Zone/Scrutiny

GATE 2015

6OB
G333S61

G333S61

(Enrolment ID)

Ashish Das
(Full Name of the Applicant)

20 Oct 1989

Male

OBC

No

(D.O.B)

(Gender)

(Category)

(PD Status)

Indian National

9993830132

Palak Das

(Parent's Mobile Number)

(Name of the Parent)

Communication Address
Q.No.268/D STREET NO.46
ZONE-2 B.M.Y CHARODA
CHARODA
Chhattisgarh 490025

75871 99294 (Mobile No.)

ashishdas008@gmail.com

GATE Exam Details

GATE Paper Code

ME
Bhilai , CG
(Exam City 1)

Raipur , CG

Qualification Details
B.E.
Mechanical Engg.
Graduated: Yes; Year of Graduation: 2013
CSVTU BHILAI
BHILAI
Chhattisgarh 490001

(Exam City 2)

Visakhapatnam , AP
(Exam City 3)

Zonal GATE Office Contact

Chairperson GATE
Indian Institute of Technology Kharagpur
Kharagpur 721302

Payment Details

Rs. 1500.00

Online

Payment Ref. No.: IG000WZLE4

28/09/2014
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 2015 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 2015. 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 2015 score/marks is liable to be
cancelled.

Digital
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