b 140 d 51 Applicationform

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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)