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8/19/2019 b 140 d 51 Applicationform
1/1
(Enrolment ID)B140D51
Zone/Scrutiny
Payment Details
Rs. 1500.00
2GE
(D.O.B)
Qualification Details
(Exam City 1)
Jadhav Santosh Baburao(Full Name of the Applicant)
22 Jun 1990 Male
Indian National
GEN No
B.E.
Baburao
Maharashtra 413512
MSBECL
Communication Address
Graduated: Yes; Year of Graduation: 2012
Electrical Engg./Electrical and Electronics Engg.
hereby declare that all the particulars stated in this application form are true to the best of my knowledge andbelief. I have read the Information Brochure and I shall abide by the terms and conditions therein. Theesponsibility of following the GATE 2016 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 opportunityo appear in GATE 2016. 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 2016 score/marks is liable to becancelled.
Digitalingerprint:
OnlinePayment Ref. No.: CP28810340
KULSWAMINI NAGAR, NEAR PVR CHOWKBARSHI ROAD, LATURLATURMaharashtra 413512
72762 84354 (Mobile No.)[email protected]
Zonal GATE Office Contact Chairperson GATE
Powai, Mumbai 400076
683b37d7ee1f68b6515b0a3318f9edb7
GATE Exam Details
(Exam City 2)
15/09/2015
LATUR
GATE 2016
(Exam City 3)
(Gender) (Category) (PD Status)
GATE Paper Code
8237812232
EEPune , MH
Nanded , MH
Mumbai , MH
Indian Institute of Technology Bombay
(Parent's Mobile Number) (Name of the Parent)
B140D51
(Electrical Engineering)