Zone/Scrutiny

GATE 2017

8GE
R121F99

R121F99

(Enrollment ID)

Budhi Prakash
(Full Name of the Applicant)

16 Oct 1992

Male

GEN

No

(D.O.B)

(Gender)

(Category)

(PD Status)

Indian National

+918679240637

Leela Dhar

(Parent's Mobile Number)

(Name of the Parent)

Communication Address
VILL. GARYALA, P.O. MAINDHI, TEH. KARSOG
DISTT. MANDI
KARSOG
Himachal Pradesh 175011

+918894301148 (Mobile No.)

b.prakash1692@gmail.com

GATE Exam Details

GATE Paper Code

EE
(Electrical Engineering)

Shimla-Solan-Baddi, HP
(Exam City 1)

Qualification Details
B.Tech
Electrical Engg./Electrical and Electronics Engg.
Graduated: Yes; Year of Graduation: 2015
NIT HAMIRPUR
HAMIRPUR
Himachal Pradesh 171009

Payment Details
Online Rs. 1500.00

Ambala, HR
(Exam City 2)

Jalandhar, PB
(Exam City 3)

Zonal GATE Office Contact

Chairperson GATE
Indian Institute of Technology Roorkee
Roorkee 247667

Payment Ref. No.: CP60297536

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.

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