Zone/Scrutiny GATE 2020

6OB D279N76
D279N76 (Enrollment ID)

SHAILJA SURENDRA KUMBHALWAR

(Full Name of the Applicant)

16 Jun 1996 Female OBC-NCL

(D.O.B) (Gender) (Category)
Indian +91-9403617985 SURENDRA KUMBHALWAR
National (Parent/Guardian's Mobile Number) (Parent/Guardian's Name)

Communication Address GATE Exam Details

behind saaket public school GATE Paper Code
balaji layout, gauri nagar, Gondia
Gondia
Maharashtra 441601
+91-9405729441 (Mobile No.)
AR
(Architecture and Planning)
kumbhalwarshailja@gmail.com Raipur, CH
(Exam City 1)
Qualification Details Bhilai, CH
B.Arch (Exam City 2)
Architecture / Architectural Engg. Nagpur, MH
Graduated: No; Year of Graduation: 2020 (Exam City 3)
MANOHARBHAI PATEL INSTITUTE OF ENGINEERING & Zonal GATE Office Contact
TECHNOLOGY
Gondia City Chairman, GATE
Maharashtra 441614 Indian Institute of Technology Kharagpur
Kharagpur 721302
Payment Details
Online Rs. 750.00
Payment Ref. No.: CPU7946709 Txn Date:2019-09-18

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 2020 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 2020. 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 2020 score/marks is liable to be
cancelled.

Digital
Fingerprint: c71c309b3f8ab84efad3119ad0a32ef1