Zone/Scrutiny

GATE 2017

4ST
R456C73

R456C73

(Enrollment ID)

Manprita Basumatary
(Full Name of the Applicant)

31 Dec 1992

Female

ST

No

(D.O.B)

(Gender)

(Category)

(PD Status)

Indian National

+919706456704

Prasad Chandra Basumatary

(Parent's Mobile Number)

(Name of the Parent)

Communication Address
zoo road japorigog path barnali path
nandanpur house no4
guwahati
Assam 781005

+919613597549 (Mobile No.)

manprita.choc@gmail.com

GATE Exam Details

GATE Paper Code

PI
(Production and Industrial Engineering)

Jorhat, AS
(Exam City 1)

Qualification Details
B.E.
Mechanical Engg.
Graduated: Yes; Year of Graduation: 2015
Gauhati University
guwahati
Assam 781005

Payment Details
Online Rs. 750.00

Guwahati, AS
(Exam City 2)

Shillong, ML
(Exam City 3)

Zonal GATE Office Contact

Chairperson GATE
Indian Institute of Technology Guwahati
Guwahati 781039

Payment Ref. No.: CP60000795

02/10/2016
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
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