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R 105 N 59 Applicationform

This document contains the application details of Abhisek Das for GATE 2017. It includes his personal details like name, date of birth, gender, category, communication address, parent details, qualification details, exam details and payment details. It also contains his declaration that he has read the information brochure and the terms and conditions and that he is responsible for meeting deadlines.

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Abhisek Das
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49 views1 page

R 105 N 59 Applicationform

This document contains the application details of Abhisek Das for GATE 2017. It includes his personal details like name, date of birth, gender, category, communication address, parent details, qualification details, exam details and payment details. It also contains his declaration that he has read the information brochure and the terms and conditions and that he is responsible for meeting deadlines.

Uploaded by

Abhisek Das
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Zone/Scrutiny GATE 2017

6GE R105N59
R105N59 (Enrollment ID)

Abhisek Das
(Full Name of the Applicant)

02 Nov 1991 Male GEN No


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

Indian National +919432123137 Partha Sarathi Das


(Parent's Mobile Number) (Name of the Parent)

Communication Address GATE Exam Details


25 NAKTALA ROAD GATE Paper Code
KOLKATA
West Bengal 700047
+919038142125 (Mobile No.)
das.abhishek90@yahoo.in
CS
(Computer Science and Information Technology)
Kolkata, WB
(Exam City 1)

Qualification Details Hooghly, WB


(Exam City 2)
B.Tech
Computer Engg./Computer Science & Engg. Burdwan, WB
(Exam City 3)
Graduated: Yes; Year of Graduation: 2014
FIEM Zonal GATE Office Contact
KOLKATA Chairperson GATE
West Bengal 700150 Indian Institute of Technology Kharagpur
Kharagpur 721302
Payment Details
Online Rs. 1500.00
Payment Ref. No.: CP56698553
02/09/2016

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 2017 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 2017. 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 2017 score/marks is liable to be
cancelled.

Digital
Fingerprint: 2c2bb2e953cfc6c39697a11c3906dab8

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