Zone/Scrutiny Code GATE 2021

6GE B159P36
B159P36 (Enrollment ID)

RAHUL N
(Full Name of the Applicant)

10 Oct 1999 Male GEN

(D.O.B) (Gender) (Category)
Indian +91-9739961480 NANDAKUMAR S
National (Parent/Guardian's Mobile Number) (Parent/Guardian's Name)

Communication Address GATE Exam Details

No 10/23, Second Floor, GATE Paper Code
Kamakoti Nagar Main Road,
Opp to TMB ATM, Valasaravakkam,
Chennai
Tamil Nadu 600087
CH
(Chemical Engineering)
+91-9886939686 (Mobile No.)

Qualification Details Exam City 1: Tadepalligudem (AP)

Exam City 2: Vijayawada (AP)
B.Tech
Chemical Engg. Exam City 3: Rajamahendravaram (Rajahmundry, AP)
Graduated: No; Year of Graduation: 2022 Exam City 4: Chennai West (TN)
National Institute of Technology, Tadepalligudem,
Tadepalligudem Zonal GATE Office Contact
Andhra Pradesh 534101 Chairperson, GATE
Indian Institute of Technology Kharagpur
Payment Details Kharagpur 721302

Payment Transaction Ref. No Transaction Date Amount

Online CPAAHOGAP4 15/9/20 9:54 PM 1500.0

I confirm that I fulfil the eligibility criteria to appear for the Graduate Aptitude Test in Engineering (GATE 2021)
examination and I, myself have filled up the entire form in the GOAPS portal. I have fully understood each and
every point in the form and filled up the details accordingly. I agree to strictly comply with the code of conduct
for GATE 2021 examination as detailed in Appendix B of the Information Brochure. I confirm that the
information provided by me in this form is correct in all respect. I also confirm that I am NOT filling more than
ONE form for myself.

If any of the information provided by me is found to be incorrect at any time later, my candidature for GATE
2021 will be cancelled. This cancellation of my candidature can happen either before, during or after the
examination, including the time after generation of my GATE 2021 score card, if any.

I also understand that GATE is NOT an admission ensuring examination, and qualifying in GATE examination
does NOT guarantee admission / scholarship / job. GATE 2021 committee is NOT liable for any legal
obligations related to admission / job.

I shall be liable for legal action for providing any type of false information. GATE 2021 committee's decision will
be final and legally binding on me.

e-Signature: Rahul N
Digital Fingerprint: 7b458e28af5f786592e288cf833d3a14