Zone/Scrutiny GATE 2019

5GE C143R81
C143R81 (Enrollment ID)

ANANT JAIN
(Full Name of the Applicant)

05 Oct 1993 Male GEN

(D.O.B) (Gender) (Category)

Indian +91-9993464185 RAJENDRA KUMAR JAIN

National (Mobile Number of Parent/Guardian) (Name of Parent/Guardian)

Communication Address GATE Exam Details

POORNIMA 11/275 BEHIND BLOCK OFFICE GATE Paper Code
TILAK NAGAR REWA
REWA
Madhya Pradesh 486001
+91-7772001595 (Mobile No.)
IN
(Instrumentation Engineering)
anantjain40@gmail.com Bhopal, MP
(Exam City 1)

Qualification Details Allahabad, UP

(Exam City 2)
B.E.
Electronics Communication & Instrumentation Indore, MP
(Exam City 3)
Graduated: Yes; Year of Graduation: 2016
SHRI G.S. INSTITUTE OF TECH. AND SCIENCE Zonal GATE Office Contact
INDORE Chairperson, GATE
Madhya Pradesh 452001 Indian Institute of Technology Kanpur
Kanpur 208016
Payment Details
Online Rs. 1500.00
Payment Ref. No.: NSBI6646352574 04/09/2018

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 2019 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 2019. 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 2019 score/marks is liable to be
cancelled.

Digital
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