR. RAJABRAT KUMAR SINGH
    National (Parent/Guardian's Mobile Number) (Parent/Guardian's Name)

    Communication Address GATE Exam Details


    Dharupur P S Bikramganj Rohtas Bihar GATE Paper Code
    Rohtas
    Bihar 802212
    +91-8789912511 (Mobile No.)
    shivamraj373@gmail.com
    EC
    (Electronics and
    Communication
    Engineering)
    Qualification Details Exam City 1: Bilaspur (CH)
    Exam City 2: Raipur (CH)
    B. Tech
    Electronics Engg. Exam City 3: Bhilai (CH)
    Graduated: No; Year of Graduation: 2024
    NATIONAL INSTITUTE OF ELECTRONICS & INFORMATION
    TECHNOLOGY (NIELIT).AURANGABAD Zonal GATE Office Contact
    Aurangabad
    Chairperson, GATE
    Maharashtra 431004 Indian Institute of Technology Kharagpur
    Kharagpur 721302

    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: d071ac55947793e2bb5115a52d91a242

    PROVISIONAL APPLICATION SUBJECT TO PAYMENT

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