Application Form

Zone/Scrutiny Code

3ST T235D93

T235D93 (Enrollment ID)

AKASH KUMAR MEENA

(Full Name of the Applicant)

03 May 2002 Male ST

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

Indian +91-9929179670 HANSRAJ MEENA

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

Communication Address GATE Exam Details

gram tundila,bamanwas,sawai madhopur, GATE Paper Code
rajasthan,322211
tundila.,Sawai madhopur
Rajasthan 322211
+91-8875026149 (Mobile No.)
CE
akashmeena352002@gmail.com (Civil Engineering)

Qualification Details
Exam City 1 : Jaipur (RJ)
B. Tech
Exam City 2 : Kota (RJ)
Civil Engg.
Graduated: No; Year of Graduation: 2024 Exam City 3 : Mathura (UP)
NATIONAL INSTITUTE OF TECHNOLOGY, SRINAGAR
Zonal GATE Office Contact
Gulab Bagh.,Srinagar GATE Office
Jammu and Kashmir 190006 Indian Institute of Technology Delhi
Hauz Khas, New Delhi 110016
Payment Details
gate@admin.iitd.ac.in, 011-26591749

Payment Mode Transaction Ref. No Transaction Date Amount Payment For

Unified Payments 113014525613 9/18/23, 10:45 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 : Akash kumar meena

Digital Fingerprint : 9dedc1093fa2acd1397b556cb4a0aba5