Application Form

Zone/Scrutiny Code

5ST T273C45

T273C45 (Enrollment ID)

NAVEEN SINGH
(Full Name of the Applicant)

11 Dec 1999 Male ST

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

Indian +91-8435360155 JHAMU SINGH PARASTE

National (Parent/Guardian's Mobile Number) (Parent/Guardian's Name)

Communication Address GATE Exam Details

Gram-Goga Post-Girari Rajendragram Anuppur GATE Paper Code
Gram-Goga Post-Girari Rajendragram Anuppur
Gram-Goga Post-Girari Rajendragram Anuppur
Goga,Rajendragram.,Anuppur
Madhya Pradesh 484881
EE
+91-7489133175 (Mobile No.) (Electrical Engineering)
naveenparaste9@gmail.com

Qualification Details
Exam City 1 : Jabalpur (MP)
B. Tech
Exam City 2 : Bhopal (MP)
Electrical Engg.
Graduated: Yes; Year of Graduation: 2023 Exam City 3 : Satna (MP)
JABALPUR ENGINEERING COLLEGE
Jabalpur Engineering College,Jabalpur Zonal GATE Office Contact
Madhya Pradesh 482011 GATE Office
Indian Institute of Technology Kanpur
Kanpur 208016
Payment Details
gate@iitk.ac.in, 0512-2596962

Payment Mode Transaction Ref. No Transaction Date Amount Payment For

Unified Payments 113019386177 9/23/23, 1:54 PM 900.00 Application Fee

DECLARATION
I confirm that I fulfil the eligibility criteria to appear for the Graduate Aptitude Test in Engineering (GATE 2024) examination. I have read the Information
Brochure and filled up the GATE 2024 Application Form myself. I agree to strictly comply with the code of conduct for GATE 2024 examination as detailed in
the Information Brochure. I confirm that the information provided by me in this form is correct. I also confirm that I am NOT filling more than one Application
Form for myself.
If any of the information provided by me is found to be incorrect later, I understand that my candidature for GATE 2024 may be cancelled, before, during, or
after the examination, including the time after generation of my GATE 2024 Score Card. Further, I understand that I may be liable for legal action for
providing false information. GATE 2024 Examination Body’s decision will be final and legally binding on me.
I also understand that GATE is NOT an admission ensuring examination, and qualifying in GATE examination does NOT guarantee admission, scholarship,
or a job. GATE 2024 Examination Body shall NOT be liable for any legal obligations arising out of this matter.
I am aware that the data provided by me during the application process as well as my GATE results may be shared for admission or recruitment purposes.

e-Signature : NAVEEN SINGH

Digital Fingerprint : 452f2d38664f49824149535bf6dfb31d