Zone/Scrutiny GATE 2016

6OB B454Y74
B454Y74 (Enrolment ID)

Mohammad Ramizraj
(Full Name of the Applicant)

01 Jul 1994 Male OBC No

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

Indian National 9989288021 Mohammad Samdhani

(Parent's Mobile Number) (Name of the Parent)

Communication Address GATE Exam Details

HOUSE NO 19-154 GATE Paper Code
LINE BAZAR
TIRUVURU
Andhra Pradesh 521235
99892 88021 (Mobile No.)
EC
(Electronics and Communication Engineering)
ramizrajhbk@gmail.com Vijayawada , AP
(Exam City 1)

Qualification Details Eluru , AP

(Exam City 2)
B.Tech
Electronics & Comm./Electronics Engg./Comm. Visakhapatnam , AP
(Exam City 3)
Graduated: No; Year of Graduation: 2016
LBRCE MYLAVARAM Zonal GATE Office Contact
MYLAVARAM Chairperson GATE
Andhra Pradesh 521230 Indian Institute of Technology Kharagpur
Kharagpur 721302
Payment Details
Online Rs. 1500.00
Payment Ref. No.: CP29650331
26/09/2015

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 2016 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 2016. 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 2016 score/marks is liable to be
cancelled.

Digital
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